Join our volunteer team

Volunteer application form

Required fields are marked with an asterisk (*)
Title:
Personal details*
First Surname
Are you over 18?*
- Yes
- No
Phone number*
Email address*
Home address*
Street address Address line 2 Suburb State Postcode
Next of Kin (NOK):*
First
Relationship*
Phone number*
Email address
Are you of Aboriginal or Torres Strait Islander origin?*
- No
- Yes, Aboriginal
- Yes, Torres Strait Islander
- Yes, both Aboriginal and Torres Strait Islander
Languages (other than English):
Citizenship/residency status:*
- Australian/New Zealand citizen
- Australian/New Zealand resident
- Holder of working visa
- Other visa
Employment status:*
- Full-time employed
- Part-time employed
- Self employed
- Student
- Job seeker
- Retired
- Centrelink requirement
Areas of interest:*
Please tell us about yourself, including your skills, experience and why you are interested in becoming a Community and Oral Health volunteer.
Which days are you available?*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
Number of hours per week?*
- 2 - 4 hours
- 5 - 10 hours
- 10 - 16 hours
Preferred times available to volunteer?*
- Morning
- Afternoon
- Both
Please indicate the preferred location you are interested in:*
- Brighton Brain Injury Service
- Brighton Health Campus
- Brighton Residential Aged Care
- Brighton Wellness Hub
- Kippa-Ring Residential Aged Care
- North Lakes Health Precinct
- Red Hill, Halwyn Centre
- Zillmere, Residential Transition Care
Please indicate the activities you are interested in:*
- Working alongside allied health professionals to provide support to our patients/residents and their loved ones
- Meeting and greeting patients, families and visitors
- Help with folding brochures and preparing information packs
- Engaging with patients and consumers for patient experience surveys
- Providing companionship and bedside visits
- Supporting social and recreational activities including morning teas, bingo, reading groups, arts and craft, music
- Supporting community access activities including outings and bus trips
- Supporting outdoor activities including gardening and walking groups
- Supporting activities, information sessions and events at the Brighton Wellness Hub
- Other
Other:
Please specify
Referees:

We require two referees to support your application. A character referee may be anyone apart from a spouse/partner or relative, who has known you personally for at least two years. Your referees may be contacted through the recruitment process.
Referee 1:
Name*
Phone Number*
Email
Relationship to you*
Referee 2:
Name*
Phone Number*
Email
Relationship to you*
Vaccination report:

Due to volunteering in a health service like ours it is important that you, our patients, residents, carers and staff are protected from vaccine-preventable disease. Therefore, it is a condition of volunteering, for all volunteers to provide documentary evidence to verify they have been vaccinated against the following vaccine preventable diseases:
- Measles
- Mumps
- Rubella
- Varicella (chicken pox)
- Pertussis (whooping cough)
- Hepatitis B
Do you agree to provide this evidence?*
- Agree
- Disagree
Preferred method of contact is:*
- Phone
- Email
Pre-employment screening
Pre-employment screening, including an Aged Care Criminal History Check will be undertaken on all persons recommended for volunteering services. More information about this national police certificate will be discussed during the next stage of this recruitment process.
Information disclaimer and consent

While Queensland Health endeavours to ensure that the online transmission of the form, containing your information, over the internet is secure, the inherent nature of the internet means that there is a potential risk that your information may be viewed or intercepted by third parties.

Accordingly, submission through the online form shall be at your own risk and Queensland Health accepts no responsibility or liability for any unauthorised access to your information contained in the form when it is submitted online over the internet.

It is inadvisable to complete this form on a public or shared computer. If a public or shared computer is used then this shall be at your own risk, and you must take all reasonable steps to ensure your confidential information does not remain on the computer or in any way accessible by a third party.

Individuals who submit the form online should receive an acknowledgement from Queensland Health that the Form has been sent, on the screen, following submission. Queensland Health accepts no responsibility or liability if this acknowledgement does not appear or we do not receive your online submission.

You acknowledge that you have read and understood Queensland Health’s Privacy Statement and Disclaimer.
I hereby accept and agree to abide by, the above terms and conditions for submitting this Form*
- I accept and agree
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Join our volunteer team

Volunteer application form