Please enable JavaScript in your browser to complete this form.This form is for anyone who would like to become a volunteer visitor. To be a volunteer visitor, you must be 18 years or over and undergo a National Police Check. Police checks are valid for 3 years and must be renewed for continuing volunteers. Full Name *FirstLastGender *MaleFemaleIf other, please specify in the box belowAre you over 18? *YesNoPostcode *Town/SuburbEmail *Phone *Language spokenPreferred method of contactEmailPhoneComments Our service is available across the Perth metro area. We also have limited coverage in a few regional areas Please advise your postcode and add any details, such as preferred language or gender of consumers who you wish to visit in the box below. Please also add any details such as preferred language, ethnicity, faith etc. CommentsPrivacy StatementYour personal information is protected by law, including the Privacy Act 1988. We will only use it to contact you for more information. Read our privacy notice for this form. Captcha - Prove you are not a robot * = AcknowledgementI acknowledge that by submitting this form I am 18 years or older and have read the privacy statement. *AgreeSubmit
