Volunteer Registration Form

Volunteer Registration Form

Thank you for volunteering within Hindmarsh Shire Council. This form can be used when you are seeking to volunteer on behalf of Hindmarsh Shire Council. Volunteer opportunities include our Volunteer Taxi Team, Libraries and assisting Community Asset Committees within facilities like halls, homesteads and museums.
PRIVACY STATEMENT:
We will handle any personal information you have provided in this form in accordance with the Privacy and Data Protection Act 2014. Our privacy policy contains information about how you may access your personal information and seek correction of such information; as well as how to complain about a breach of the Australian Privacy Principles and how we will deal with such a complaint. For more information, please see our Privacy Policy or contact our team on (03) 5391 4444. Your personal information will not be disclosed to any other party unless Council is required to do so by law, has gained your consent to do so or an information privacy principle exemption applies.
Your Contact Details
Name*

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

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

TownState

Post Code
Your Emergency Contact Details
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.

Insurance Acknowledgement

(Please complete this if you are intending to drive your 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 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.

I understand that I may be required to hold a valid Working with Children Check (WWCC) and will apply for one/supply one if I am required to.
Signature*

Clear
Date

MonthDayYear
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 complete a Police Check prior to undertaking any volunteer responsibilities. Depending on your volunteer role, you may be required to hold a valid Working with Children Check (WWCC). Once you have submitted your form, someone from our team will reach out to you about any additional requirements.

We greatly appreciate your contributions in making Hindmarsh a safe and healthy community.
Next Steps
Your volunteer registration form will be considered. If approved, we will notify you via letter and let you know of any additional requirements for your volunteer position. We will provide you with a timeframe that you will need to provide these requirements, along with your WWCC and Police Check information, to Council by.
Should be Empty:

Your Contact Details