Membership Application Form

Organisation name:

Physical address:

Suburb:

City/Town:

Postal address:

First name:

Last name:

Role:

Email:

Phone:

Days/times available, and preferred contact method:

Sector:

Website:

Charities Commission registration number:

Aim/mission of the organisation, and services provided:

Where did you hear about us?

Does your organisation have a current Health and Safety policy and plan?

Yes

No

Will your organisation provide an orientation including a health and safety induction for all referred volunteers?

Yes

No

Does your organisation have a risk schedule that outlines risks and how these risks are mitigated?

Yes

No

How does your organisation involve volunteers or intend to involve volunteers?

Do you have position descriptions for your volunteer roles?

Yes

No

Do you have volunteer agreements or contracts in place?

Yes

No

Other information: