KAS Employee Details Form

KAS Employee Details Form

All personal information will be treated as confidential and will not be shared with any other organisation, unless authorised by you.
About Me
Name

First NameLast Name
E-mail
example@example.com
Your Postcode

Postal Address

Postal Address Line 2

CityState / Territory

This information is used for grants purposes
Mobile Number
Format: 0000 000 000.
Date of birth

DayMonthYear
Parent or guardian name

First NameLast Name
Parent or Guardian's Email Address
example@example.com
Consent from Parent Guardian to work at the Show
Driver License Number
Driver Licence State/Territory

Medical Condition

Please indicate if there are any types of tasks that you are not able to undertake.
I have a medical condition that could impact my ability to undertake certain tasks
What activities does your medical condition allow/restrict?
Details will help us assign you to appropriate tasks.
Emergency contact

This is the person we will contact in the event of a medical or other emergency.
Emergency contact Name

First NameLast Name
Emergency contact Mobile Phone Number
Please enter a valid phone number.Format: 0000 000 000.
Relationship to you
Photography and video permission

This will help us attract other volunteers and staff
I agree to allow the Kununurra Agricultural Society to take, use and distribute photographs or video of me, in order to promote volunteering or working for the organisation.

Certifications

Based on the roles you have selected you might be requiered to obtain specific certificates/licences.
Do you have a current working with children check?
Do you have a current forklift ticket?
Do you have a current RSA?
Date

DayMonthYear
Date
Comments
Any other relevant information
Should be Empty:

About Me