Volunteer Application Form

Our health facilities welcome volunteers to contribute by providing non-clinical support that enhances the wellbeing of patients and their carers.

Applicant Details

Volunteer Site/Facility *

First Name *

Surname *

Street Address *

City *

State *

Postcode *

Email *

Phone *

Occupation

Previous Occupation

How did you hear about us

Are there any health or other reasons that may limit the type of volunteer work you can do? *

Have you ever been convicted of any crime or offence that may be inconsistent with providing support to patients or clients of the Murrumbidgee Local Health District *

YesNo

Do you consent to getting an NDIS Workers Check if appropriate *

YesNo

Please provide details of any crimes, offences (include driving infringements where relevant) *

Referees

Referee Name *

Phone *

Referee Name *

Phone *

Applicants need to complete the following forms.

100 point identification form
A National Criminal Record Check (the site or service manager will assist further with determining which type of check is relevant having regard to the category and type of volunteer work to be undertken e.g child related, aged care, non child related)

In addtion to the above volunteers proposing to work with children are required to complete the online requirements of the Office of the Children's Guardian and provide evidence to the site or service manager of their clearance. Working with children check form.

Supporting Forms and Documents *

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Privacy and Confidentiality

Confidentiality is a fundamental responsibility for all Murrumbidgee LHD Volunteers. As a volunteer, you may have access to sensitive information about patients, clients, staff, or fellow volunteers, and it is essential that this information is treated with the utmost respect and discretion. Confidentiality extends to all forms of personal information, such as health conditions, legal issues, family matters, disabilities, and other private details - and must never be shared, discussed, or used without explicit permission, except where legally required. Even in those rare cases, such matters must only be disclosed after consulting with your Volunteer Co-ordinator. Maintaining confidentiality is not just a matter of courtesy, but a legal and ethical obligation that protects the dignity, privacy, and safety of every individual within the hospital community.

Breaches of confidentiality are taken extremely seriously by Murrumbidgee LHD. Any misuse, careless handling, or inappropriate sharing of information can cause harm to individuals, compromise trust, and in some cases directly impact health and safety. Volunteers are expected to exercise sound judgement, ensure discussions take place in private settings, and always respect the personal nature of information shared with them. Failure to comply with the NSW Health Code of Conduct and/or Murrumbidgee LHD’s confidentiality policies can result in disciplinary action, dismissal, and loss of insurance coverage. Protecting confidentiality is therefore both a professional responsibility and a condition of serving as a valued volunteer within the hospital.

By signing below, I acknowledge that I have read, understood, and agree to uphold the confidentiality requirements outlined above.

Volunteers Signature *

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Date signed

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