Volunteer Application Form

Volunteer Application Form

Please fill out your information below.
Personal Information
Name

Prefix First Name Middle Name Last Name
Date of Birth *

Day Month Year
Date
Gender
Pronouns

She/Her He/Him They/Them
Residential Address

Street Address

Street Address Line 2

City State

Postcode Country
Postal Address (leave blank if same as above)

Street Address

Street Address Line 2

City State

Postcode
Phone Number
E-mail

Confirmation Email Please use a personal email address
How did you hear about ERCSA?

Online School University A current or past ERCSA Volunteer
If you were recommended by an ERCSA Volunteer, enter their name here

Training, Education, and Experience
High School
Year of Completion
University
Course
Year of Completion
TAFE
Course
Year of Completion
Working With Children Check Reference Number (if held)
Working with Children Check Expiry

Day Month Year
Date
Qualifications Held

Food Safe Handling Certificate Bus Driver's License Full Driver's License Bronze Medallion First Aid
Brief Work History
Brief Volunteering History

Medical Information

This information is stored confidentially and is used in case of a medical emergency on a camp, or to accommodate any conditions or allergies on a program. If none of these questions are relevant to you, leave blank.
Medical Conditions
Allergies
Current Medication
Medical Notes
Dietary Requirements

Vegetarian Vegan Gluten Free Dairy Free
Doctor's Name

First Name Last Name
Doctor's Surgery
Phone Number

References

Please provide details for two character references. They must not be relatives and be prepared to comment on your suitability as an ERCSA Volunteer.
Reference #1
Name

First Name Last Name
Email
example@example.com
Phone Number
Occupation
Relationship to you
Reference #2
Name

First Name Last Name
Email
example@example.com
Phone Number
Occupation
Relationship to you

Declarations
I declare that: *

It is my belief that I an an appropriate and competent person to fulfill my role as a volunteer at Edmund Rice Camps SA The information I have provided is correct and understand that information will remain confidential. I acknowledge the requirements to attend a Pre-Camp induction session to be adequately trained in Safeguarding, protocols, and behaviour management I understand that my application to be a Volunteer for Edmund Rice Camps SA may be subject to attending an interview and satisfactory reference checks
Photo Consent
Signature

Clear
Additional consent for Volunteers under the age of 18.

Please select the following boxes to provide additional consent for your child to engage as a volunteer with ERCSA. Please contact our Executive Officer on 0404 602 723 if you would like additional information on our on organisation and engagement with under 18 volunteers.
I give consent for my child to participate as a volunteer of Edmund Rice Camps SA I give consent for ERCSA to communicate directly with my child (the applicant) over email, phone, and social media.
Guardian Name

First Name Last Name
Guardian Signature

Clear
Should be Empty:

Personal Information