FORTEM VOLUNTEERS REGISTRATION FORM Please enable JavaScript in your browser to complete this form.General InformationWhat position are you applying for? *Name *FirstLastAre you a current or former serving first responder or first responder family?If so which agency? Email *Phone *Date of Birth *State *ACTNSWNTQLDSATASVICWAPostcode *Expectations *(Please list what you hope to gain from volunteering for Fortem, for example meet people, improve confidence, learn new skills, etc) Past skills, knowledge or experience *(Please detail your previous experience: what, where, activities you enjoyed)How did you hear about us?Seek VolunteerGo VolunteerWord of MouthWorkplace Wellbeing TeamFortem PresentationColleagueFamily or PartnerFriendWebsite / Social MediaOtherHealth and SafetyIs there any work you may find difficult, for health reasons? *NoYes (please specify below in comments section)Are you taking any medication that we should be aware of? *NoYes (please specify below in comments section)Comment or Message *We want to ensure that all our volunteers have a positive experience with Fortem. If you have any other needs, please identify them below. AvailabilityPlease indicate your availability *MondayTuesdayWednesdayThursdayFridayPreferred Hours *MorningAfternoonEveningHow often do you want to volunteer with Fortem? *WeeklyMonthlyOtherEmergency Contact InformationEmergency Contact Name *FirstLastEmergency Contact Phone Number *Emergency Contact Email Address *Security ChecksDo you have a working with vulnerable people/working with children check? if so please attach below: *YesNoWorking with Vulnerable People Card Upload Click or drag a file to this area to upload. Do you have a current police check? *YesNoCode of Conduct *As a person engaged by Fortem, I have read, understood and agree to abide by the following Code of Conduct (insert link)Privacy & Confidentiality *TBCRights & Responsibilities *I agree that I have been made aware of my rights and responsibilities as a volunteer with Fortem Australia and I agree to abide by these.Declaration *I declare that the information on this form is correct to the best of my knowledge and that if any changes occur before activities, I will inform the organisation by emailing careers@fortemaustralia.org.auSignature *Clear SignatureSubmit FIND A WELLBEING ACTIVITY LEARN ABOUT OUR APPROACH ShareTweetShare
