Volunteering

Southern Cross Care currently has active volunteer groups in all facilities involved in both pastoral care and activities. To register your interest in volunteering at one of our facilities, please fill out the application form below.

Applicant Details

Surname:
MR/MRS/MISS/MSM
Given Name
Address
Business Hours
Home
Mobile
Are you related to or do you have family connection to any current Southern Cross Care Employee?  Yes No
Please state Family Name and relationship

Previous Experience as a volunteer(if any)

Interest or skills you have that may be useful when volunteering

Certificates and licenses

Drivers

Expires:
No.

First Aid

Expires:
Level:

Other

Expires:
Level:

Aged Care Industry Experience

Have you had any experiences in the aged care industry  Yes No
If yes, please give details

Personal Details

For our records we need you to provide the following information

Date of birth: Male Female
If you speak another language other than English please specify:

Contact in case of emergency

Name:
Relationship:
Contact Details:

Application

I, (insert name) make a application as volunteer with Southern Cross Care (BH) Ltd.

I believe I am fit as well as being willing and capable of safely performing the activities of a volunteer for which I am applying. I guarantee that the information provided by me on the form, to the best of my knowledge is true. I understand that I may be dismissed if the company later finds that the information provided is false or misleading. I agree to be bound by all of the terms and conditions of my engagement(including relevant Southern Cross Care (Broken Hill) Ltd Policies and Procedures that are in force as well as other specific conditions contained in my volunteer agreement.

Date of application: