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Willoughby CIty Council is the 2011 Local Government Winner of the A.R. Bluett Award. This award is recognised as the greatest accolade a council can achieve.

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  - Register for HACC Roles
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You are here: Home Business & Community Volunteering Home and Community Care Register for HACC Roles

Register for HACC Roles

Complete the form below to register your interest in volunteering for an HACC role.

Fields marked with an asterisk () are mandatory.

Online Registration

Title

If other title, please provide below

First name

Last name

Gender

Address

Postcode

Primary contact number

Secondary contact number

How did you hear about this service?

If you answered 'other' to the above question, please describe below

Your current employment status

Your age group

Do you have a drivers licence?

Do you have a bus licence?

Do you identify as being Aboriginal / Torres Strait Islander?

Your country of birth

Your nationality

If you are not Australian, do any of the following apply to you

On a student visa
On a permanent residency visa

Is English your first language?

Please list any languages you can speak (other than English)

Please list any special needs or medical issues that you feel should be considered in relation to your volunteer activities?

Please select the types of volunteer activities you are interested in

Home visiting (individual)
Gardening / outdoor
Recreational activities
People with disabilities
Meals on wheels
Office / administration duties
Day care support
Linen service
Driving
Shopping for aged / disabled
Other

If you answered 'other' to the above question, please provide more information

Which local council area would you prefer to volunteer in?

If you answered 'other' to the above question, please provide more information

Which day(s) are you available?

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Is there a particlular time of day which suits you best? eg morning or afternoon

How long to you intend to volunteer?

What are you hoping to gain through involvement in voluntary activities?

I give permission for the details from this Registration Form to be passed on to any organisation for which I am interested to volunteer.

Help and Services Centre Level 4, 31 Victor Street Chatswood NSW 2067 Postal Address PO Box 57 Chatswood NSW 2057 Phone +61 (2) 9777 1000 Fax +61 (2) 9777 1038

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