Volunteer Registration of Interest Form

Complete the form below if you would like to be contacted about volunteer opportunities with Lifeline Canberra as a telephone counsellor. Alternatively, you can register your interest by calling the Lifeline Canberra office during business hours on (02) 6247 0655.

First Name:
Last Name:
Email:
Phone Number:
Postal Address:
How would you like your information/application sent to you?	Email Mail
Personal information you provide on this form will not be shared with any person or organisation outside of Lifeline Canberra.
The next Telephone Counselling courses will be available in 2009. Lifeline Canberra will contact you by January 2009.