Membership Application Form

Membership and Volunteering Application Form

Please complete and sign the form below and press submit.

We will get back to you as soon as possible regarding your application.

Full Name(Required)

Email(Required)

Postal Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Consent

Consent(Required)

Constitution(Required)

I agree to be bound by, and comply with, the Constitution of Radiance Network South West Inc. (See link to our Constitution in the right-hand column on this page.)

Consent(Required)

Confidentiality, Member Rights and Responsibilities(Required)

Volunteer Confidentiality Agreement and Statement of Understanding Regarding Members Rights and Responsibilities

As a Volunteer of Radiance Network South West Inc. I am prepared to uphold the good work practices required to ensure all aspects of the Participant Rights, Responsibilities and Grievance Procedures are maintained. If at any time I am unsure of the participant or my position I will consult with, and work under the directive of the Manager or Committee Members.

I am aware that at no time during or after my employment with Radiance Network South West Inc. am I at liberty to discuss or disclose any participant, carer or organisational information or procedures to any persons or organisations.

Consent(Required)

Eligibility for Management Committe(Required)

I understand that acceptance for membership of The Radiance Network South West Inc does NOT automatically qualify me for nomination to the Management Committee as additional eligibility requirements apply.

Consent(Required)

Privacy Act 1988(Required)

Radiance Network South West Inc is committed to protecting the confidentiality of the business and personal information that The Radiance Network South West Inc does collects, holds and administers. Information on members may be shared in accordance with the Associations Incorporation Act 2015, grants members of an association the right to inspect the members’ register.
Please tick the box if you, under the Privacy Act 1988 (Commonwealth), wish to withdraw your permission for your details to be released on the members’ register.

Signature(Required)

Date(Required)

MM slash DD slash YYYY

Consent

I agree to the Confidentiality Policy for Employees, Volunteers and Management Committee Members

Respecting the privacy of our clients, donors, members, staff, volunteers and of the Radiance Network South West Inc (“Radiance”) itself is a basic value of Radiance.

Personal and financial information is confidential and should not be disclosed or discussed with anyone without permission or authorisation from the Chair, or Vice-Chair if Chair not available.

All information concerning clients, former clients, our staff, volunteers, and financial data, and business records of Radiance is confidential. “Confidential” means that you are free to talk about Radiance and about your program and your position, but you are not permitted to disclose clients’ names or talk about them in ways that will make their identity known. No information may be released without appropriate authorization. This is a basic component of client care and business ethics.

Care shall also be taken to ensure that unauthorised individuals do not overhear any discussion of confidential information and that documents containing confidential information are not left in the open or inadvertently shared.

Employees, volunteers, and management committee members of Radiance may be exposed to information which is confidential and/or privileged and proprietary in nature. It is the policy of Radiance that such information must be kept confidential both during and after employment or volunteer service.

Employees and volunteers, including management committee members, are expected to return materials containing privileged or confidential information at the time of separation from employment or expiration of service.

Failure to maintain confidentiality may result in termination of your employment, or other corrective action. This policy is intended to protect you as well as Radiance because in extreme cases, violations of this policy also may result in personal liability.

Documents(Required)

Tick the box to confirm.

I understand it is my responsibility to organise a Police Clearance and Working With Children Check prior to volunteering for Radiance. You can also upload the form below if you have it ready and it's still valid. If you have lived overseas in the last 5 years, you need to supply Radiance with an International Police Clearance.

Working with Children Check

Max. file size: 128 MB.

Police Clearance

Max. file size: 128 MB.

Signature(Required)

Name(Required)

Date(Required)

DD slash MM slash YYYY

Volunteer Information and Agreement
Constitution
Confidentiality Policy
Anti-Discrimination Policy
Child Safety Code of Conduct

Membership and Volunteering Application Form

Please complete and sign the form below and press submit.

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