SSN COVID-19 Volunteer Application Form
Last updated: 9 April 2020 11:30

Before completing this form, please ensure you understand these minimum requirements:

  • This is a volunteer, unpaid role.
  • You must have own transport and mobile phone.
  • You must have open driving licence.
  • You must be aged over 18.
  • You must reside in one of the following Suburbs (SSN catchment area): Samford Village, Samford Valley, Wights Mountain, Camp Mountain, Highvale, Closeburn, Cedar Creek, Yugar and Draper.
  • You will be covered by Samford Support Network insurance.
  • Volunteers over 60 may be restricted to lower risk tasks.
  • Most tasks will be on a roster basis, selected by the Volunteer.
  • Training will be provided. Induction sessions usually held weekly in Samford. Your session will be advised once your application has been processed. Please bring along photocopies of your proof of ID, photocopy of Drivers Licence, your completed Criminal History form and your signed Non-Member Volunteer Disclosure form.
  • Some legitimate mileage expenses may be able to be reimbursed at a later date depending on Community financial support.
  • The roles will involve seeing current SSN Clients, community members, callers and members personal details, and some roles will involve visits to private houses. You will be required to sign a simple non-disclosure form, adhere to the privacy policy, sign a simple Stat Dec regarding your Criminal History, and be willing to have a National Criminal History check.



Thank you for acknowledging the minimum requirements. Please provide the information requested below.

  Postcode:
Please enter registration of all cars you may be using, separated by commas:
Tick all task types that you are willing to do:

(Hover over the titles for an approximate description.)
Food and Provisions pick and packing (shopping!)
Goods Delivery to community members
Call handling (phone)
Community members well-being phone calls
Administration Support
Coordinating fulfillment of Requests
Logistics coordination
Volunteer Support Supervisors
Other (specify here)
  Hover here for more information
Do you agree to sign the SSN Non-disclosure for non-Member Volunteers agreement?   Click here to download
Do you consent to a photo for ID and SSN publicity purposes
Do you consent to providing a Stat Dec confirming you have no Criminal History?   Click here to download
Do you consent to a National Criminal History Check by the SSN   Click here to download
  Click here to download