Volunteer application form

Volunteer Application Form

Download application form here and submit via email or post or complete the below online form. 

Email: [email protected]; or 

Mail: Volunteer Services, PO BOX 126, Bendigo VIC 3550   

To be eligible to become a volunteer at Bendigo Health, all volunteers must:

  • Be 18 years or older 
  • Undergo a National Volunteer Police Check (paid for by Bendigo Health)
  • Working with Children Check
  • Commit to a minimum of twelve months service and a minimum of 3 hours a week
  • Complete relevant orientation and training
  • Attend ongoing information and education sessions
  • Sign and agree to our conditions of volunteering inclusive of adhering to privacy, confidentiality, code of conduct and working towards our vision and values
  • Keep us updated with any changes in availability or contact details

Please fill in the form below carefully and then click on the submit button

IMPORTANT! Please complete this police check and statutory declaration form and bring to your volunteer interview. 

Volunteer Application Form

Personal details

Info "First name" is a mandatory field.
Info "Surname" is a mandatory field.
Info "Date of birth" is a mandatory field.
Info "Drivers license number" must be a number.
Info "Have you passed a working with children’s check" is a mandatory field.

Contact details

Info "Street address" is a mandatory field.
Info "Suburb" is a mandatory field.
Info "Postcode" is a mandatory field.
Info "Postcode" must be a 4 digit postcode.
Info "Home phone number" must be a number.
Info "Work phone number" must be a number.
Info "Mobile number" must be a number.
Info "Email address" is a mandatory field.
Info "Email address" must be a valid email address.

Emergency contact person

Info "Name" is a mandatory field.
Info "Relationship" is a mandatory field.
Info "Phone number" is a mandatory field.
Info "Phone number" must be a number.
Info "How did you hear about Bendigo Health’s Volunteer program?" is a mandatory field.
Info "Have you applied to be a volunteer with Bendigo Health before?" is a mandatory field.
Info "Why would you like to volunteer with Bendigo Health?" is a mandatory field.
Info "If yes, please provide details/dates" is a mandatory field.
Info "Please list any previous volunteer experience" is a mandatory field.
Info "Are you currently on any medications, or do you have any medical conditions, which might impact upon your volunteer role?" is a mandatory field.
Info "Do you speak or write a second language? If yes which languages?" is a mandatory field.
Info "What training and/or qualifications do you have?" is a mandatory field.
Info "What are your interests / hobbies / skills" is a mandatory field.
Info "What work experience do you have?" is a mandatory field.

Volunteer Role Preferences

Info "Which of the roles below are you most interested in?" is a mandatory field.
Info "In which area would you most like to do the roles selected above?" is a mandatory field.

Please List Two Referees

Referee one

Info "Work/Volunteer Referee" is a mandatory field.
Info "Relationship" is a mandatory field.
Info "Telephone Number" is a mandatory field.
Info "Telephone Number" must be a number.

Referee two

Info "Personal Referee" is a mandatory field.
Info "Relationship" is a mandatory field.
Info "Telephone number" is a mandatory field.
Info "Telephone number" must be a number.

Use of Information

By submitting this application you consent to the information provided by you being used for purpose relating to this application. Your information will be used in accordance with legislative requirements and this consent.