VOLUNTEER REGISTRATION FORM

Volunteer Registration Form

Participant Information

Shirt size (adult sizes)

Current employer

Previous employer

Personal referee name

Emergency contact

Note

You are required to advise Little Stars Kids if the status of your health changes after completing this form or you come into contact with an infectious disease (including covid-19, chicken pox, gastro or influenza) within two (2) weeks of attending any event for Little Stars Kids.

General Medical & Care Information

It is important that Little Stars Kids has up to date information about your health, so that in the unlikely case of injury/illness, we are able to provide the most appropriate medical care.
Dietary requirements: (eg. gluten free, lactose free, vegetarian)
Allergies, sensitivities or reactions: (eg. Asthma, bee stings, nuts, grass, hay fever etc)
Do you have an epi pen?
Do you use an asthma puffer?
Any pre-existing injuries/illnesses/ailments?
Please select any that are relevant

Volunteering with Our Team

Are you committed to completing our online training?
Do you have any special skills or experience that may be of assistance to us? (eg. dance instructor, sign language, face painting, musical skills, nurse etc)
Where did you hear about Little Stars Kids?
Are there are physical, social or psychological ailments that may affect your participation in an activity? (eg. claustrophobia, fear of heights)
Do you have a current First Aid Certificate or any other medical qualification?
Do you take any regular medication that you will be bringing to the program? (ie high blood pressure medication, contraceptive pill, insulin, antihistamines, vitamins)

Note

It is your duty of care to hand in any of your medication of the commencement of any Little Stars Kids activity to the activity leader to ensure that it is appropriately locked away for the duration of the day.

Media Permission

Do you give permission for photos of you being placed in any LSKC publicity?

Blue Card Identification

Do you have a current Blue Card?

Maximum file size: 134.22MB

Have you ever been charged or convicted of any offences relating to children, or any sexual offences?

Privacy Notice

Little Stars Kids collects your personal information to administer our programs, including complying with our legal obligations and if you are a Companion, to allow families to get to know you better. We may also collect your ‘sensitive information’, such as criminal history information obtained through a Police Record Check or Working with Children Check for the same purpose. We also may collect your personal information to promote and communicate with you about our initiatives. If you do not provide the information requested, you will not be considered for a position as a volunteer. We may disclose your personal information to third parties that provide services to Little Stars Kids.  If you have volunteered as a Companion, we may also disclose your personal information to families to enable them to get to know you. Our Privacy Policy located at www.littlestarskids.org.au contains information about: (i) how you can access and correct your personal information; and (ii) how to lodge a complaint regarding a breach of the Australian Privacy Principles and how we will handle such a complaint.

Consent

By signing this document you agree that you have completed this truthfully and to the best of your knowledge.