Vinnies Van SSO Christmas Volunteer Application.pdf - Alyssa Robinson

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Sydney Vinnies Van staff volunteer application form Please fill out the below form and email it back to Bridget Harilaou at [email protected]. Personal information Name: Mobile phone: Work phone: Email address: Please tick one: I would like to sign up as a regular volunteer I would like to sign up as a back-up volunteer for emergencies only Sydney Night patrol goes out 7 nights per week to Ward Park in Surry Hills, Martin Place and Central Station, leaving Lewisham at 7:30pm and returning by 11:15pm. Bayside Night Patrol goes to Eastlakes, leaving Lewisham at 7pm and returning by 9pm. Our Brekky Van also goes to Prince Alfred Park on Sunday mornings. Which shifts would you be potentially available to volunteer for (please highlight/circle): M Tu W Th F Sa Su (nights) / Sunday morning Please advise of any special requests or limitations to your capacity to volunteer: 1 Emergency contact details Name: Relationship to you: Daytime contact number: Mobile number: Email address: Health & medication Do you have any physical disabilities or medical conditions Yes No which may affect your ability to perform in this position? If Yes, please specify: Code of conduct Do you agree to abide by St Vincent de Paul Society values, Yes No listed below, while performing your duties? Professionalism  High level of professional and ethical behaviour Transparency  Openness, communication and accountability Accountability  Responsible, answerable and liable for actions, behaviours and use of Society resources Collaboration  Working together to achieve common goals and a harmonious work environment Respect  Respecting differences and diversity Confidentiality  Treating sensitive and personal information with strict confidentiality Compliance  Abiding to all lawful requests and directions and compliance with Society policies and procedures Lawfulness  Acting at all times in accordance with Australian and NSW laws. 2 Authorisation & declaration I agree not to disclose any information about the Society that I learn in the course of my volunteer duties, unless specifically authorized by the Society to do so, or compelled by law. I understand this information includes, but is not limited to, any and all information about Society’s employees, volunteers, members, donors or visitors. I also agree to comply with the overall goals and practices of the Society and as instructed by my immediate supervisor. I understand that whilst volunteering with Sydney Vinnies’ Van Services I will meet people from a diverse range of backgrounds. This may include, people experiencing physical and/or mental illness, people under the influence of alcohol and other drugs, and people with a range of criminal convictions including registered sex offenders. The St Vincent de Paul Society have procedures in place to manage the risks associated with the people they assist. I agree to comply with risk management policies and procedures whilst volunteering. Name: Signature: Date: The information contained in the form is personal information and it will be stored, used and disclosed in accordance with the requirements of the Privacy Act. Thank you for applying to be a Vinnies Van volunteer! We will be in touch shortly with online training to get you started. 3