Connecting Seniors and Carers Enquiry Form

Enquiry Form

Enter your details below to access support, volunteer to help seniors and unpaid carers, or stay up to date with upcoming activities, events and relevant news.
Whether you’re a senior, a carer for a senior family member, friend or neighbour, a service provider, or keen to volunteer, we’d love to hear from you.

This free connector service simplifies the process of finding, accessing and navigating local support and the service system, making it easier for seniors and and their unpaid carers to source and connect with what they need.

You do not need to be registered with My Aged Care to access support through this program. You are eligible to receive support through this program if you receive a Carer Allowance or Carer Payment.

This program aims to build a more connected, informed and supportive community where seniors and carers can access the right support more easily and enables them to live well.
For the purpose of this program:
- 'care' can include, but is not limited to, assistance with daily living, such as meal preparation, personal hygiene, garden and home care, medication management and transport, as well as emotional support. The level of care can range from a few hours of assistance each week through to 24/7 support.
- a 'senior' is defined as someone aged 60 years or older, or 50 years or older for Aboriginal and/or Torres Strait Islander people; and
- an 'unpaid carer' is defined as someone of any age, often a family member, friend or neighbour, who provides occasional or regular unpaid personal or home care, support or assistance to a senior who is living with a disability, managing a chronic or terminal condition or is frail and aged. A carer in this context is someone who provides care out of a personal relationship with the senior rather than through a formal employment contract or paid healthcare role.
Full Name

First NameLast Name
Email Address
example@example.com | If you do not have one, please type NoReply@sncc.org.au
Phone Number
Mobile phone number preferred to enable text/SMS communications.Format: (000) 000-0000.
Residential town or village
Postcode
Select your age bracket
Are you of Aboriginal and/or Torres Strait Islander origin?
Select the answer that best represents your current circumstances. (Refer above for 'senior' and 'carer' definitions before answering.)

Other
I would like to find out more about: (Tick all that apply)

Other
Optional - Provide a brief overview of the assistance you are seeking.
By submitting this form, you consent to Springwood Neighbourhood Centre (SNC) collecting, storing and using your information to contact you from time to time about the Connecting Seniors and Carers Program or other community programs. We will keep communications to a minimum and only share updates, events and opportunities we believe may be relevant to you. You can unsubscribe from our communications at any time.

Your personal information captured in this form will be kept confidential and will not be shared with third parties unless required by law.
Consent and acknowledgement
Please verify that you are human
Form last updated: 09/10/2026
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