ACVVS Volunteer Application Form

Become an ACVVS Volunteer

Thank you for your interest in volunteering with the Aged Care Volunteer Visitors Scheme (ACVVS).

By giving a little of your time and friendly company, you can help an older person feel more connected, valued and included. No previous experience is required—just compassion, reliability and a genuine interest in connecting with older people.

Please complete the form below to tell us about yourself, your interests and your availability. This information will help our team get to know you and find a suitable volunteer match.

Once your form has been submitted, a member of the ARAS ACVVS team will contact you to discuss the next steps.

Personal details

Family name required

Given name required

Preferred name

Address required

Suburb required

Postcode required

Date of birth

Country of Origin

If not, which Visa type?

Do you speak languages other than English that you would like to utilise in this role, if so, please list languages you speak? required

Skills and interests

Do you have a particular skill, interest, hobby or ability that you would like to share with an older person? required

Describe any life experiences that would assist us with matching you to an older person with experiences in common for example travel, occupation, where you have lived. required

Availability

Do you have sufficient availability to visit a minimum of once a fortnight (10 visits minimum over a 6- month period). Please indicate your availability (Monday to Sunday) required

Emergency contacts or next of kin

Name required

Relationship required

Phone required

Name

Relationship

Phone

Referees

Please provide details of two referees

Referee 1 - Name required

Referee 1 - Address required

Referee 1 - Relationship required

Referee 1 - Phone required

Referee 2 - Name required

Referee 2 - Address required

Referee 2 - Relationship required

Referee 2 - Phone required

Aged Rights Advocacy Service Inc.

Location: 175 Fullarton Road
Dulwich SA 5065
Mailing Address: 175 Fullarton Road
Dulwich SA 5065
Phone: (08) 8232 5377
Free Call: 1800 700 600 Aged Care Advocacy Line (toll free)
Fax: (08) 8232 1794
Email Address: aras@agedrights.asn.au

Acknowledgement of Country
Aged Rights Advocacy Service acknowledges the traditional owners of our country and pays respect to Elders past and present. We recognise and respect their cultural heritage, beliefs and relationship with their country.

Please be aware that this site may contain the names and/or images of deceased Aboriginal people. ARAS acknowledges that to some Aboriginal communities, it is distressing to show images and mention names of people who have died.