Hepburn Youth Advisory Group form

Hepburn Youth Advisory Group

We ask for some personal details in this form. This will be used to manage your participation in the Hepburn Youth Advisory Group.

We will also use this information to add you to our mailing list to receive communications about our upcoming programs, events and opportunities. If at any time you wish to opt-out of receiving communications from us, you may unsubscribe using the link provided or email us at privacy@fya.org.au

Personal Details

Full name(Required)

Email Address(Required)

Do you have dietary requirements?

Do you have accessibility requirements?

Do you have any medical conditions or allergies you'd like to disclose?

Do you take any regular medications we should be aware of?

Volunteer Role

FYA Program(Required)

FYA Contact(Required)

Description of volunteer role(Required)

Approximate time commitment(Required)

Location(Required)

Important information for FYA volunteer consent

Safety and wellbeing
FYA values the safety and wellbeing of its volunteers. Whilst volunteering at FYA, you will be covered by FYA’s volunteer insurance.

For the safety and wellbeing of all those involved in FYA activities, FYA volunteers are required to:

understand and comply with FYA’s policies that relate to volunteers (these policies are available on the fya website fya.org.au or will be provided to you on an as needed basis), including the Child Safety and Wellbeing Policy which can be accessed at fya.org.au/safety;
conduct themselves in a manner that does not pose a risk to their own health and safety or the health and safety of others;
behave in a professional and courteous manner at all times;
If required, hold a valid Working with Children Check or Blue Card (QLD) when engaging in child related work;
notify FYA if they have been found guilty of a criminal offence or been dismissed as an employee or volunteer with another organisation following any allegation of misconduct prior to volunteering at FYA; and;
immediately notify FYA if they are found guilty of a criminal offence or have been dismissed as an employee or volunteer with another organisation following any allegation of misconduct while volunteering at FYA.

Confidentiality
As a volunteer at FYA you may be provided with confidential information about the affairs of FYA, its staff or its programs (including any participants in such programs. You are required to keep this confidential information strictly confidential and not to disclose it to any person without written permission from FYA.

Intellectual property
Any intellectual property developed by a volunteer whilst volunteering for FYA will be owned by FYA. This does not include intellectual property that was created by the volunteer before they began their volunteer engagement with FYA

Training
During your time as a volunteer at FYA you will include training and relevant documentation on:

FYA’s Volunteer Policy
FYA’s Conflict of Interest Policy
FYA’s Privacy Policy
Respect and safety
Occupational Health and Safety
Child safeguarding and wellbeing
Technology and digital systems
Complaints and dispute resolution
FYA’s Code of Conduct

Further information.
More information about volunteer rights and responsibilities can be found on Volunteering Australia’s website; volunteeringaustralia.org

If you have any queries or concerns about any aspect of your experience as a volunteer at FYA please contact:

Your FYA contact person, or;
The FYA Operations Team (operations.team@fya.org.au)

Please type your initials to acknowledge and accept the above terms and conditions.(Required)

Your Information

We respect the privacy of our volunteers. The information collected in this form will be used to manage your volunteer engagement with FYA.

More information about how FYA collects, uses, stores and discloses personal information about you, and how you can correct or make a complaint about how we have handled your personal information, can be found in our privacy policy (www.fya.org.au/privacy-policy/).

Please type your initials to acknowledge the privacy policy above and accept FYA's collection of your information.(Required)

Your story and image

During your volunteer role, the Foundation for Young Australians (FYA) may approach you to collect information about your story by:

Interviewing me in person
Surveying me in writing
Taking photos of me

I agree that the information collected from me may be used by FYA:

For activities related to Young Mayors

For other activities related to FYA

I agree that the information collected from me may be shared:

With FYA partners

Publicly on FYA’s website, social media, newsletters and marketing materials

Please type your intials below to consent to the above terms

Bank Details

As an acknowledgement of the value of your contribution and as a thank you for being generous with your time, FYA would like to pay you a volunteer honorarium as communicated to you via email by bank transfer.

We ordinarily pay volunteer honorariums via direct bank transfer. Please fill in the bank details section below so that we can pay you in a timely manner. FYA uses your financial information for the purposes of processing your volunteer payment only. We never share your financial information with third parties or outside companies. If you have any questions about how we handle your information reach out to privacy@fya.org.au.

Account Name(Required)

Account Number(Required)

BSB(Required)

Volunteer Declaration

Please type your initials to confirm that the details you have provided are true and accurate.(Required)

Parent/Guardian Consent Agreement

This section is to be filled out by parents/guardians.

Please fill out this section to signify your consent to the following:

I am aware of the Young Mayors program and the Youth Advisory Group, and understand the nature of the activities and authorise my child’s participation in these activities.
I consent to The Foundation for Young Australians (FYA) collecting my child’s personal information for the purpose of their involvement in the Young Mayors program.
In the event of any accident or illness sustained I authorise staff from FYA to obtain emergency medical attention and/or an ambulance
I agree and understand that financial responsibility for medical costs incurred in an emergency rests with the parent/guardian of the participant
I understand that FYA staff and volunteers will interact with my child in a way consistent with FYA’s child safety and wellbeing policy
I give permission for my child to be photographed and filmed with their consent, and understand that my child’s image, words and story may be reproduced across FYA’s website and social media channels, and the participating Council’s website and social media channels

Parent/Guardian Name(Required)

Date(Required)

Parent/Guardian Email(Required)

Emergency Contacts

Emergency Contact

Phone Number

Emergency Contact

Phone Number