Membership Application Form

Organisation name:

Physical address:

Suburb:

City/Town:

Postal address:

First name:

Last name:

Role:

Email:

Subscribe to newsletter

Phone:

Days/times available, and preferred contact method:

Organisation type:

Sector:

Website:

Charities Commission registration number:

Aim/mission of the organisation, and services provided:

Where did you hear about us?

Does your organisation have a current Health and Safety policy and plan?

Yes

Will your organisation provide an orientation including a health and safety induction for all referred volunteers?

Yes

Does your organisation have a risk schedule that outlines risks and how these risks are mitigated?

Yes