About You

Volunteer Appplication Form

Playgroup NSW requires the information below in order to ascertain your suitability as a Community Playgroup volunteer. The information you provide will be retained confidentially within the Organisation. You have a right to access this personal information. A copy of the Organisation's Privacy and Confidentiality Policy is available upon request.

Personal Details

First Name *

Last Name *

Preferred Name (if different from above)

Gender *

Date of Birth *

Mobile *

Email *

Residential address *

Street address *

City *

State *

Postcode *

Is your postal address the same as your residential address? *

Postal address *

Street address *

City *

State *

Postcode *

Working With Children

Working with Children Check number *

Working with Children Check expiry date *

Background and Experience

Work History *

Volunteering Experience *

Main Language Spoken *

Languages Spoken *

Other Language *

Skills & interests *

How did you hear about this opportunity? *

Volunteer Code of Conduct

Volunteer/ Committee Member Acknowledgement

Please read the Volunteer Code of Conduct below and select agree.

By signing this document, you are agreeing to this code of conduct and will conduct all interactions with each other and the public in an appropriate manner.

I understand and have read Playgroup NSW Playgroup NSW Statement of Commitment to Child Safety document.
In the instance that I may witness or observe any child at risk behaviours or
concerns, I will seek guidance and support from Playgroup NSW.
I acknowledge that I am aware of and can easily locate the Department of Community and Justice Child Story Mandatory Reporter guide should it be required.

Code of Conduct Statement

I will:

Treat children with respect and be a positive role model in my conduct with them.
Communicate with children in an age appropriate and realistic manner.
Be willing to listen and respond appropriately to a child’s views and concerns.
Set clear boundaries about appropriate behaviour between myself and the child, including limiting physical contact with a child in ways which are appropriate to my agreed role and responsibilities.
Respond quickly, fairly, and transparently to any serious complaints made by a child or related to a child.
Abide by my reporting obligations in relation to the Playgroup NSW incident register.
Seek support from Playgroup NSW if I have concerns about a child’s wellbeing.

I will not:

Communicate with a child in ways that are likely to humiliate, frighten or distress the child.
Subject a child to any form of corporal punishment, social isolation, immobilisation, sexual suggestion, offence, or misconduct.
Direct a child to perform in a sexually provocative or unsafe manner.
Use tobacco products or possess or be under the influence of alcohol or illegal drugs at any time while working with children.
Develop any special relationships with children that could be seen as grooming or favouritism such as the offering of gifts or special treatment.
Do things of a personal nature that a child can do for themselves, such as toileting or changing clothes.

Agree *

Emergency Contact & References

Matching Preferences

Tasks *

Suburbs *

Transport Other *

Emergency Contact Details

First Name *

Last Name *

Relationship to you *

Mobile *

References

We require at least one of the referees to be professional (employment, committee or other volunteer work). Referees may be personal contacts but cannot be your spouse or a family member.

Referee 1

Referee 1 First Name *

Referee 1 Last Name *

Relationship to you *

Referee 1 Mobile number *

Referee 1 Email *

Referee 2

Referee 2 First Name *

Referee 2 Last Name *

Relationship to you *

Referee 2 Mobile number *

Referee 2 Email *

Further informationInclude any information which is relevant to this role e.g. times / days available, health issues that may impact or important for us to be aware of - e.g. experience and knowledge with older people, cultural heritage, childhood, family, travel.

Source