Work Placement / Volunteer Registration Form

ADVERTISEMENT

Return form to
.au
Work Placement / Volunteer Registration Form
The Phillip Island Nature Park volunteer program is designed to assist Nature Park staff manage the parks
natural assets and provide a safe and enjoyable destination for visitors. By signing this form you indicate
that you have read and understood your responsibilities and filled in the online Occupational Health and
Safety (OHS) induction at
PINP will endeavour to provide work that is
enjoyable and that your health, safety, and privacy are protected.
Name:________________________________________________________
DOB: ____________ (you must be over 18 to participate)
Postal address: ____________________________________________________ Post code:___________
E-mail address:______________________________________________
Phone:BH (
)__________ Mob________________
Background – Fill in the relevant section(s)
Tertiary Institution:_________________________________________
Course:______________________________________________________
Community group:____________________________________________
Other:________________________________________________________
Area of involvement.
Nature Park Holiday Program
Hooded Plover Watch
Koala Conservation Centre
Shearwater Protection
Churchill Island
General Operations
Other
Duration Of Work Placement/Availability:______________________________
For occupational health and safety reasons is there any medical condition that you feel our staff should be
aware of for your health and safety while undertaking volunteer activities?
Volunteer Responsibilities
 Completed online OHS induction?
Yes / No
 Always act in a safe and responsible manner
 Report any incidents or injuries to Project Coordinator or Nature Park staff
 Participate in orientation and safety briefings, and wear PPE as required
 Represent Phillip Island Nature Parks in a professional manner
 Would you undergo a police check if required?
Yes / No
Emergency contact:
Name:
Telephone:
Address:
Relationship:
Signature:
_____________________________
Date:____/_____/_____
Return to :
Phillip Island Nature Parks
PO Box 97, Cowes, Vic 3922.
Fax: 59568394
e-mail:
.au

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Work Placement Student Evaluation Form Work Placement Student Evaluation Form Business
Volunteer Registration Form Volunteer Registration Form Life
Volunteer Registration Form - Watson's Mill Volunteer Registration Form - Watson's Mill Business
Volunteer Registration Form - Class A - Special Olympics North Dakota Volunteer Registration Form - Class A - Special Olympics North Dakota Legal
Volunteer Registration Form Volunteer Registration Form Life
Sample Vacation Bible School Volunteer Registration Form Sample Vacation Bible School Volunteer Registration Form Business
Mentor Volunteer Registration Form - Badgerbots Mentor Volunteer Registration Form - Badgerbots Business
Sweeny Elementary Fema Safe Room Volunteer Registration Form Sweeny Elementary Fema Safe Room Volunteer Registration Form Business
Spoons Volunteer Registration Form Spoons Volunteer Registration Form Life
Works Over Approval Application Form Works Over Approval Application Form Business

Related Categories

Parent category: Life
Download
Go
Page of 2