Volunteer Registration Form

Volunteer Registration Form
Contact Details
Name *

First Name Last Name
If under 18 years old, name of parent or guardian

First Name Last Name
Email *
example@example.com
Phone Number *

Area Code Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Volunteer Group (Committee/Event/Service) *
Project Manager/Council Contact (if known)
Do you have a current driver's license? *

Yes No
Do you have your own transport?

Yes No
Do you have comprehensive motor vehicle insurance cover?

Yes No
Do you have a medical condition that may impact your volunteer work?

Yes No

Conditions of Appointment
As a volunteer of Council the following conditions apply:

1. No payment will be made to you by Council.

2. While you are assisting Council in the abovementioned clearly defined Council business activity, and while your assistance is approved/controlled and/or known by Council, you will be covered for Public Liability Insurance.

3. While acting as a volunteer, a limited personal accident insurance cover will be affected by Council subject to the terms and conditions of the policy.

4. Should any injury occur to you while you are acting as a volunteer of Council, you must notify your Project Manager immediately, or as soon as is practicable, after the injury occurs.

5. Any incident which occurs in which injury or property damage to other parties may arise must be reported immediately or as soon as practicable to your Project Manager.

6. Under the terms of the Occupational Health and Safety Act 2004, you must follow all established practices, procedures and instructions of Council which apply to the tasks you have volunteered to perform.

7. You are expected to perform the task you have volunteered to perform with all due care, skill and diligence.

Insurance Acknowledgement

(To be completed only by volunteers intending to drive own vehicle on behalf of Council business)
I understand that the motor vehicle I own, which I will use to conduct volunteer work on behalf of Council, must have comprehensive motor vehicle insurance. I understand that if this insurance is to lapse, then I will no longer drive my vehicle on behalf of Council and I agree that I will inform the Council immediately so that alternative arrangements can be made.
I agree to the above

Yes

I confirm that the information I have provided is correct and that I have read and agree to the conditions of my volunteer appointment.

I understand that I will need to complete a Volunteer Working with Children Check and Police Check prior to commencing any work on behalf of Council and acknowledge that I am not covered by Council’s insurance for any volunteer work I undertake on behalf of Council until I have passed a Police Check and provided evidence of a Volunteer Working with Children Check.
Signature *

Clear
Date

Month Day Year
Date

Police Check and Working with Children Check
Hindmarsh Shire Council is responsible for ensuring the safety of our community through all of our services, projects, events and committees. It is a requirement that all volunteers representing Council hold a valid Working with Children Check (WWCC) and complete a Police Check prior to undertaking any volunteer responsibilities.

We greatly appreciate your contributions in making Hindmarsh a safe and healthy community.

To complete your Police Check documentation online, visit https://www.crimcheck.org.au/check/hindmarsh. You will need to ensure that you have sufficient identity documents ready as you will be timed out of the website after 30 minutes. If you require assistance, please call our Human Resources team on (03) 5391 4444 or email hr@hindmarsh.vic.gov.au for detailed instructions.

To apply for a Volunteer Working With Children Check or update your current WWCC organisation details, click here.

Should you need help with your WWCC or Police Check, you can visit any of our Customer Service Centres and our staff will be able to assist you.
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