Urban Volunteer Application form Step 1 of 7 14% Thank you for your interest in volunteering with NASCA. Please submit your application before the close date, midnight - Sunday 31 May 2019. Before you start your application, make sure you have everything you need: 100 points of ID Completed an AFP National Police Check Form (JPG, PNG or PDF) Completed NSW Volunteer Working with Children Check Personal DetailsEmail* Name* First Last Address* Street Address Address Line 2 City State Postcode DOB* Date Format: DD slash MM slash YYYY Mobile*Work PhoneGender*FemaleMaleOtherCurrent NSW working with Children Check No:Current NT working with Children Check No:Are you Aboriginal and/or Torres Strait Islander?*YesNo Employment & QualificationsEmployment*Please provide details of your most recent/current position. EmployerPositionDates of employment Education/Training/Certification(s)*InstitutionYearQualification Current First Aid Certificate*YesNo Volunteer ExperienceListInstitutionYearRole Have you volunteered with NASCA previously?YesNoYear(s) you volunteered with NASCANASCA community you volunteered in:Have you applied & been unsuccessful?*YesNoVolunteering preferencesPlease indicate if you would like to volunteer:At a one off event (e.g. at a Community Stall)Within our urban program (e.g. at an after school program)Please indicate where you would prefer to volunteer:Western Sydney (Penrith/Hawkesbury)South West Sydney (Campbelltown)South Sydney & Sydney CBDDubbo regionVolunteer Skills SetWhich of the following skills do you have?Experience working with young peopleExperience working alongside Aboriginal communitiesExperience with coaching/running sports activities with young peopleA current light rigid license and the ability to drive a light rigid vehicle (bus)Food preparation and handling skillsProgram delivery skills, preferably with young peopleExperience in or ability to provide academic tutoring to Year 7 - 10 High School StudentsEvent organising / preparationPhotography & Filming RefereesPlease provide the details of at least two profesional references. Referee #1*NamePositionEmailMobileReferee #2*NamePositionEmailMobileMedical InformationAmbulance Cover*YesNoMedicare Number*Do you have an existing medical disability/injury/emotional condition?*YesNoIf Yes, provide details:Do you take any medication that may affect your work?*YesNoPlease provide details:Do you have any allergies?*YesNoWhat are you allergic to? What reaction do you get from these allergies?Female applicants only, are you pregnant?*YesNoEmergency Contact NamesPlease provide details of at least two emergency contactsEmergency Contact #1*NameRelationshipMobile Emergency Contact #2*NameRelationshipMobile Reason for VolunteeringReason for Volunteering* Gain experience Develop my skills Develop my cultural knowledge I share NASCA’s values Share my skills I have free time I have worked in the NT previously Opportunity to visit the NT Uniform Unisex T-shirt sizingUniform Unisex T-shirt sizing*Small [chest=92cm,back=71cm]Medium [chest=102cm, back=74cm]Large [chest=112cm,back=76cm]Extra Large [chest=122cm, back=79cm]2XL [chest= 132cm, back = 81cm]How did you hear about us?How did you hear about volunteering with NASCA?*Facebook or TwitterEthical JobsPrevious volunteerGo VolunteerNASCA News EmailNASCA WebsiteWorkplace Professional Association - please specifyUniversity - please specifyFitness AustraliaIf you heard about NASCA through a previous volunteer, what is their name? AFP and WWCCIn this section of your application you will be required to attach files. Please note, if you 'save and continue later' attachments will not be stored on our system. Please only attach required documents when you are ready to submit your application. Upload AFP Check Form*Please download and complete the AFP NPC form. Once complete please scan the form and upload it below. You can download the form here http://nasca.org.au/wp-content/uploads/2017/05/1784-NASCA-NPC-Form.pdf Note: NASCA requires that you complete the AFP NPC Form even if you already have an AFP check. Accepted file types: jpg, png, pdf.Please upload 100 points of ID*We need 100 points of ID to process your application. Please refer to the AFP website for details: https://afpnationalpolicechecks.converga.com.au/static/images/afp/100_point_checklist.pdf Your ID must be clear and in colour. Drop files here or Accepted file types: jpg, gif, png, pdf. NSW Working with Children Application Number*If you do not have a current NSW Working with Children Check, please include your application number here:Supporting documentsUpload supporting documentsPlease submit a copy of your SAFE NT Receipt here. If there are any other documents that you would like to submit in support of your application please upload them here. Up to 3 documents. Drop files here or Accepted file types: jpg, gif, png, pdf, doc, odt. DeclarationPlease read each statement carefully and tick each check-box to acknowledge your acceptance.Please read each statement carefully and tick the check-box below to acknowledge your acceptance.* · I am applying to volunteer with NASCA · I am aware that NASCA programs involve outdoor physical activities, which may demand physical & mental effort in a variety of conditions. · I understand that all NASCA directors, staff, members, contractors & agents are absolved from all liability howsoever arising from injury or damage howsoever caused (direct, indirect, consequential or otherwise) arising out of my participation in NASCA programs & Activities, except where such liability arises due to a negligent act or omission on the part of NASCA. · In case of injury or illness, I authorize NASCA to obtain any medical attention deemed appropriate including ambulance or other transport and agree to accept full financial responsibility for all medical and related expenses. · I am aware of the time commitment & important dates and shall participate in all NASCA activities. · I consent to NASCA using my feedback and to being interviewed, photographed or filmed for promotional use by NASCA whilst volunteering. I understand that the recording/s photographs may be adapted, reproduced, modified, stored and used by NASCA and the people it nominates to promote the work that it does. · I understand that I am responsible for making my own travel arrangements to the required volunteering locations. · I understand that I am reponsible for any travel costs incurred in travelling to the required volunteering locations. · In the event of an emergency, I agree to the information contained herein being made available to appropriate people rendering assistance. · I do not have any recorded criminal convictions/offenses.(If yes, you must disclose to NASCA on submitting application). · I agree to abstain from consuming alcohol and un-prescribed drugs for the duration of the NASCA program. I acknowledge and accept these terms EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.