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Clarence Community Volunteer Service Registration

Clarence Community Volunteer Service Registration

Name(Required)
Preferred name
DD slash MM slash YYYY
Address(Required)
Is your home address different to your mailing address?
Mailing Address
What are your preferred gender pronouns?(Required)
Emergency Contact 1 (primary)(Required)
Emergency Contact 2 (secondary)(Required)
Do you have a medical condition that may impact your ability to volunteer with us?
(which may impact on your role as a volunteer.)
Are you taking any medication that may impact your ability to volunteer with us?
(which may impact on your role as a volunteer.)
Why are you interested in volunteering with us?(Required)
What kind of volunteering would you like to do?
When are you available to volunteer? (please indicate Morning, Afternoon or all day)*(Required)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
 
What schedule of volunteering would best suit you?*
How long would you like to volunteer for?
Please provide the details of at least one referee who can speak to your character, experience, or ability to complete volunteer work with us. This does not have to be a manager or supervisor, but could be a friend or someone you know through the community. Please note that referees from family members will not be accepted.
Referee 1 (required)(Required)
First name
Surname
Relationship
Contact number
 
Referee 2 (optional)
First name
Surname
Relationship
Contact number
 
How did you find out about our volunteer program?(Required)
As part of my application as a volunteer I agree to the following conditions:(Required)
1) I consent to arrange a National Police Check and for the results of this check to be shared with the staff at Clarence Community Volunteer Service.
2) I consent from a staff member or other representative from Clarence Community Volunteer Service to contact my referees to assess my suitability for this program.
3) I will observe and carry out, to the best of my ability, any reasonable instructions from Clarence Community Volunteer Service staff, as well as follow, to the best of my ability, Clarence Community Volunteer Service policies and procedures.
4) I will observe the confidentiality of everyone in the program, including clients, volunteers, and staff members. I agree not to divulge or disseminate personal information of any client, without the consent of the client and program leader.
Privacy Statement(Required)
The personal information on this form is required by Clarence Community Volunteer Service on behalf of Clarence City Council. We will only use your personal information for this and directly related purposes, or as required by law. If this information is not provided, we may not be able to offer you a volunteer position.
You may access and/or amend your personal information at any time. How we use this information is explained in our privacy policy, which is available at www.ccc.tas.gov.au or at council offices.
I consent to the collection and use of this information by Clarence City Council.

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Contact us form

City of Clarence
38 Bligh Street
(PO Box 96)
Rosny Park
Tasmania 7018
ABN 35 264 254 198

Telephone
03 6217 9500

Email
clarence@ccc.tas.gov.au

 

Acknowledgement

City of Clarence pays respect to all First Peoples, including the Mumirimina (mu mee ree mee nah) of the Oyster Bay Nation whose unceded lands, skies, and waterways we are privileged to conduct our business on. We pay respect to Elders past and present, and we acknowledge the survival and deep spiritual connection of the Tasmanian Aboriginal People to their Country, and culture; a connection that has endured since the beginning of time.

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