Volunteer

Where will you be attending training? *Please select one...SydneyAshfieldSutherland

Name *

Email address *

Phone number(s) *

Address *

City/Suburb *

Postcode *

Gender *Please select one...MaleFemale

Marital status *Please select one...MarriedSingleWidowedDe FactoSeparatedDivorced

Date of birth *

Nationality *

Languages spoken *

Australian residency status *Please select one...Australian CitizenPermanent Resident

Do you have any disability? (If so, what support is required?)

Please list any health issues which may affect or prevent you from performing particular types of volunteer activities

Emergency contact name *

Relationship *

Contact phone number(s) *

Address *

City/Suburb *

Postcode *

Employment status *Please select one...Full-time employedPart-time employedStudentHome dutiesUnemployedUnemployed on benefitsSickness benefitsSpecial pension

Current occupation *

Other occupational experience *

Qualifications / Skills / Trade *

Interests, hobbies, sporting/social or community/church involvement *

Why are you volunteering? *

Why does counselling appeal to you? *

What qualities do you bring to counselling? *

Do you have any tertiary experience relevant to counselling? If so please explain. *

Are you currently receiving counselling or therapeutic support? If yes please explain. *

How did you hear about Lifeline Sydney? *Please select one...Friends/familyMediaNSW Volunteer centreOther (please specify)