Volunteer/Student Application Form

Volunteer Application Form

  • Personal Information:

  • Emergency Contact Details

  • Type of Work Preferred

  • Please provide a current reference that we may contact:

  • Additional Information

  • Accepted file types: jpg, gif, png, pdf.
    *For Volunteer roles at LCIS you are required to undertake a WWCC. It is free for volunteers.
  • Accepted file types: jpg, gif, png, pdf.
    *For Volunteer roles at LCIS you are required to undertake one. This is done at our expense prior to you commencing
    *In the case of an emergency an ambulance will be contacted and associated expenses the responsibility of individual staff/volunteers. Everyone is encouraged to have an ambulance subscription.
  • Note Indicating a medical condition does not preclude you from Volunteering with LCIS, it simply ensures we place you in an appropriate role and allocate appropriate tasks. We value your health. All medical and personal information will be treated as confidential.
    During the time you are a Volunteer at Laverton Community Integrated Services Inc. (LCIS) you may come across information that is deemed confidential or private. This could include personal information about a volunteer, member of the community or staff member. Should this occur, you have a responsibility to respect and maintain the confidentiality and privacy of all organisations and individuals. Breaches of confidentially and/or privacy can in some circumstances constitute offences under the law.
  • In order to assist us to match volunteers with areas of need/client requirements, please also provide the following details: