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Wellbeing Resources
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Volunteer Registration Form
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General Information
In what manner do you wish to volunteer for Fortem Australia?
Running Activities
Assisting Activities
Helping with administration
Helping with marketing
Fundraising
Are you a current/former serving first responder or their family member?
None
Serving Member (Paid)
Serving Member (Volunteer)
Transitioning Member
Former Member (Paid)
Former Member (Volunteer)
Partner of Serving Member
Family of Serving Member
If so which agency?
None
ACT Police
Ambulance Tasmania
Ambulance Victoria – (Ambulance Vic)
Australian Border Force – ABF
Australian Capital Territory Ambulance Services – (ACTAS)
Australian Capital Territory Emergency Service Agency – ACT ESA
Australian Capital Territory Fire & Rescue – ACT FR
Australian Capital Territory Rural Fire Service – ACT RFS
Australian Capital Territory State Emergency Service- ACT SES
Australian Federal Police – AFP
Department of Foreign Affairs – (DFAT)
Emergency Services Communications Authority – (ESTA 000)
Fire & Rescue New South Wales – FR NSW
Fire & Rescue Victoria – (FRV)
Forest Fire Management Victoria (FFMVic)
Marine Rescue NSW – MRNSW
Marine Search & Rescue VIC
Northern Territory Police, Fire and Emergency Services – (NTPFES)
NSW Ambulance
NSW Police (NSWP)
NSW Rural Fire Service – NSW RFS
NSW State Emergency Service – NSW SES
QLD Fire & Emergency Services (QFES)
Queensland Ambulance Service – (Ambulance QLD)
Queensland Police Service – (QPS)
Rural Fire Service Queensland – (RFS QLD)
South Australia Ambulance Service (SAAS)
South Australia Metro Fire Service
South Australia Police (SAPOL)
South Australian Country Fire Services (CFS)
South Australian State Emergency Services (SA SES)
St John Ambulance Western Australia
St John Northern Ambulance Northern Territory
State Emergency Service Victoria – (SES Vic)
Tasmania Fire Service (TFS)
Tasmania Police
Tasmania SES
Victoria Country Fire Authority – (CFA)
Victoria Police – (Vic Pol)
Volunteer Rescue Association New South Wales – VRA NSW
WA Department of Fire & Emergency Services (DFES)
Western Australia Police Force – (WAPOL)
Name
*
First
Last
Email
*
Phone
*
Date of Birth
*
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State
*
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postcode
*
What are your expectations as a volunteer at Fortem Australia and why are you suitable for this role?
*
(Please detail your previous experience that make you suitable for this role)
How did you hear about us?
Other
Seek Volunteer
Go Volunteer
Word of Mouth
Fortem Website / Social Media
Volunteering ACT
Fortem Employee
Health and Safety
Are there any health issues that may impact you while volunteering.
(Please list any illness or injury that may impact you)
Do you take any medication that may affect your ability to do the job?
We want to ensure that all our volunteers have a positive experience with Fortem. If you have any other needs, please identify them below.
Availability
Preferred Hours
*
1-2
3-4
As many as required
How often do you want to volunteer with Fortem?
*
Weekly
Monthly
Other
Emergency Contact Information
Emergency Contact Name
*
First
Last
Emergency Contact Phone Number
*
Security Checks
Do you have a valid Working With Children Check/ WWVP/ Blue Card or Police Check?
*
Yes
No
If not you will need to apply for free in one of the following states before completing this form: WWVP Card application – ACT https://www.accesscanberra.act.gov.au/s/article/working-with-vulnerable-people-wwvp-registration-tab-overview Working with Children check – NSW https://www.service.nsw.gov.au/transaction/apply-working-children-check Blue Card application – QLD https://www.qld.gov.au/law/laws-regulated-industries-and-accountability/queensland-laws-and-regulations/regulated-industries-and-licensing/blue-card/applications Working with Children Check – VIC https://www.workingwithchildren.vic.gov.au/
Card Expiry Date
WWVP / WWCC / Blue Card / Police Check
Click or drag a file to this area to upload.
(Please upload a copy of the card here)
Code of Conduct
*
As a person engaged by Fortem, I have read, understood and agree to abide by the following Code of Conduct.
Code of Conduct
Privacy and Confidentiality
*
I acknowledge that I have read and understood the Privacy Policy and consent to my personal information being collect, used and disclosed by Fortem Australia as described in the Privacy Policy.
Privacy Policy
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 volunteer@fortemaustralia.org.au.
Signature
*
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