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Application form to become a Telephone Crisis Supporter
Firstly, do you live within the Lifeline Harbour to Hawkesbury catchment area? In the northern area of Sydney that covers the suburbs and surrounding areas along the Pacific Highway from North Sydney to Berowa
Yes
No
Are you over 18 years of age?
*
Yes
No
Age Range
*
18–20 years
21–30 years
31–40 years
41–50 years
51–60 years
61–70 years
71 +
Are you an Australian or New Zealand Citizen or permanent resident?
*
Yes
No
Are you willing to undertake a Criminal Record Check (paid by Lifeline) and a working with Children Check (via Service NSW)
*
Yes
No
Are you able to attend all of the Stage 1. Training dates? Please refer to the Training Calendar in the Training Information document attached to the email
*
Yes
No
Are you able to commit to volunteering at Lifeline for a minimum period of 2 years?
*
Yes
No
Are you able to pay the course fees of $750.00 before the commencement of the course?
*
Yes
No
Today's Date
*
Name
*
Preferred Pro-noun
Address
*
Suburb
*
Postcode
*
Mobile
*
Email
*
Qualifications
Currently Studying
University
Occupation
Employer
Work status:
*
Full time
Part time
Student
Retired
Home duties/carer
Other
Person to contact in emergency
*
Phone no.
*
How did you find out about this volunteer opportunity?
*
Lifeline website
Facebook
Twitter
Instagram
Other social media
Google/other search engine
Volunteering Australia
University/TAFE/private college
Banner
Bill board advertising
Radio
National Newspaper
Local newspaper/magazine
Lifeline Retail Shop
Lifeline Book Fair
Lifeline event
Friend/family
Personal or business contact
Other
Please specify:
*
Firstly, tell us a little about yourself: (e.g. interests, family, hobbies, employment, background
*
Please answer this question in no more than 4-5 lines
Are there any obstacles that may hinder your ability to participate in the course or in possible duties as a telephone crisis supporter? Please comment
*
Please answer this question in no more than 4-5 lines
What has prompted you to apply for training as a volunteer Telephone Crisis Supporter at this point in time?
*
Please answer this question in no more than 4-5 lines
What strengths do you believe you can bring to telephone crisis support?
*
Please answer this question in no more than 4-5 lines
What do you want to achieve personally by volunteering with Lifeline Harbour to Hawkesbury?
*
Please answer this question in no more than 4-5 lines
Describe a time when you have demonstrated ability to manage stress and stressful situations?
*
Please answer this question in no more than 4-5 lines
When you feel stressed what coping strategies do you find effective?
*
Please answer this question in no more than 4-5 lines
What shifts are you available for?
Monday: 6am–10am
Monday: 10am–2pm
Monday: 2pm–6pm
Monday: 6pm–10pm
Tuesday: 6am–10am
Tuesday: 10am–2pm
Tuesday: 2pm–6pm
Tuesday: 6pm–10pm
Wednesday: 6am–10am
Wednesday: 10am–2pm
Wednesday: 2pm–6pm
Wednesday: 6pm–10pm
Thursday: 6am–10am
Thursday: 10am–2pm
Thursday: 2pm–6pm
Thursday: 6pm–10pm
Friday: 6am–10am
Friday: 10am–2pm
Friday: 2pm–6pm
Friday: 6pm–10pm
Saturday: 6am–10am
Saturday: 10am–2pm
Saturday: 2pm–6pm
Sunday: 6am–10am
Sunday: 10am–2pm
Sunday: 2pm–6pm
Sunday: 6pm–10pm