Volunteer Application Form: Long Version Logo
  • Volunteer Application Form

  • Personal Details

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  • Volunteer experience



  • Driving Details

    * Only required for volunteer drivers
  • Emergency Contact

  • Professional Referee

  • Medical Conditions

  • Multimedia Consent

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    South Eastern Community Connect (SECC) may take photography, audio, and video recording throughout the duration of its programs and activities for multimedia content production which is typically used in organisational promotion and marketing in a range of platforms and mediums. Do you provide multimedia consent?

  • Privacy and Confidentiality Policy:

  • SECC has a strict policy around issues of privacy and confidentiality. All files are securely maintained.Your name and personal details will not be given to any person or agency outside of the Centre without your informed and voluntary consent. Exceptions to this agreement involve:

     

    • Where a child or young person under the age of 16 years is at risk of significant harm from abuse or neglect (e.g. a child or young person witnessing incidents of Domestic Violence)
    • Where there is a serious and imminent threat to life and health of any person, including the person seeking a service (e.g. a person is at risk of hurting themselves or harming others)
    • Where a person discloses information that would substantially assist in the prosecution of any offence punishable by 5 or moreyears imprisonment
    • Where a worker is required to provide documents (e.g. a person's file) or give evidence under subpoena

    All SECC staff can descrive these exceptions in more detail if you have any questions please make sure to ask.

  • Data Collection

  • SECC collects basic program statistics. The collection is for funding and reporting purposes. The collection never identifies individuals. The collection allows us to monitor service usage patterns across the years. It also allows us to report to our Board and the bodies that provide us with funding with service provision. At no stage is any identifying data provided to either the Board of SECC or to funding bodies. If you choose to not have this particular information passed on you are able to inform the worker. You will still be able to receive services from SECC. Do you consent to the collection of statistics for the purposes stated above on the condition that any collection will not identify you personally?

  • Agreement and Acceptance

    I understand and agree that:
  • • The work undertaken by South Eastern Community Connect (SECC) and the business of service users (clients) is strictly confidential and I will maintain and respect SECC and service user confidentiality at all times.
    • SECC works with frail aged and younger people with disabilities and their carers, and we must ensure their safety at all times.
    • I give permission for the referee specified above to be contacted.
    • A Police Check will be undertaken and a Working with Children Check will be undertaken for work involving children.
    • A NSW Licence Check will be undertaken for Volunteer Drivers

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