VOLUNTEER REGISTRATION FORM
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Personal Information
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NAME:
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Prefix
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First
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Last
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Suffix
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ADDRESS
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SUBURB
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HOME PHONE NUMBER:
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MOBILE NUMBER
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EMAIL:
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CHILD(RENS) NAME:
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CHILD(REN) YEAR / CLASS:
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IDENTIFICATION REQUIREMENTS FOR WORKING WITH CHILDREN CHECK
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DATE OF BIRTH
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PLACE OF BIRTH
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COUNTRY OF BIRTH
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DRIVERS LICENCE NUMBER:
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STATE DRIVERS LICENCE ISSUED IN:
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P&C ASSOCIATION GENERAL VOLUNTEER INFO:
Please provide us a little bit of information on what you might be interested to help with.
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AREAS OF INTEREST:
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WHAT TYPE OF P&C ACTIVITIES ARE YOU INTERESTED IN HELPING WITH?
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FUNDRAISING CANTEEN UNIFORM CLOTHING POOL WORKING BEES HOME READERS APPLYING FOR GRANTS ENVIRONMENTAL & GROUNDS POLICY KINDY ORIENTATION ASSISTING AT EVENTS FETE GRAPHIC DESIGN STALLS AND SALES CAKE BAKING BBQS RAFFLE TICKETS MOTHERS DAY STALL FATHERS DAY STALL OH&S SOCIAL ACTIVITIES WALK- A-THONS YEAR SIX FAREWELL PHOTOGRAPHY NEWSLETTERS
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DO YOU HAVE ANY SPECIAL SKILLS YOU WISH TO LET US KNOW ABOUT THAT YOU MIGHT LIKE TO USE?
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IF YOUR VOLUNTEER APPLICATION IS FOR CANTEEN
Please let us know what days you are available.
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CANTEEN AVAILABILITY
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Mondays Tuesdays Wednesdays Thursdays Fridays
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How often would you like to volunteer for canteen
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Once per month More than once per month Less than once per month emergency back up person only
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THE NSW COMMISSION FOR CHILDREN AND YOUNG PEOPLE
WORKING WITH CHILDREN CHECK
You are required to make a prohibited person volunteer declaration when working with children.
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PROHIBITED PERSON WORKING WITH CHILDREN DECLARATION
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I declare I am not a Prohibited person under the Commission for Children and Young Persons Act 1998 (NSW). It is an offence for a prohibited person to apply for, attempt to obtain, undertake or remain in child-related employment, including a volunteer role. A prohibited person is a person who is convicted of the following (whether in NSW or elsewhere):
* murder of a child
* serious sex offence, including carnal knowledge
* child-related personal violence offence (an offence committed by an adult involving intentionally wounding or causing grievous bodily harm to a child)
* indecency offences punishable by imprisonment of 12 months or more
* kidnapping (unless the offender is or has been the child's parent or carer)
* offences connected with child prostitution
* possession, distribution or publication of child pornography; or
* attempt, conspiracy or incitement to commit the above offences.
A prohibited person includes a Registrable person under the Child Protection (Offenders Registration) Act 2000.
Details of these offences can be found online at Working With Children Employer Guidelines Fact sheet 1. A conviction includes a finding that the charge for an offence is proven, or that a person is guilty of an offence, even though the court does not proceed to a conviction
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DECLARATION OF WORKING WITH CHILDREN STATUS:
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Yes, I agree I am not a prohibited person under any legislation. I have read and understood the information above about prohibited persons. I am aware that it is an offence to make a false statement on this form about my prohibited from working with children status.
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CONSENT FOR WORKING WITH CHILDREN CHECK:
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Yes, I agree I consent to the Commission for Children and Young People checking my relevant criminal records, to verify these statements. I understand that this information may be referred to the Commission for Children and Young People and/or to NSW Police for law enforcement purposes and for monitoring and auditing compliance with the procedures and standards for the Working With Children Check in accordance with Section 36 (1)(f) of the Commission for Children and Young People Act 1998.
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I also certify I understand the rules and gudelines governing our Association are set out according to the Constitution, By-Laws, Code of Conduct, and Harassment and Discrimination Policies.
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I agree all of the above is true and correct.
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Yes, I agree.
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Image Verification
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