Organisation Registration Form

1Contact Details

2Organisation Details

3Insurance Details

4Agreement

Your Name *

First

Last

Your Email *

Your Phone *

Position Title or Role *

Organisation Name *

Service Focus *

Incorporation Type *

Organisation Description *

(150 Words) This is the public profile of your organisation used to communicate who and what your organisation does so that potential volunteers can connect with your cause.

INSURANCE DETAILS

Current Public Liability and Volunteer Personal Accident insurance is required to access Volunteer Referral Services.

Public Liability Insurance Provider *

Policy Number *

Policy Expiry Date *

Volunteer Personal Accident Insurance Provider

This is a separate insurance policy that protects volunteers in the event of injury which is rarely provided under Public Liability Insurance.

Policy Number

Policy Expiry Date

No VPA Insurance declaration

We do not have Volunteer Personal Accident Insurance

See Info sheet below. Please note that not having Volunteer Personal Accident Insurance places restrictions on the volunteer referral services we can provide.

INSURANCE INFO SHEET: Volunteer Personal Accident Insurance, Membership and Volunteer Referral Services

Volunteering NQ Insurance Declaration

VNQ has current Public Liability Insurance providing cover at all our events and activities

Terms & Conditions *

I have read and agree to the following terms and conditions of membership.

TERMS
>> We understand that only volunteer positions that are in response to the impact of a disaster are listed

CONDITIONS
>> The information submitted in this application is true, accurate and not misleading to the best of my knowledge

>> All registrations are subject ratification by the Management Committee in order to establish that the applying organisation in no way conflicts with the objectives of Volunteering North Queensland. The Board reserves the right to make the final decision on admission to membership in accordance with Volunteering North Queensland’s Constitution.

>> Membership benefits are available on approval of application at the next management committee meeting which may take up to 5 weeks

>> Volunteer Referral Services can be accessed on pre-approval by VNQ staff as soon as payment of fees has been confirmed

>> Branch offices of an organisation must be members in their own right, unless they share a common ABN

>> Membership fees are not refundable (unless membership is declined)

Privacy *

I have read and consent to the collection, use and disclosure of information as described below, to be included in the VNQ membership database, directory of member organisations, mailing list and funding reports to Department of Social Services

>> I understand that the information collected here will not be given to any other agency without seeking our permission, except as required or authorised by law.

>> A copy of VNQ’s Privacy Policy is available on our website or by request at reception@vnq.org.au

Signature *

Typing your name here is your signature on this electronic form.

Submission Date

Comment