Volunteer Application Form

VOLUNTEER APPLICATION FORM

You'll need the contact details of two referees and evidence of your COVID-19 Vaccination Status. If you are under 18 years, please note that a parent/guardian will be required to give consent in this application.
Personal Information
Name*

PrefixFirst NameMiddle NameLast Name
Date of Birth*

DayMonthYear
Gender*
Pronouns

She/HerHe/HimThey/ThemOther
Residential Address*

Street Address

Street Address Line 2

CityState

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

Street Address

Street Address Line 2

CityState

Postcode
Phone Number*
E-mail*

Confirmation EmailPlease use a personal email address
How did you hear about ERCSA?*

OnlineSchoolUniversityA 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

DayMonthYear
Date
Qualifications Held

Food Safe Handling CertificateBus Driver's LicenseFull Driver's LicenseBronze MedallionFirst AidOther
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

VegetarianVeganGluten FreeDairy FreeOther
COVID-19 Vaccination Status*

I have full vaccination status against COVID-19I am yet to be vaccinated against COVID-19 but intend to soonI am not and will not be vaccinated against COVID-19
If you have received vaccination against COVID-19, please upload your certificate here:

Cancelof
Doctor's Name

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

First NameLast 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 SAThe 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 managementI 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 and Video Consent*

I give ERCSA consent to use photo and video of me online, in print publications, and in other mediaI DO NOT give ERCSA consent to use photo and video of me online, in print publications, and in other media
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 SAI give consent for ERCSA to communicate directly with my child (the applicant) over email, phone, and social media.
Guardian Name

First NameLast Name
Guardian Signature

Clear
Should be Empty:

VOLUNTEER APPLICATION FORM