Volunteer Application Form

Please complete this form to apply to volunteer with Roundabout Canberra.

If you are under 17 and would like to volunteer with us, you are welcome to come along with a parent, carer or responsible adult. Please ask them to complete the Volunteer Application Form noting in comments that you are attending with them, you do not need to complete a form.

Please complete the Contact form if you wish to apply with your workplace, school or community group.

First Name*

Last Name*

Mobile*

Example: 04xxxxxxxx

Alternative Phone Number

(example: 04xxxxxxxx or 02xxxxxxxx)

Email*

Street*

Suburb*

State*

Postcode*

Emergency Contact Name*

Emergency Contact Phone Number*

(example: 04xxxxxxxx or 02xxxxxxxx)

Please include the details of any medical conditions that we should be aware of*

Please let us know if you require any additional supports to assist you while volunteering with us*

Please tell us why you are interested in volunteering with us, and whether you have a preference for volunteering at our premises at Holt, representing us at ad-hoc public events or both*

Where did you hear about us?

Please tell us more about where you heard about us

I have read and understood the Roundabout Canberra Volunteer Policy.