Volunteer Volunteer application form 5 Volunteer form Volunteer Form Please enable JavaScript in your browser to complete this form.Your personal details - Step 1 of 5Given names *As appears on your IDFamily name *As appears on your IDAre you a parent or guardian of a child at GPS? *YesNoChilds name *Preferred name for name badgeDate of birth *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Phone *Email *Address *Address Line 1CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryGenderEmergency contact name *Emergency contact phone *Do you have any psychological or medical conditions that might affect your ability to volunteer? Or anything we need to know in case of an emergency? *YesNoFor example: diabetes, severe food allergy, asthma, epilepsy If yes, please give details below *Do you need any assistance because of a disability? *YesNoIf yes please give details below and discuss at your interview. If yes, please give details below *NextYour country of birthAre you of Aboriginal and/or Torres Strait Islander origin?YesNoNot statedDo you speak any languages other than English?Tell us about something you have done recently *We would love to hear about any relevant experience (volunteering, employment or study details)Name of organisation *Tell us how you would like to contribute to your role as a volunteer *CanteenClassroom supportFundraisingSporting & SAPSASAResource CentreGoverning council and subcommitteesExcursions & CampsAvailability *MondaysTuesdaysWednesdaysThursdaysFridaysWhat days and times do you think you could volunteer?NextTo volunteer with us, you will need a working with children check. You understand that you will not be able to start volunteering until a clearance has been received *YesNoDo you have a current working with children check? *YesNoIf you have a valid working with children check, please provide us with a copy including the SRN and issue date. If not, we can organise it for you using the details provided on this form. NextWe will contact these people to find out a bit more about you. It’s okay if it’s someone at our school or centre who already knows you. We just need at least one person’s details. Referee name *Referee email or phone *How do you know this person? *employervolunteer coordinatorfriendrelativeother (please specify):NextTo make sure we meet our commitment to child safety, we need this information and declaration from you. If you have any questions about this declaration, please talk to the education or early childhood service leader. Have you ever been investigated or found guilty of any criminal offence, including any traffic offences not resolved by expiation? *YesNoHave you ever been dismissed or resigned from any employment or a volunteer role in response to or following allegations of improper conduct relating to children? *YesNoHave you ever been the subject of allegations or an investigation or any other process relating to alleged misconduct by you as a volunteer or an employee? *YesNoHave you ever been the subject of allegations of inappropriate conduct of a violent or sexual nature towards or in relation to anyone? *YesNoHave you ever been refused a child-related employment screening or working with children check in South Australia or in another Australian jurisdiction? *YesNoAre you a prohibited person, as identified in the Child Safety (Prohibited Persons) Act 2016? *YesNoYou understand that if the information in this application or declaration changes, it is your responsibility to advise the education and early childhood service leader as soon as possible. *YesNoI confirm and declare that to the best of my knowledge I have truthfully answered all questions. I understand that if I provide any false or misleading information I cannot start or stay on as a volunteer *Clear SignatureDate *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Thank you for completing this form. The form will be sent via email to the volunteer coordinator. They might contact you and organise a time for an interview or a chat. The information you provide will be treated sensitively and confidentiality according to the State Records Act 1997 and the Information Privacy Principles Instruction. OFFICE USE ONLY: Site leader: Proof of ID sighted File created, stored securely and confidentially Single Line TextSubmit