Building the VisionWorks™ Village

Thank you so much for offering to walk alongside our young people as they take meaningful steps towards achieving their vision - the impact you have had is immeasurable!

We would like to extend an invitation to you to become a part of the VisionWorks™ Village - a dynamic community of supportive, like-minded individuals with the common goal of supporting the visions of our young people. As an VisionWorks™ Villager you will have the opportunity to:

Positively impact and support the visions of our young people.
Network with other Villagers to support your own personal and professional development.
Attend exclusive, invitation only Village Events such as social mixers, guest speaker engagements and launch events.

You can choose to be as active as you like within the VisionWorks™ Village - we respect and appreciate your valuable time. If this sounds like something you would love to be a part of, please fill in the details below so we can count you in!

First Name*

Last Name*

Profession/Area of Expertise*

Something that you do for a living or something that you have a high level of expertise in e.g. your profession is Doctor but you are an avid sky diver with teaching tickets.

In which industry would your profession be classified?*

If other, please specify

Please select the top two categories below that best describe you*

Best form of contact*

If other, please specify

E-mail*

example@example.com

Phone Number*

Here at VisionWorks, the protection of our clients is a priority. Our Client Protection Policy and other policies related to working with our Young People and the Insain team can be found on our website here.

To comply with this policy we are required d to record and store all online interactions between our young people and our Committed Visioners. These files will be stored and controlled in line with the relevant policies and procedures. Please sign below to acknowledge your consent for the storage of these files and to confirm you have read and will comply with our Client Protection Policy.

Please upload a copy of your current WWCC.

I acknowledge that I do not currently hold a Working With Children Check (WWCC), and I confirm that:

* I have no criminal charges, convictions, or pending investigations relating to children, young people, or vulnerable persons
* I am safe, respectful, and appropriate to be around young people
* I understand that this engagement is vision-focused and non-physical, and may occur via conversation, phone, or digital communication
* I agree to uphold appropriate boundaries, language, and conduct at all times

I understand that VisionWorks™ reserves the right to:

* Suspend or terminate engagement if any safety concerns arise
* Request a Working With Children Check if ongoing contact is required

This declaration does not replace any legal requirements under the Working With Children (Criminal Record Checking) Act 2004 (WA). Where a WWCC is legally required, VisionWorks™ will request verification before any further engagement.

Please acknowledge below regardless of if you have uploaded a WWCC*

I have read and agree to the above declaration

Signature*