= Required Fields

Online Form - Community Support: Helping Others

Do you want to reach out and help within our community? 

Due to the impact of COVID we are looking for volunteers to assist some of our elderly, isolated and vulnerable community members.  If you can help with a phone call to check in on a community member, dropping or picking up supplies or even help with donations please complete the form below. 

Paper copies of the form is available - contact the Shire of Cunderdin on 9635 2700 for more information.

HOW CAN YOU HELP?

Please indicate how you are able to help by answering the questions below:

Phone call check in?
Picking up / Dropping off supplies?
Donating consumables (toilet paper, pet food, tinned food etc)?

HOW CAN WE CONTACT YOU?

Please enter your contact details below:


 
Get Audio Code