SSN COVID-19 Volunteer Application Form
Last updated: 24 January 2021 15:05

Before completing this form, please ensure you understand these minimum requirements:

  • This is a volunteer, unpaid role.
  • You must be aged over 18 and have a mobile phone.
  • To avoid uninsured vicarious liability on the SSN, you are only permitted to do any driving associated with the SSN activities if: (a) you have an open licence, (b) have your own registered and roadworthy vehicle, AND (c) have and maintain fully comprehensive insurance.
  • The roles will involve seeing current SSN Clients, community members, callers and members personal details, and some roles will involve visits to private houses. Therefore if you are not already an SSN Member, you will be required to sign a simple non-disclosure form, adhere to the SSN privacy policy, sign a simple Stat Dec regarding your Criminal History, and be willing to have a National Criminal History check. Further details provided in the next page of your online application
  • As long as you meet and agree to the requirements stated above, once you have been accepted as an SSN Non-Member Volunteer you will be covered by Samford Support Network insurance.
  • You must reside in one of the following Suburbs (SSN catchment area):Samford Village, Samford Valley, Wights Mountain, Camp Mountain, Highvale, Closeburn, Cedar Creek, Yugar and Draper.
  • Volunteers over 60 may be restricted to lower risk tasks.
  • Legitimate mileage expenses can be reimbursed on a per km basis subject to available funds.
  • Depending on workload and operational requirements, tasks may be done on a roster or ad-hoc basis, selected by the Volunteer.
  • Training will be provided. This will be conducted online and details will be advised once your application has been processed.
  • For all SSN activities, Volunteers must strictly follow the SSN COVID-19 Safety Plan instructions.
  • Please provide photocopies of your proof of ID, photocopy of Drivers Licence, your completed Criminal History form and your signed Non-Member Volunteer Disclosure form to our SSN Office located at Samford Community Hub, 2204 Mt Samson Road, Samford Valley. Contact us for opening hours which do vary.

Thank you for acknowledging the minimum requirements. Please provide the information requested below.

Please enter registration of all cars you may be using, separated by commas:
Tick all task types that you are willing to do:

(Hover over the titles for an approximate description.)
Food and Provisions pick and packing (shopping!)
Goods Delivery to community members
Call handling (phone)
Administration Support/Office Worker
Coordinating fulfillment of Requests
Logistics coordination
Other (specify here)
  Hover here for more information
Do you agree to sign the SSN Non-disclosure for non-Member Volunteers agreement?   Click here to download
Do you consent to a photo for ID and SSN publicity purposes
Do you consent to providing a Stat Dec confirming you have no Criminal History?   Click here to download
Do you consent to a National Criminal History Check by the SSN   Click here to download
  Click here to download