VOLUNTEER REGISTRATION FORM

Personal Information

NAME: *
Prefix
First *
Last *
Suffix
ADDRESS *
SUBURB *
HOME PHONE NUMBER: *
MOBILE NUMBER
EMAIL: *
CHILD(RENS) NAME:
CHILD(REN) YEAR / CLASS:

IDENTIFICATION REQUIREMENTS FOR WORKING WITH CHILDREN CHECK

DATE OF BIRTH *
PLACE OF BIRTH *
COUNTRY OF BIRTH *
DRIVERS LICENCE NUMBER: *
STATE DRIVERS LICENCE ISSUED IN: *

P&C ASSOCIATION GENERAL VOLUNTEER INFO:

Please provide us a little bit of information on what you might be interested to help with.

AREAS OF INTEREST:

WHAT TYPE OF P&C ACTIVITIES ARE YOU INTERESTED IN HELPING WITH? *
 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 
DO YOU HAVE ANY SPECIAL SKILLS YOU WISH TO LET US KNOW ABOUT THAT YOU MIGHT LIKE TO USE?

IF YOUR VOLUNTEER APPLICATION IS FOR CANTEEN

Please let us know what days you are available.
CANTEEN AVAILABILITY
 Mondays 
 Tuesdays 
 Wednesdays 
 Thursdays 
 Fridays 
How often would you like to volunteer for canteen
 Once per month 
 More than once per month 
 Less than once per month 
 emergency back up person only 

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.

PROHIBITED PERSON WORKING WITH CHILDREN DECLARATION *
  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

DECLARATION OF WORKING WITH CHILDREN STATUS: *
 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.

CONSENT FOR WORKING WITH CHILDREN CHECK:
 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.

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.

I agree all of the above is true and correct. *
 Yes, I agree. 
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