Age Friendly Ambassador Expression of Interest

Title

Mr
Mrs
Ms
Miss
Other

If other, please specify

Full name

Residential address

Suburb

Postcode

Postal address (if different from above)

Email address

Phone number

Date of Birth

What skills and interests do you have?

Tell us in your own words why you would like to participate in the Age Friendly Ambassador program?

Do you represent a community or volunteer group, committee or board? please outline

Availability

Weekday mornings
Weekday afternoons
Weekday evenings

Days not available

Do you speak any languages other than English?

Yes
No

If yes, please specify

Do you have any medical conditions that may restrict the type of volunteer activities you can do?

Yes
No

If yes, please specify

Checklist*

I am able to fulfil the time commitment required (see FAQs)
I reside, work or volunteer within the City of Bayswater
I am comfortable having conversations with the general public
I am willing to undertake any training required
I am willing to have a National Police Check conducted (paid for by the City)

*Please select all criteria

City and Council

Quicklinks

Community

Quicklinks

Arts and Leisure

Quicklinks

Environment and Sustainability

Quicklinks

Development

Quicklinks

Home and Property

Quicklinks

Age Friendly Ambassador Expression of Interest

Our Site

Quick Links

Address

Phone

Email

Age Friendly Ambassador Expression of Interest

Our Site

Quick Links

Keep up to Date

Address

Phone

Email