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Volunteer Expression of Interest

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About this form

ABOUT THIS FORM

Port Stephens Council promotes the concept of volunteering in general and is actively involved in supporting and recognising volunteers.

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.  They are guided by Council staff and supported with resources and training.

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. Note: subsequent refresher training may be required. 

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.

Health Information – any health information provided will be managed in accordance with the Health Records and Information Privacy Act 2002. The information will only be used for the purpose in which it was collected and you will be consulted before Council releases any information, should it receive a request to do so.

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Personal Details

PERSONAL DETAILS

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CONTACT DETAILS

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ADDRESS DETAILS

Street Address where you live

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

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ADDITIONAL INFORMATION

My role in the group is: *

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I consent to my details being shared with other Volunteers in the group and new and prospective Volunteers (for Coordinators or Executive positions only): *

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Do you hold a current drivers licence?: *

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Do you have a car available for use?: *

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Do you have any Health and Fitness limitations that may limit your ability to perform certain types of activities?: *

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Are you on any medication or under any course of treatment that may limit your ability to perform certain types of activities?: *

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Emergency Contact / Referee Details

EMERGENCY CONTACT

Please nominate the person you would like us to contact in the case of emergency

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REFERENCE

Please list the name and contact details of one personal referee
Is your referee the same as your emergency contact?: *

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Availability

AVAILABILITY

After initial Training and Induction, what is your availability 
I expect to be available: *

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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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Interests

INTERESTS

Please select one or more areas you are interested in volunteering in: *

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PARK, RESERVE AND LANDCARE GROUPS

Please select the group/s you are interested in: *

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SPORTS GROUPS

Please select the group/s you are interested in: *

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HALL COMMITTEES

Please select the group/s you are interested in: *

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LIBRARIES

Please select the Library/Libraries of interest to you: *

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Please select the group/s you are interested in: *

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Please select the area/s you are willing to visit: *

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PLACE PLANS

Please select the group/s you are interested in: *

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OTHER GROUPS/COMMITTEES

Please select the group/s you are interested in: *

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How did you hear about Volunteering Opportunities at PSC?: *

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Experience

WORKING WITH CHILDREN CHECK (WWCC)

A Working with Children Check (WWCC) is compulsory for Volunteers in child-related work in NSW. 

Do you have a working with WWCC?: *

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⛔ We highly recommend you apply for one as soon as possible. Checks for Volunteers are free and can be completed online at Service NSW.  A copy of this will be required prior to your nomination being accepted.

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SKILLS, EXPERIENCE & SPECIAL INTERESTS 

What skills, experience and special interests do you have that you would like to utilise through your Volunteering?

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Sign Off

SIGN OFF

I agree to:

  • Abide by Council’s Code of Conduct, Policies, Procedures and Directives from Council Officers and to act only within the scope of my delegations as a Council Volunteer.
  • Attend Port Stephens Council Volunteer Induction Training as soon as practical and subsequent refresher training every 2 years.
  • I agree for my contact details to be provided to the Group’s designated Coordinator.
Signature: *

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