Creative Life

Volunteer Registration Form

CONFIDENTIAL

Please complete this registration form. The omission of relevant information or provision of false information may lead to this application not being considered further or removal from the volunteer program where a placement has commenced.

Applicant details

First name *

Surname *

Home address *

Date of birth *

Email address *

Best contact phone number *

Emergency contact in the case of illness or injury

Emergency contact name *

Emergency contact's best phone number *

Emergency contact’s relationship to you *

General Information

Do you identify as belonging to any of the groups listed below? *

Aboriginal/ Torres Strait Islander peoplesPeople with a disabilityAustralian South Sea Islander peoplesOlder people (55+) PeoplePeople from culturally and linguistically diverse backgroundsNo

What type of volunteer activity do you want to undertake? *

What size t-shirt do you require? *

Do you have any previous volunteer experience? *

YesNo

If yes, please describe your previous volunteer experience *

Do you have any qualifications, skills or training that may benefit the program? *

YesNo

If yes, please describe your qualifications, skills or training *

Do you hold a current Blue Card? *

YesNo

If yes, what is your blue card number? *

Do you hold a current First Aid Certificate? *

YesNo

Some volunteer programs may provide you with access to sensitive or personal information about the Cairns Regional Council’s clients. If this is the case, you may be asked to undertake a Police Security Check. If so, do you have any objection to the Cairns Regional Council undertaking this check? *

YesNo

Before such a check is undertaken you will be asked to complete further documentation and give your consent to such a check. NOTE: You will not be asked to undertake a Police Security Check where it is not relevant to your participation in the volunteer program.

Please list any medical conditions (physical and mental) we should be aware of, including allergies, and if applicable medication used to treat the condition. Please list brief instructions on how you would like us to treat the condition should it be required. *

Feedback

Your feedback is valued and we would love to know a little more about you.

Where did you hear about the Creative Life Volunteer program? *

What attracted you to the Creative Life Volunteer Program? *

What particular skills, experience or interests that you have do you believe will be most useful to the Creative Life Volunteer Program? *

Do you have any questions about the Creative Life Volunteer Program? *

Google reCAPTCHA *

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Cairns Regional Council – Information Privacy Statement

Your personal information has been collected for the purpose of assessing your application. The collection of your information is authorised under the Local Government Act2009. You are providing personal information which will be used for the purpose of delivering services and carrying out Council business. Your personal information is handled in accordance with the Information Privacy Act2009 and will be accessed by persons who have been authorised to do so. Your information will not be given to any other person or agency unless you have given Council permission to or the disclosure is required by law.