Surf Life Saving Australia IT Systems User Account Application Form 049

Surf Life Saving Australia IT Systems User Account Application Form 049
The IT Systems USer Account Form 049 needs to be completed for any person requiring access to SurfGuard and Surfcom. If you have any issues with the application process please log these at https://help.sls.com.au

All members/staff over 18 years must hold a current Blue Card.

Approval Process:

Once form is submitted, nominated Authorising Officer will receive an email requesting approval of form via Jotform.

Please ensure you advise your nominated Authorising Officer to approve the form via the Jotform email received as access will no be granted until approval has been granted.

For clubs submitting form on behalf of members, please ensure you upload a signed User Declaration form.

SLSQ Surfguard User Access Declaration Form
Club/Branch/Service Name - this is the entity the access is allocated to
Eg: enter club name for club access / enter Branch name for Branch access etc
Service Type/s - this is the level of access allocated

Other
Account Type
Are you deactivating multiple accounts?
Please note maximum of 6
User Agreement
Please ensure that all users who are applying for access to an SLSA System sign below.
User Name

First NameLast Name
User Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
User Signature
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
SLSQ Surfguard User Access Declaration Form

If online form is completed on behalf of the User, upload signed User Declaration
Cancelof
Relevant SLSA Policies
By Applying for and/or using any Surf Life Saving Australia IT system you are governed by and agree to abide by SLSA Constitution, its By-Laws, Regulations and Policies including (but not limited to): 6.1 Intellectual Property, 6.2 SLSA Privacy Policy, 6.19 Terms of Use Policy, 6.20 Use of Social Media. Such policies and procedures can be viewed on the SLSQ Members Portal. It is important that you keep your login passwords to SLSA IT systems safe, you should never give out your password. Any misuse of data or systems will lead to disciplinary action.
Privacy notice: the collection of the below information is necessary for the performance of SLSA's duties. SLSA may also store information from individuals for statistical and reporting purposes and as required by law. All information is handled in accordance with the SLSQ Privacy Policy. Individuals may correct or edit any of their details via Lifesaving Online or by contacting their club.
SLSA Policies
I, as the User, have read the above and agree
Account and User Information
Name of User

First NameLast Name
User Position
User Phone Number
Please enter a valid phone number.Format: 0000000000.
User Email Address
example@example.com
Account Username (if applicable)
Start Date of Access / Deactivation Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Deactivation Date - If access is only required for a period of time - eg registrar

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Name of User

First NameLast Name
User Position
Account Username (if applicable)
Start Date of Access / Deactivation Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Name of User

First NameLast Name
User Position
Account Username (if applicable)
Start Date of Access / Deactivation Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Name of User

First NameLast Name
User Position
Account Username (if applicable)
Start Date of Access / Deactivation Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Name of User

First NameLast Name
User Position
Account Username (if applicable)
Start Date of Access / Deactivation Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Name of User

First NameLast Name
User Position
Account Username (if applicable)
Start Date of Access / Deactivation Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Please note your access will only be granted for 12 months and then will be required to be renewed.
Account needs access to:
Account needs deactivating from:

Authorising Officer Details (must be Executive Committee Member)
Note: Applicants are not able to authorise their own Form 049Ensure you advise your nominated Authorising Officer to approve the form.
Authorising Officer Name

First NameLast Name
Authorising Officer Position
Authorising Officer Email Address
example@example.com
Authorising Officer Mobile
Please enter a valid phone number.Format: 0400 000 000.
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Should be Empty:

Group Name	Available Modules	Edit rights
Memberships	Full access to everything in Surfguard	Yes
Memberships Read Only with Messaging	View Only access to all modules in Surfguard except Nippers module. Full access to messaging	Yes – only messaging
Memberships Read-Only - No Messaging	View only access to all modules in Surfguard except Nippers module	No
Message ONLY	Only access to messaging module	No
Members and Messaging	Full access to the Members module, mailing groups, messaging, member reports	Yes, members module
Members Only (rest read only)	Full Access to Members module, all other modules are read only	Yes, members module
Org Management Full (Rest read-only)	Full access to Org Management module with view only for rest (except nippers)	Yes – Org Manage only
Patrols Full (rest read only)	Full access to patrol module with view only for rest (except nippers)	Yes- only patrol module
Assessment Full	Full access to Education Module and view only for all other modules	Yes, Education only
Junior Coordinator	Full access to Nippers module only	Yes
Incidents	Full access to all within Incidents database	Yes
Incidents Read-Only	Read Only access to all within Incidents database	No
Lifeguards	Full access to all modules in Surfguard except Nippers module	Yes

Surf Life Saving Australia IT Systems User Account Application Form 049

Account and User Information

SurfGuard

What access do I allocate?

Surfcom

SEMS