Volunteer Application Form

St Vincent de Paul Society Canberra/Goulburn (Vinnies) has been serving our local community since 1924, offering a “hand up” to people in need. As a volunteer-run organisation, the work of the St Vincent de Paul Society is largely carried out by members of the communit y who gene rously give their time and skills to help others.

We pride ourselves on a vibrant and skillful culture, with a passion for volunteering.

1. Personal Details

Title *

First Name *As per your Drivers Licence or Passport

Surname *As per your Drivers Licence or Passport

Preferred Name

Date Of Birth *

Are you an Australian Citizen? *

YesNo (If no, please enter Nationality and Visa Type)

Nationality

Visa Type

Address *

Street *

Suburb/Town *

State *

Postcode *

Mobile Number *

Alternate Phone

Email Address *

2. Diversity and Inclusion

Are you of Aboriginal or Torres Strait Islander Origin?

Are you from a Culturally and Linguistically Diverse (CALD) background?

YesNoPrefer not to say

If yes, please specify

Do you identify as being a person with a disability?(Optional: This question helps us understand and support the diverse needs of our potential volunteers)

3. Health Declaration

I agree to inform the Society of any information regarding my health or other matters relevant to my ability to undertake volunteering duties now and in the future *

Yes (Please specify with your direct Supervisor)

4. Emergency Contact Details

Full Name of First Contact *

Relationship *

Phone Number *

Email *

Full Name of Second Contact

Relationship

Phone Number

Email

5. Availability and Commitment

I am only available over a fixed period (please specify):

Are you volunteering to meet study, work experience or Centrelink requirements? *

YesNo

If yes, please provide details (such as name of school, year level, subject, Centrelink benefits or hours required)

Is your volunteering connected to a corporate group / school group / an individual support worker (or others)? *

YesNo

If yes, please provide details

Is your volunteering connected to our Work Development Program (WDP) *

YesNo

If yes, please specify the fine amount

6. Volunteering Engagement

More information on the programs and volunteering opportunities listed below can be found on our website at www.vinnies.org.au (or by emailing us at volunteer@vinnies-cg.org.au). Please select up to 3 options:

Vinnies Retail Centres - ACT / NSW South and NSW West *

OngoingShort-term Summer Volunteering (Nov-Feb) ONLY

Preferred Centre location(s) *

Mitchell Warehouse - ACT only

General HandDonation SorterTruck Driver / Offsider

Resource Management Centre - ACT only

Goodies Junction - MitchellGoodies Junction - Mugga Lane

Youth - ACT only

Youth Programs - St NicksYouth Programs - St JoesMigrant and Refugee Program

What motivates you to volunteer? *

To give back to the communityTo learn new skills and gain experienceFriendship and social inclusion

What are you hoping to gain from volunteering?

Are there any qualifications, skills or talents you would like to share with us?For Clemente, tertiary qualification is mandatory

Languages Spoken

7. Background Checks and Licences

Do you have a valid ACT Working With Vulnerable People Card (WWVP)? *

YesNoApplication Submitted

Card Number *

Expiry Date *

Application Reference Number *

Please attach front and back copies of WWVP card *

Browse

Do you have a Drivers Licence? *

YesNo

Required for volunteer driving role

If yes, do you hold Australian or International Drivers Licence? *

AustralianInternational

Drivers Licence Number *

Class *

State (Australian Licence Only) *

Expiry Date *

Please attach front and back copies of Drivers Licence *

Browse

Do you have a valid NSW Working With Children Check (WWCC)? *

YesNoApplication Submitted

Card Number *

Expiry Date *

Application Reference Number *

Please attach front and back copies of WWCC card *

Browse

For some volunteer roles, a National Police Check is mandatory. Are you prepared to undergo this check? *

YesNo

Please note that the Society will pay for the check.

8. Referees

Referees should be a person unrelated to the applicant and be known for 12 months or more

Full Name *

Relationship *

Phone Number *

Email

Full Name

Relationship

Phone Number

Email

9. Privacy and Confidentiality Consents

Consent to Communication

I agree that my details can be used by the St Vincent de Paul Society for the purposes of administration of the volunteer program. Consent to receiving communication as outlined above *

YesNo

I agree that my details can be used by the Society to keep me informed in communication relevant to my involvement with the Society, including feedback, activities, events, media opportunities, fundraising and appeals. Consent to receiving communication as outlined above *

YesNo

Consent to use Photographs and Images

I allow the St Vincent de Paul Society Canberra/ Goulburn to use images, both still or video of me to support its’s communications and fundraising to the community during my time as a member or volunteer of the Society. I understand that I do not own the copyright in the sound or vision, and I waive any right to inspect or approve the finished production. Any such images will be used to inform the community of our work and impact to foster understanding and support of the purpose of the Society.

I agree to release this *

YesNo

Medical Consent

I agree to inform the Society of any information regarding my health or other matters relevant to my ability to undertake volunteering duties. In the case that I require medical treatment or in the case of a medical emergency, I consent to the Society providing first aid or treatment as may be deemed necessary. I have made my manager aware of any the medical supports or work environment amendments during my interview, inclusive of all relevant information to ensure a safe working environment *

YesNo

Consent to use Emergency Contact Details

I consent to St Vincent de Paul Society Canberra/Goulburn contacting my emergency contacts in the event of an emergency *

YesNo

10. Code of Conduct

Vinnies adheres to a Code of Conduct that outlines our expectations for behavior and ethics.

Please review our Code of Conduct by clicking here

Upon review, please indicate if you understand and agree to abide by our Code of Conduct *

YesNo

11. Acknowledgement

Is there anything else you would like to tell us to support your application?(Maximum 300 characters)

If you have any additional attachments, please attach them here.

Browse

By signing this application with the St Vincent de Paul Society Canberra/Goulburn, I declare all information given by me is true and correct. I have not knowingly withheld any circumstances or facts that would, if disclosed, affect my application. I also declare I have consent to share details of other persons as part of my application.

If completing this application on behalf of someone else please ensure you have their consent to provide their details as part of this application form.

I understand if my application for volunteering is successful, I will be asked to sign a Volunteer Assignment Agreement in respect to terms of agreement for volunteering as outlined by the Society, including; qualifications, identification, licenses, visa, registration, clearance checks or insurance prior to commencing volunteering.

Full Name *

Signature of Applicant *

Draw signature|Type signatureClear

Date *

If under 18 years, a signature from a Parent/Guardian is required:

Name of Parent/Guardian

Signature of Parent/Guardian

Draw signature|Type signatureClear

Date

The Society collects personal, medical information, work right and background checks in accordance with the Privacy Act 1998 and the Society’s “Character Check Policy”, for the purposes of providing and administering a fair and thorough evaluation of applicants.

Our privacy policy is also available on our website.

Save and Complete Later