JKF Volunteer Application Form

JK Foundation

Volunteer Application Form
We are so pleased that you have decided to get involved with the JK Foundation in empowering, supporting and mentoring regional young people. Thank you! We really look forward to having you on the team and to making a difference in the lives of young people together.

We appreciate you taking the time to sign up as a volunteer with us and this involves a few steps:
- The completion of Online ChildSafe training. Please contact Kent Morgan (see below) to get a link and complete this training through the JKF account.
- Complete this form and provide two referees we can speak with about your suitability to volunteer with children and young people.
- You will also sign a declaration regarding your suitability to work with children and to abide by policies and procedures as part of this form.
- Have a valid WA Working with Children Check.
Your volunteer application will then be processed and approved.

We value everyone and take the safety and well-being of the young people we engage with really seriously. Along with good program safety planning, the screening and appointment of volunteers is a vital part of ensuring everyone is safe. You must have a WA Working with Children Check card and will be asked to upload it and you will be asked for the names of referees who can vouch for you. You will also be asked to complete an online training module and to upload the completion certificate.

If you have any issues or concerns in completing this process or in becoming a volunteer with the JK Foundation, please contact Kent Morgan: kentm@jkfoundation.com.au or 0417 952 057.

Thank you and we look forward to working with you!
Your Details
Name*

PrefixFirst NameLast Name
Gender
Birth Date*

DayMonthYear
Email
example@example.com
Phone Number*
Mobile no.
Address

Street Address

Street Address Line 2

City/TownState

Post Code
Sometimes the JK Foundation will take photos of activities and use them for sharing stories or promotional purposes. Do you give consent for the JKF to use photograpghs of you?*
Educational Background
Highest Level
Field of Study
Occupation
Company
Department/Position
Qualifications
What relevant qualifications or skills do you have?

Bronze Medallion or other lifesaving qualificationProvide First AidWilderness First AidMental Health First AidOther medical qualificationFoundation level sport coachingLevel 2 or above sport coachingCar Drivers LicenseBus or large vehicle lisenceCan tow a trailerMotor Boat LicenceOther
Can you swim?
We use this information to ensure everyone is safe during activities.
Volunteering with the JK Foundation
Why would you like to volunteer with the JK Foundation? *
Do you have any volunteering experience? If yes, please describe.
What gifts or skills and experience do you bring to volunteering with children, young people and in the community with the JKF?
Which activities are you interested in volunteering with?
Select your available days

MondaysTuesdaysWednesdaysThursdaysFridaysSaturdaysSundays
Additional notes about your availability
Relevant Medical Information

We ask for this information so that we can care for you well, ensure your JKF experience is a positive one and ensure the best care if something goes wrong on the program.
Do you have any medical or psychological conditions that we should know about and enables us to manage the activities safely and well?*
Please provide details, including any relevant management strategies that will help our team look after you.
Will you be taking any medication during your volunteer activities that it will be helpful or important for our team to know about?*
Do you have any dietary requirements or food allergies that we need to be aware of?*
We use this information to ensure everyone is safe during activities.
Medicare and Health Care details

We use this information to give to medical professionals in the event of an emergency.
Medicare Card Number:
Your number on card
Do you have Private Health Insurance?
We use this information to give to medical professionals in the event of an emergency.
Do you have Ambulance Cover
We use this information to give to medical professionals in the event of an emergency.
Is there any other information regarding your current life situation that may impact upon the program or be helpful for your leaders to know?
Leave blank if none.
Emergency Contact

Please give details of someone we can call in case of emergency.
Name*

First NameLast Name
Relationship*
Phone Number*
Please enter a valid phone number.
Medical and Health Agreement
I am aware that participation in JKF activities may involve physically and emotionally demanding experiences and that while appropriate risk management procedures are in place, there is still inherent risk and accidents can happen.

I acknowledge that while JKF and it's staff and leaders will make every effort to minimise known risks and dangers, things can happen beyond their control.

In the event of an emergency, if my emergency contact cannot be reached, I authorise the staff and leaders of the JKF to obtain medical advice and care that they deem necessary. I further authorise qualified medical practitioners to administer required care, including anesthetic or blood transfusion.
I have read and agree to the above medical and health agreement with the JKF
Working with Children Check
WWCC Number
WWCC Expiry

DayMonthYear
Date
Please upload a photo of your WWCC Card

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Safeguarding our Children and Young People

To complete this section, you will need to have completed an Online Level 1 ChildSafe training module. This training takes around 2 hours. Please contact Kent Morgan kentm@jkfoundation.com.au, to receive a link to complete the training for free.
Please upload a copy of your Level 1 ChildSafe Training Completion Certificate

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Have you ever acted improperly in relation to a child or young person or ever engaged in conduct that might lead to an allegation or offence involving children or young people, access, use or possession of child pornography, sexual offences, incidence of assault, violence or domestic violence or supply or possession of illicit drugs? *
Please give a short explanation to your answer. A member of the JKF team will be in contact with you to discuss this.
Referees

Please give the name and details of two people we can contact to enquire regarding my character and experience in order to satisfy them of my suitability to volunteer with the JKF and to work with children and young people.
Referee One Name*

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

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Your Agreement with JKF

In volunteering with the JK Foundation and working in the community and with children, young people and families, you must agree to the following.
Please select each line of the agreement to signify you have read, understood and agree to that statement.*

I agree to be involved in all necessary training, preparation and followup required for these activities.I agree to work under and support my team's leadership and the leadership of JKF.I am aware that I will represent the JKF and I agree my conduct will reflect a high standard of morality and ethics.I will comply with all policies and procedures communicated to me by the JKF.I will abide by all safety planning and childsafe principles communicated to me by the JKF, and act for the safety of all at all times.I agree not to engage in any conduct that would cause harm or damage to a child or young person in my care with the JKF.I do not engage in any activity (eg physical or sexual abuse, serious dishonesty, serious moral lapse) which might reasonably preclude me from being a volunteer with the JKF or bring the JKF into disrepute.I have not at any time been charged or convicted of any offence involving violence, drugs or children or young people.I authorise the staff or leadership of the JKF to contact my referees regarding my character and experience in order to satisfy them of my suitability to volunteer with the JKF and to work with children and young people.I have told the truth in all aspects of this form and agree to inform the staff or leadership of the JKF of any change.
Date

DayMonthYear
Date
Signature*

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JK Foundation

Your Details

Educational Background

Occupation

Qualifications

Volunteering with the JK Foundation

Relevant Medical Information

Medicare and Health Care details

Emergency Contact

Medical and Health Agreement

Working with Children Check

Safeguarding our Children and Young People

Referees

Your Agreement with JKF