Register A Volunteer

Your Details:

I would like to signup as a: Title: * First Name: * Last Name: * Email: * Date of Birth (dd/mm/yyyy): Gender: * Address: * Suburb: * State: * Postcode: * Daytime Phone: * Mobile Phone: Occupation: * Skills: * Interests: * Emergency Contact: * Emergency Phone: *

Are you a current St John Volunteer?

Yes No

Are you a current volunteer with another organisation?

Yes No

Would you like to be contacted about any of the following?

Donations Corporate Partners Donations by Bequest/Will Community Care First Aid Training First Aid Kits

I hereby grant permission for St John Ambulance Australia (Vic) to obtain a police check, if needed.

Yes No

I agree to release the above information to St John Ambulance (Vic) personnel who are responsible for
placement of volunteers. I voluntarily offer myself as a volunteer.

Yes No

Would you like to be notified of future volunteering opportunities with St John Vic?

Yes No