Expression of Interest Form

Please complete the below expression of interest form and a Coordinator of Volunteers will be in contact with you to discuss further.

First name (mandatory)

Last name (mandatory)

Name of Organisation (if applicable)

Address Line 1 (mandatory)

Address Line 2

Suburb (mandatory)

State (mandatory)

- please select -ACTNSWNTQLDSATASVICWAOther (International)

Postcode (mandatory)

Home phone

Mobile phone

Email address

Which volunteer opportunity are you interested in?

Month you would like to voluntee

- please select -JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Area of interest?

Which location are you interested in?

Please indicate the closest centre

- please select -AlburyBallaratBendigoBoroniaCanberraCaringbahCoffs HarbourCoorparooDandenongEnfieldGeelongGosfordKensingtonKooyongMilduraNewcastleSeeing Eye Dogs (Kensington)SheppartonWarragulWarrnamboolWollongongSunshineNot sure

What is your preferred method of contact? (mandatory)

- please select -EmailHome phoneMobile phone

Submit

Volunteer