Volunteers Expression of Interest Form

Volunteers Expression of Interest Form

Thank you for expressing your interest in volunteering for Hindmarsh Shire Council. This form can be used to apply for membership to a Council Committee or as a general volunteer for Hindmarsh Shire Council.
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.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Emergency Contact Details
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com

Eligibility

Please describe how you meet the eligibility criteria for the Committee you wish to join and what you will bring to the Committee:*
Please outline why you would like to volunteer for Hindmarsh Shire Council:*

YesNo
YesNo
YesNo
Please provide details if you've selected 'Yes' to previous question.*
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.
Yes

Volunteer Code of Conduct

For additional information, please refer to Council's Volunteers Policy.
Code of Conduct
- Reliability and Punctuality: Be dependable and notify the council if you cannot attend a rostered shift, service, meeting or other relevant program.
- Following instructions: Adhere to the role description, policies, procedures, and any reasonable instructions from your Volunteer Coordinator.
- Professionalism and respect: Represent the council professionally and treat everyone (other volunteers, staff, councillors, and community members) with respect.
- Confidentiality: Respect and maintain the confidentiality of information accessed in your capacity as a volunteer.
- Safety: Always take care to ensure your own health and safety and the health and safety of those around you, ensuring all hazards and incidents are reporting to your Volunteer Coordinator.
- Resources: Use Council resources responsibility, ethically and only for official approved purposes. Never utilise Council resources for personal use or gain, including for friends, family or other members of the public.
- Financial management: Unless otherwise specified in an instrument of delegation, do not incur expenditure or engage in any financial management matter (i.e. verbally committing Council to expenditure, seeking quotes for services or goods etc.) that may commit, or be seen to commit, Council to any procurement.
- Integrity: Act honestly and with integrity at all times, and do not misuse your position or authority granted by Council.
- Conflicts of Interest: Avoid situations where your personal interests could conflict with your volunteer role.
- Gifts and Benefits: Do not seek or accept any payment, gift or benefit for any service or function of your volunteer duties.
- Personal Opinions: Do not express any personal opinions that reflect negatively on Council when acting in your capacity as a volunteer. If you express a personal opinion, ensure that it is clear that it is not a reflection of Council or an official Council position.
- Media: All media enquiries must be directed to the Volunteer Coordinator who will liaise with the Chief Executive Officer regarding any public comment.
- Child Safety: Volunteers must understand their responsibilities under Council's Child Safety Policy and adhere to this Policy at all times.
- Out of Pocket Expenses: Prior to any purchase, potential out-of-pocket expenses should be discussed and approved by your supervisor.
Yes

Conditions of Appointment
I understand that I am responsible for my own health and safety and the health and safety of those affected by my work when I am volunteering. I commit to undertaking my volunteer role in a safe manner and to report any incident or hazard to Council in a timely manner. Under the terms of the Occupational Health and Safety Act 2004, I must follow all established practices, procedures and instructions of Council which apply to the tasks I have volunteered to perform.I understand that if I am successful, I will be required to complete a Police Check and provide Council with a Volunteer Working with Children Check. I understand that additional requirements may be communicated in the acceptance letter, should my application be approved by Council.While I am assisting Council in the abovementioned clearly defined Council business activity, and while your assistance is approved/controlled and/or known by Council, I will be covered for Public Liability Insurance.I understand that I must adhere to all Council policies, procedures, legislation and reasonable direction applicable to volunteers.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.I understand that no payment will be made to me by Council for my volunteer activities.I understand that if I have a medical condition that may impact my work as a volunteer, I must disclose this to Council as soon as possible.

Signature

By signing this form, I understand and agree to the volunteer code of conduct and the terms & conditions of volunteering within Hindmarsh Shire.
Signature*

Clear
Name*

First NameLast Name
Date*

DayMonthYear
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
Advisory Committees and Community Asset Committees Appointments
Your application will be considered by Council at an upcoming Council meeting. If approved, we will notify you via letter and confirm any additional requirements for your appointment to your nominated committee. We will also provide a timeframe that you will need to provide these additional requirements to Council by.

General Volunteers
Your application will be considered. If approved, we will notify you via letter and confirm any additional requirements for you to volunteer for your nominated community group. We will also provide a timeframe that you will need to provide these additional requirements to Council by.

Submission
Please submit this form to volunteering@hindmarsh.vic.gov.au, or return to any Customer Service Centre or Library. If you have any questions relating to this form, you can email the address above or call (03) 5391 4444.
Should be Empty:

All Committees	Nominees must be able to commit to attend 80% of meetings as well as additional volunteer hours to deliver Committee activities as required.
All Advisory Committees	Nominees must work, study or reside within the town (or district surrounding the town) and must be committeed to the purpose of the Committee.
Hindmarsh Pride Committee	Nominees must: Have knowledge and understanding of the needs and issues relevant to the LGBTIQ+ community; Have capacity to analyse information and provide advice on issues affecting the LGBTIQ+ community; and Have willingness and ability to engage in open and respectful discussions that add value to the Reference Group and liveability of the Hindmarsh LGBTIQ+ community.
All Community Asset Committees	Nominees must be committed to the purpose of the Committee and to promoting accessible and inclusive use of the relevant facility.

Volunteers Expression of Interest Form

PRIVACY STATEMENT:

Your Contact Details

Your Emergency Contact Details

Eligibility

Insurance Acknowledgement

Volunteer Code of Conduct

Conditions of Appointment

Signature