HNS Spontaneous Volunteering Registration Form
Please complete this Registration Form if you are willing to help prepare and/or clean-up after a flooding event or natural disaster in your community.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State
Post Code
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: 0000-000-000.
Date of Birth
*
-
Day
-
Month
Year
Date
Which location/s would you be able to volunteer out of (select all that apply)
*
Port Macquarie Neighbourhood Centre
Wauchope Neighbourhood Centre
Lake Cathie Community Hub
North Shore Progress Association
What is your availability to volunteer?
*
Weekdays
Weekends
Mornings Only
Afternoons Only
Anytime
What skills can you contribute to spontaneous volunteering?
*
Do you hold a current First Aid Certificate?
*
Yes
No
Are you available to attend SES training on Sunday 21st June at the Port Macquarie SES in Central Road, Port Macquarie from 10am to 2pm?
*
Yes
No
Are you available to attend one of these locations for on-site equipment training conducted by SES from 10am to 12pm?
*
North Shore Progress Association - Sunday 5th July 2026
Lake Cathie Community Hub - Sunday 12th July 2026
Wauchope - Sunday 19th July 2026
Are you willing to do the Tomorrow Ready 5 module online Certificate course? (Approximately 4 to 5 hours to complete)
*
Yes
No
Do you have a Vehicle?
*
Yes
No
What type of Driver's Licence do you hold?
Full Licence
Green P Plates
Red P Plates
Heavy Vehicle Licence
Motorcycle Licence
Do you have a medical condition which could limit your volunteer work?
*
Yes
No
If yes, please briefly describe your condition. This will help us allocate appropriate duties to keep you safe. If no please type Not Applicable
*
Next of Kin (In case of emergency)
*
First Name
Last Name
Next of Kin Email Address
*
example@example.com
Next of Kin Phone Number
*
Please enter a valid phone number.
Format: 0000-000-000.
Name
*
First Name
Last Name
Date - Completion of Form
*
-
Day
-
Month
Year
Date
Signature
*
Save
Submit
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