Volunteer with Barung Landcare

Volunteer with Barung Landcare

Simply enter your details below if you would like to become a Barung volunteer
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
Date
Do you have a driver's licence?*
Class of Drivers Licence and Licence Number
Do you have your own transport?*
Emergency Contact Name*
Relationship of emergency contact to you?*
Emergency contact phone number*
Please enter a valid phone number.
*If you have a medical condition or any other limitation that may affect your participation in your volunteer activities, this must be disclosed to the supervisor prior to participation in the activities. It will be the supervisor’s responsibility to call an ambulance if they see fit should an accident or medical incident occur.
Medical Conditions**

I agree
Do you have any of the following conditions?*

No notifiable medical conditionsAllergies, eg bee stingsBack ProblemsHeart ProblemsDiabetesRespiratory problems, eg asthmaOther Health Issue
If you ticked any of the above conditions, please provide details
Doctors Name
Doctors Phone Number
Please enter a valid phone number.
IMPORTANT – PLEASE NOTE: It is essential for us to be aware of the above information to ensure that you are able to effectively participate in the scheduled activities within the organisation without unnecessary risk to your own health or that of other staff and participants.
Photo permission

We take a lot of photos of people involved in the many Barung activities, for our own records, for display purposes and newspaper articles. If you agree to having your photo taken and to images being used by Barung, please indicate below.
I give permission for my photos to be used*

YesNo
There are many areas in which volunteers can help at Barung. Please indicate your area of interest*

Nursery work - potting, weeding, cleaning & maintenanceAdministration and sales - nurseryCustomer service - assisting nursery customersTree planting, weed maintenance and other bush regeneration activitiesSeed collection - on my private propertySeed collection - community seed collection daysHelping to run community information stalls about Barung LandcareFundraising activities for Barung LandcareMaleny Wood ExpoBeing a Barung Landcare committee memberBarung Seed Forest care group - help with weeding, planting, site maintenanceLandsborough Production Nursery - special Friday morning project
Do you have particular skills or experience to offer Barung, e.g. photography, seed collection, horticulture, IT skills, catering?
What days of the week would you be available to volunteer?

Monday morningMonday afternoonTuesday morningTuesday afternoonWednesday morningWednesday afternoonThursday morningThursday afternoonFriday morningFriday afternoonSaturday morningSaturday afternoon
I understand that by signing my name here, I am providing an electronic signature

Clear
Date*

MonthDayYear
Date
Thank you for your interest in volunteering with Barung Landcare. You can expect a response within two weeks of submitting this form.
Should be Empty: