If you need any assistance to complete the form please email your contact details to volunteer@visionaustralia.org and one of the volunteer partnership team will be in touch.

First name (Maximum 32 characters)

Areas of interest - First preference

Areas of interest - Second preference

Areas of interest - Third preference

Referees

Please provide details of a current or past manager you reported to, and/or a personal reference (not a family member) who can attest to your character and abilities. Referees must be different from your emergency contacts.

First referee's details

First referee's first name (Maximum 32 characters)

First referee's last name (Maximum 32 characters)

First referee's email address

First referee's mobile phone number

Enter 10 digits without spaces starting with ‘0’.

First referee's home phone number

Enter 10 digits without spaces starting with area code.

First referee's relationship to you

Second referee's details

Second referee's first name (Maximum 32 characters)

Second referee's last name (Maximum 32 characters)

Second referee's email address

Second referee's mobile phone number

Enter 10 digits without spaces starting with ‘0’.

Second referee's home phone number

Enter 10 digits without spaces starting with area code.

Second referee's relationship to you

Emergency contacts

First emergency contact's details

First emergency contact's first name (Maximum 32 characters)

First emergency contact's last name (Maximum 32 characters)

First emergency contact's email address

First emergency contact's mobile phone number

Enter 10 digits without spaces starting with ‘0’.

First emergency contact's home phone number

Enter 10 digits without spaces starting with area code.

First emergency contact's relationship to you

Second emergency contact's details

Second emergency contact's first name (Maximum 32 characters)

Second emergency contact's last name (Maximum 32 characters)

Second emergency contact's email address

Second emergency contact's mobile phone number

Enter 10 digits without spaces starting with ‘0’.

Second emergency contact's home phone number

Enter 10 digits without spaces starting with area code.

Second emergency contact's relationship to you

Other citizenship or residency

Have you been a citizen or permanent resident of a country/countries other than Australia since turning 16 years of age?

YesNo

Declaration

Mandatory checks acknowledgement

I am aware that Vision Australia requires me to undertake and maintain a range of mandatory checks as per Australian Government and Vision Australia Policy. This may include an NDIS worker screening check, a national criminal history check, a working with children check, and/or other relevant checks depending on the state in which I volunteer.

Vision Australia is bound by the Privacy Act 1988 (Privacy Act). Any personal information Vision Australia collects is handled in accordance with the Australian Privacy Principles outlined in the Privacy Act and any applicable state or territory legislation as per Vision Australia’s Privacy Policy.

Vacancy title

Your details

Volunteering details

Interest

Language

Skills and experience

Time and availability

Referees

First referee's details

Second referee's details

Emergency contacts

First emergency contact's details

Second emergency contact's details

Other citizenship or residency

Declaration

Seeing Eye Dog carer qualifications

Seeing Eye Dog carer qualifications

Property

Other dogs

Other pets

Employment

Lifestyle

Other citizenship or residency

Declaration