New Volunteer Enquiry Form

First Name: *

Last Name: *

Email:

Residential address: *

Suburb: *   State:   ACT NSW NT QLD SA TAS VIC WA     Post Code:   *

Postal address:      Check box if same as above.

Suburb:     State:   ACT NSW NT QLD SA TAS VIC WA     Post Code:  

Home Phone:     Business Phone:  

Mobile:     *  Please provide at least one contact number.

Most suitable time to
contact you: Business Hours   Evenings   Weekends  

Age: 16 - 18   19 - 24   25 - 34   35 - 44   45 - 54   55 - 64   65+

Gender: Female Male

Volunteer Role: I'm interested in becoming a volunteer firefighter
 I'm interested in becoming a brigade member (not fighting fires)
 I need more information about the different kinds of volunteer roles

My nearest brigade:   *If unsure, check the CFA Brigade locations map (A0 Size) - pdf 2145k

I am available to
volunteer: Weekdays (daytime)   Evenings   Weekends  

How did you find out about volunteering with CFA? Local paper   Tv Advertisement   Friend / relative   CFA website  
New to area   Other media (newspapers etc)   Other  

Reason for wanting to
volunteer:

Any Truck Endorsements Light Rigid   Medium Rigid   Heavy Rigid   Articulated  

The information you provide on this form will only be used to process your request for more information about becoming a CFA volunteer. It will not be used for any other purpose or provided to any other party, and will be stored securely by CFA. Note, however, that your information may be sent to a CFA member local to you, so that they may contact you about your enquiry.

I have read and understand the above statement. I am providing my details according to these terms. *

CFA regularly monitors our volunteer recruitment process to identify areas for improvement. Are you happy to be contacted by CFA in the future to assist with this process?