Volunteer in an Emergency

Your details

Do you agree to have your information stored in our database?*

Yes
No

Your information will be stored confidentially on our agency database and used for provision of service and may also be used for research. Your name and details will not be included in reporting.

Consent*

I agree to the terms and conditions.

Emergency Volunteering Terms and Conditions

I affirm that my interest in volunteering is based on personal choice and is undertaken freely without the expectation of monetary reward.
I am aware that:
disaster and emergency management organisations (Organisations) who use the Whittlesea Community Connections to source volunteers are independent entities responsible for their own actions, and are not agents of WCC;
Whittlesea Community Connections service acts as a referral agency ONLY and cannot guarantee that any volunteer opportunity will become available as opportunities are SOLELY RELIANT ON ORGANISATIONS' needs and also depend on your availability, skills and location;
Whittlesea Community Connections is not responsible for the operations or conduct of Organisations nor for volunteers referred to them;
the information provided by Whittlesea Community Connections staff is limited to that provided to it by Organisations without being checked or tested.
I consent that at times of immediate disaster and need I give permission to Whittlesea Community Connections to if required forward registration details provided by me. My registration details will be passed on for the sole purpose of the potential matching of my expression of interest to volunteer. I acknowledge that any volunteer position I attend will be the result of agreement reached between me and the Organisation.
I accept full responsibility to check the currency and adequacy of the Organisation’s insurance cover before starting volunteer work and acknowledge and agree that whilst Whittlesea Community Connections does ask that each Organisation it deals with has insurance to cover volunteers, Whittlesea Community Connections does not sight any policies for limitations or exclusions of insurance coverage and we ask that you protect yourself by requesting this information directly from the Organisation BEFORE commencing any volunteer position.
Volunteer Disclaimer:

By attending any volunteering opportunity through a referral from Whittlesea Community Connections, I agree that in so doing to the greatest extent that may be permitted by law that Whittlesea Community Connections shall have no liability whatsoever to me as a result of making such details available to any Organisation. Furthermore, I acknowledge that insofar as I shall be linked with or referred to any Organisation as part of the Whittlesea Volunteer Resource Service, that I will make my own assessment to determine as to whether such Organisation and its requirements are appropriate for my needs and skills.

Preferred Pronouns

He/Him
She/Her
They/Them

Please use the comment box option if you prefer to self-describe.

First name*

Last name*

Date of birth*

Gender*

Female
Male
Non-binary/Gender diverse

Please use the comment box option if you prefer to self-describe.

Contact details

Suburb*

Phone (mobile/home)*

Email

Culture, language and identity

Main language spoken at home*

Please use the comment box option if your main language spoken at home is not listed.

Other languages you speak

Level of spoken English

Beginner
Intermediate
Fluent

Do you identify as Aboriginal or Torres Strait Islander?*

No
Aboriginal
Torres Strait Islander
Aboriginal and Torres Strait Islander
Prefer not to say

Do you identify as having a disability?*

Yes
No
Prefer not to say

Emergency contact information

Name of your emergency contact person*

Emergency contact number*

Relationship of emergency contact person

Experience, skills and abilities

What is your current occupation?

How can you help?

During disaster recovery I can offer the following skills :*

Administration - Includes helping people fill out forms or make orders using vouchers
Customer Service - Includes helping service providers and providing information
Call Centre - Includes making calls on behalf of services providers
Driver - Includes delivering meals, medications, essential items or food bank pickups
General Clean-up
Information Technology (IT) - Includes technology support such as social media or helping seniors use email or video calls
Light Labour - Includes light lifting or packing boxes
Social Support

Tick as many as you like

Other service area you would like help in

I can bring the following equipment

Other skills or equipment not selected above (maximum 30 words)

Would you like to receive email updates about volunteer activities at Whittlesea Community Connections?*

Yes
No

Privacy Statement

I authorise Whittlesea Community Connections to release information to volunteer organisations in order to obtain a volunteer position and give consent to my details being entered into their database and a Federal Government DSS Data Exchange database to be used for statistical purposes and service evaluations. Also, I provide consent to be contacted in future for survey, research and evaluation purposes. Your name and details will not be included in reporting.

Date of agreement*

Name

This field is for validation purposes and should be left unchanged.

Want to volunteer in an emergency?