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  • Peer support
    • What is peer support?
    • How can I speak with a Peer Support Volunteer?
    • Peer support for advanced/metastatic cancer
      • Pam: Living well with metastatic cancer
    • Support in your language
    • Get support
    • Refer a patient
      • How could peer support help?
      • What happens when I refer?
  • Volunteering
    • Volunteering at Counterpart
    • Become a Peer Support Volunteer
    • Program Volunteers
    • Meet our volunteers
  • Events & programs
    • Events
  • Information
    • Cancer types
      • General cancer information and support
    • Advanced/metastatic cancer information
    • Counterpart Navigator
    • Webinar recordings
    • Resource Centre
    • Special collections
      • Useful links
    • Latest news
  • About us
    • What we do
    • Service principles
    • Our story
    • Our people
      • Our volunteers
      • Counterpart Advisory Group
      • Our staff
      • Women's Health Victoria
    • Our supporters
    • Support us
      • Donate
      • Fundraise
      • In memory
      • Corporate engagement
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Counterpart > Get involved > Program Volunteer application

Program Volunteer application form

  • PRIVATE AND CONFIDENTIAL

    Counterpart is committed to protecting your privacy and the confidentiality and security of personal information provided by you to us. Consistent with the relevant privacy legislation, we ensure that your personal information will not be disclosed to others, except if required by law or other regulation.

    Thank you for your interest in Counterpart and your willingness to apply to be part of our volunteer program.

    To save your progress to continue later, please click on "Save and Continue Later", located at the bottom of the page.

  • (For a description of these roles, please refer to our Volunteer information sheet).

  • Part 1 - Contact Details

  • Please enter the best number to contact you on during business hours.
  • Part 2 - Personal Information

    Answers to the following questions assist us to develop a volunteer group that comprises a diverse range of women.
  • DD slash MM slash YYYY
  • Part 3 - General Information

  • 12. Please provide the name, address and telephone number of a referee whom we can contact. This can be a relative, friend, work colleague or anyone else that you would be happy for us to speak to. Please explain his/her relationship to you.
  • Please provide the best phone or mobile number to contact your referee on during business hours.
  • Thank you for providing the above information to us. If you have any queries or concerns, please contact Kellie Holland, Volunteer Coordinator on 03 8488 9834 or email [email protected]
  • This field is for validation purposes and should be left unchanged.
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The Counterpart Resource Centre is open every Monday, Wednesday and Thursday from 10am–5pm. (Peer support from 10am–2pm).

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Testimonial Image
  • The Peer Support Volunteers understood my fears, the stress of navigating a cancer diagnosis and they are brilliant at answering questions and empathising.
    Ashleen
  • I would never say I’ve walked in another’s shoes, but having walked a similar path means I can offer support that others aren’t always able to.
    Greta, Peer Support Volunteer
  • It’s really useful to hear health professionals talk. I really appreciate them sharing their professional knowledge in an accessible way.
    Maryam, webinar participant

Get in touch

1300 781 500
[email protected]
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Counterpart is a service of Women’s Health Victoria.
Counterpart is supported by the Victorian Government.
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