Step 1 of 7 14% Before you start, make sure you have: Completed your AFP Check – Download form here. Completed your Ochre Card process here, using this Ochre Card Signed Concession Form. Downloaded and read the NASCA Code of Conduct. Personal DetailsName* First Last Address* Street Address Address Line 2 City State Postcode Gender*FemaleMaleDOB* Date Format: DD slash MM slash YYYY Email* Mobile*Do you identify as Aboriginal and/or Torres Strait Islander and/or First Nations?*YesNoHave you previously visited any NT communities with NASCA?*YesNoPlease specify which NT communities you have visited*Uniform Unisex T-Shirt sizing*Please select sizeSmallMediumLargeExtra Large2XL Medical InformationDo you have Private Health Insurance?*YesNoDoes your insurance include Ambulance Cover?*YesNoMedicare Number*Do you have an existing medical disability/injury/emotional condition?*YesNoPlease specify your existing medical condition(s)*Do you take any medication that may affect your work?*YesNoPlease provide your medication details*Do you have any allergies?*YesNoPlease specify any allergies and the severity of your reaction(s)*Are you pregnant?*YesNoPlease list any special dietary requirements below, including medically diagnosed food allergies/intolerances Coronavirus Disease (COVID-19)Have you ever, at any point, tested positive for COVID-19?*YesNoWhen did you test positive for COVID-19?* Date Format: DD slash MM slash YYYY If you are selected on the program, you will be required to submit proof of a negative CV-19 test result before your position is finalised.Within the last two weeks have you been in contact with anyone who has tested positive for COVID-19?*YesNoWhen did you come in contact with that person?* Date Format: DD slash MM slash YYYY If you are selected on the program, you will be required to submit proof of a negative COVID-19 test result before your position is finalised.Have you travelled overseas or interstate in the last two weeks?*YesNoWhere, when and for how long did you travel?*Do you plan to travel overseas or interstate at any point before taking part in the program?*YesNoWhere, when and for how long do you intend to travel?*Participants may be required to undergo testing for COVID-19 prior to taking part in the program. If you are required to do so NASCA will inform you. If required, are you willing to undergo a COVID-19 test prior to departing on the program?*YesNo Emergency ContactsEmergency Contact No. 1*NameRelationshipMobile Emergency Contact No. 2*NameRelationshipMobile AFP & WWCC (Ochre Card)In 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*Accepted file types: jpg, png, pdf.Upload 100 points of ID*ID must be clear and in colour. Drop files here or Accepted file types: jpg, gif, png, pdf, doc, odt. NT Ochre Card Application Reference Number*Please include a copy of your receipt as a supporting document below.Supporting DocumentsUpload Supporting DocumentsPlease include a copy of your NT Ochre Card Application receipt here. If there are any other documents that you would like to submit in support of your application please upload them here as well. Drop files here or Accepted file types: jpg, gif, png, pdf, doc, odt. Declaration and Code of ConductPlease read the of conduct carefully and tick the check-box below to acknowledge your acceptance*If you know of or suspect a violation of NASCA policy or the law, you must report it to your Team Leader. NASCA strictly prohibits discrimination or retaliation in any form against employees and volunteers for making good faith reports. You can harm NASCA not only by acting inappropriately, but also by NOT acting when it is your responsibility to do so. If you suspect misconduct, it is your obligation to report it.The personal behaviour of staff will not bring discredit to NASCA, to the work performed by NASCA or to fellow staff or volunteers. Any complaints or problems about practices at any level should be discussed with the identified officer and appropriate investigation/grievance procedures will be followed, as required.Staff will distinguish clearly between statements and actions made as a private individual and as a representative of NASCA.Staff or volunteers will not exploit work relationships for professional gain or profit. Staff and volunteers will not exploit clients/customers for personal advantage, nor solicit attendees of NASCA for activities resulting in personal gain or non-NASCA related work/research.Staff, paid and unpaid, shall disclose any personal relationships that may present a conflict of interest.Staff and volunteers will not use their position to promote personal, political, religious or business loyalty.Staff and volunteers will not practice, condone, facilitate or collaborate with any form of discrimination on the basis of race, colour, gender, sexual orientation, age, religion, national origin, marital status or other conditions or status.Staff and volunteers will treat colleagues with respect, courtesy, fairness and good faith. Where serious disagreements cannot be resolved, they will be addressed as outlined in the grievance procedure.Staff and volunteers will respect the right of clients to privacy, and will similarly respect the confidences shared by colleagues in the course of their professional relationships and transactions.Staff and volunteers will be responsible and vigorous in discussion and critical review of their delivery of service, participating in outcome focused discussion and evaluation of their own and others work.Volunteers are not to make any comments to the media including comment made on the conditions of the local area, people or service issues unless authorised by NASCA.Staff who have responsibility for employing and evaluating the performance of other staff members will act in a fair, considerate and just manner, performing evaluations on clearly enunciated criteria.All staff and volunteers are bound by both the ethical and legal aspects of confidentiality, and will be required to sign a confidentiality agreement.Staff and volunteers will not use the assets of NASCA for their personal benefit or gain.NASCA has an Open Door Policy which allows you to talk to any manager (or Team Leader) in the organisation about any work-related issue or idea without fear of retaliation. You can also use the Open Door to discuss questions about NASCA policy and practices.Every employee and Volunteer is responsible for using NASCA equipment and materials (including mobile phones and other portable devices) in a safe manner, exercising good and practical judgment. You are also responsible for immediately reporting accidents, unsafe practices or conditions, and potentially volatile workplace situations to your Team Leader. To help maintain an environmentally safe and healthy workplace, NASCA complies with all applicable environmental laws and regulations.Alcohol and illicit drugs shall not be consumed whilst working or volunteering for NASCA at any time.Volunteers taking prescription drugs that may affect their performance must notify NASCA.Whilst volunteering and working with NASCA no junk food is to be purchased or consumed in public or sight of clients/community members.Employees and Volunteers will dress in an appropriate manner that is culturally sensitive, and shall wear the NASCA uniform at all times when delivering programs and conducting NASCA business.NASCA Volunteers will refrain from sharing images of children and community members in any public forum, including online, and social media. I acknowledge and accept these termsNameThis field is for validation purposes and should be left unchanged.