Volunteer Register - Shire of Halls Creek

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* 1. Are you prepared to commit to privacy guidelines if given any personal or identifying information about people seeking assistance? (We want to make sure no volunteers share information about people's personal circumstances or location so that people can call on our network and be as safe and protected as possible).

Yes

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* 2. Do you consent to have your name, personal contact details, and relevant information shared with other screened and trained volunteers or services when operationally necessary?

Agree

Disagree

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* 3. Are you prepared to comply with STRICT infection control protocols to stop the spread of the virus when performing volunteer tasks? (Training will be provided)

Yes

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* 4. Do you have a current and valid WA working with children check?

Yes

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* 5. If you answered no, would you be prepared to apply (with assistance)?

Yes

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* 6. Please let us know where you are located

Halls Creek

Balgo

Billiluna

Mulan

Ringer Soak

Warmun

Yiyili

Fitzroy Crossing

Derby

Kununurra

Broome

Other (please specify)

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* 7. Which of the following tasks are you volunteering for? (You may tick more than one)

Community Safety
This role may involve driving around the community during the hours of 5pm and 6am and report any groups not self-isolating

Community Response Volunteer
This role may involve collecting shopping or other essential supplies for someone who is self-isolating, and delivering these supplies to their home. Personal vehicle maybe required in some instances.

Check in and Chat Volunteer
This role provides short-term telephone support to individuals who are at risk of loneliness as a result of self-isolation. This can be done from your own home.

Assets Register
This role may provide administration support to collate all available assets that can be redeployed through the Local Emergency Management Committees.

Cultural Protocol Volunteer
This role may involve supporting Government Departments, Businesses and Services to impart cultural knowledge on matters relating to COVID-19. This group will be led by Rose Stretch and Denis Chungulla

Environmental Health
This role may involve sanitising public areas on a regular basis to limit any community transmission of COVID-19 (for example public seating or hand rails)

Other Specalised Services
Please specify skills and/or resources you wish to contribute

Volunteer Register - Shire of Halls Creek

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* 2. Do you consent to have your name, personal contact details, and relevant information shared with other screened and trained volunteers or services when operationally necessary?

Question Title

* 3. Are you prepared to comply with STRICT infection control protocols to stop the spread of the virus when performing volunteer tasks? (Training will be provided)

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* 4. Do you have a current and valid WA working with children check?

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* 5. If you answered no, would you be prepared to apply (with assistance)?

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* 6. Please let us know where you are located

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* 7. Which of the following tasks are you volunteering for? (You may tick more than one)

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* 8. Please add your mobile phone or contact number below (will not be published or shared without permission).

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* 9. Please add the email you wouldn't mind being used in group emails between network members etc:

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* 10. What is your first and last name? Or preferred nickname

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* 11. Please provide your residential location

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* 12. Is there anything else you would like us to know?