Volunteer form

Acknowledgements

I have read & understood the privacy policy. *

A copy of our privacy policy can be viewed here.

I understand the training commitment involved to attain a First Responder scope of practice. *

I can commit to a minimum of 60 hours across 10 events per annum. *

My application will be placed on a waiting list and I will be contacted when there is vacancy to attend an interview and information session. *

I can kneel to conduct at least 5-minutes of Cardiopulmonary Resuscitation (CPR) on the ground. *

I can climb stairs without difficulty or exhaustion and am able to lift and carry equipment weighing up to 20kg including a first aid kit, client’s mobility aid and other emergency apparatus a reasonable distance. *

I can assist in lifting and moving a casualty on a stretcher a reasonable distance with the assistance of one or more people. *

I am over 18 years old *

(if you are under 18, please refer to the St John Youth Membership)

I understand and agree that all St John prospective members will be required to undergo a Criminal Record Check (CRC) and a Working with Children Check (WWCC). *

Personal Details

First name *

Last name *

Preferred name (If different from above)

Address *

Suburb *

Postcode *

Mobile *

Email *

Tell us about yourself

Finish the sentence (in 50 words or less):

I would describe myself as… *

As a St John volunteer, I expect… *

Medical History

Compliance Checks

We ask for this information voluntarily - you are under no obligation to provide it. Any findings of guilt or convictions recorded in any police check or working with children check will be considered in line with the requirements and responsibilities of this role.

How did you find out about us?

How did you find out about volunteering opportunities with St John Ambulance Victoria? *

Community event

Family or friend

Local advertising or media

Other

SJA Referral

SJA Website

Social media

Volunteered previously

Volunteer Application Form