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New Volunteer Group Request Form

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About this form

ABOUT THIS FORM

Under the Local Government Act, Council is able to appoint groups of Volunteers to undertake approved activities in our parks, natural areas, sporting facilities, libraries, visitor information centre and environmental projects etc.  They are guided by Council staff and one Volunteer in the Group is to be listed as the Coordinator.

A request to establish a new volunteer group may be submitted on the basis that the activities proposed to be undertaken by volunteers are on Council owned or managed land and for the benefit of the wider community.  Council will consider the application and advise if approval is granted to establish the group.  Once approved, each Volunteer that wishes to join the group would need to complete a Volunteer Nomination form.

People who become a member of a Volunteer Group, must attend Council’s Volunteer Induction Training as soon as possible, and also participate in on-site inductions.

A Group cannot operate until written approval has been received AND once WHS & Risk Assessment has been undertaken including; Specific Worksite Assessment and Toolbox (SWAT), Safe Work Method Statements (SWMS) , Agreed Action Plan and relevant inductions.

YOUR PRIVACY

Port Stephens Council is committed to protecting your privacy. We take reasonable steps to comply with relevant legislation and Council policy.

Purpose: The purpose of this form is to enable Council to record the matter raised and taken appropriate action.

Intended recipients: Council employees, contractors and other third parties where appropriate.

Supply: Voluntary.

Consequence of Non Provision: Council may not take action on the matter raised.

Storage and security: This document will be placed on the relevant file and/or saved in Council’s records management system in accordance with Council policy and relevant legislation.

Access: Please contact Council on 02 4988 0255 to enquire how you can access information.

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Applicant Details

APPLICANT DETAILS

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CONTACT DETAILS

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ADDRESS DETAILS

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Is the postal address different to the physical address?: *

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I consent to my contact details being provided to current and potential future Volunteers: *

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Is the Applicant to be listed as the Coordinator of the proposed Group: *

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Coordinator Details

COORDINATORS DETAILS

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ADDRESS DETAILS

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Is the postal address different to the physical address?: *

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CONTACT DETAILS

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I consent to my contact details being provided to current and potential future Volunteers: *

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Proposed Group Details

PROPOSED GROUP DETAILS

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Is this Group affiliated with any other association?: * Eg: Landcare

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Do you have Volunteers interested in becoming members of this group?: *

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Who will benefit from the establishment of the group?: *

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What is the location/area the Group proposes to undertake work?: *

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Are there other Volunteer Groups operating in the same area to your knowledge?: *

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Anticipated Volunteering Frequency: *

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What days will you be available to Volunteer?: *

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Monday availability: *

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Tuesday availability: *

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Wednesday availability: *

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Thursday availability: *

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Friday availability: *

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Saturday availability: *

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Sunday availability: *

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Sign Off

SIGN OFF

I agree to:

  • Abide by Council’s Code of Conduct, Policies, Procedure and Directives from Council Officers and to act only within the scope of my delegations as a Council Volunteer.
Signature: *

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