Youth Member Application Form

If you need help completing this form, please contact your Interviewer / Conference President, or email
us at Youth.nsw@vinnies.org.au

Applicant Details (Please provide your legal name)

Conference Name (If unknown please put N/A) *

Vinnies Contact (If unknown please put N/A) *

University (If you're not part of a Uni please put N/A) *

Title *

First Name *

Last Name *

Preferred Name

Date of Birth *

Address *

Suburb *

State *

Postcode *

Preferred Contact Method *

Email Address *

Mobile *

Phone

Driver's Licence No. (If Applicable)

State/Territory (If Applicable)

Licence Class (If Applicable)

Expiry Date (If Applicable)

Emergency Contact Details (Person whom we can contact to support you in an emergency)

Contact Person *

Relationship *

Phone *

Background Checks

The Society is committed to being a Child Safe Organisation and to continually assessing and evaluating its Child Safe strategies to ensure that we are vigilant in our work to support and protect children.

B. Working with Children Check (WWCC)

WWCC Number / NSW Office of Children’s Guardian Application Number (Not applicable if under 18 years of age)

If you do not have a current Working with Children Check in NSW, Please click here to be taken to the Service NSW website to apply online.

C. National Criminal History Check (NCHC)

(Not applicable if under 18 years of age).

The St Vincent de Paul Society NSW will email you a link with instructions on how to complete the NCHC. The Society pays for all NCHCs.

The St Vincent de Paul Society NSW is committed to respecting the privacy of the person whose information we collect. Our Privacy Policy explains the steps we take to comply with the Privacy Act 1998 (Cth) and associated Australian Privacy Principles (APP’s). The policy is available on the Society’s website: https://www.vinnies.org.au/page/Policies/State_Policies/Privacy_Policy_in_NSW/

Diversity

The St Vincent de Paul Society NSW is committed to implementing its Reconciliation Action Plan and Diversity and Inclusion Policy. The following information helps the Society understand the experience of people who are of Aboriginal and / or Torres Strait Islander descent, from culturally and linguistically diverse backgrounds, or who experience gender diversity. The information provides the Society with insights for new initiatives that seek to build the internal capabilities of the Society through enabling opportunities for Aboriginal and Torres Strait Islander peoples, people from culturally and linguistically diverse backgrounds, and people with a disability.

Do you identify as being of Aboriginal or Torres Strait Islander descent? *

NoYes, AboriginalYes, Torres Strait IslanderYes, both Aboriginal and Torres Strait Islander

Do you identify as being from a culturally and linguistically diverse background? *

NoYes

If yes, Country of birth:

Language spoken at home:

How do you describe your gender? *

FemaleMaleNon-binary/Gender fluidDifferent identity

If Different identity, please specify

Do you identify as a person with a disability? *

YesNoPrefer not to say

If yes, do you require adjustments to support your involvement as a member?

Relationship to the Society

Relationship to Society *

New MemberExisting Volunteer / EmployeeFormer Member / Volunteer / Employee

If Other, please specify

Conditional Agreement & Declaration for Membership

By completing this application, I understand that I will not be offered membership with the St Vincent de Paul Society (Vinnies) until background checks have been completed, and that any offer of membership does not constitute an offer of employment.

I agree:

To provide excellent service to people seeking assistance.
To act consistently with the mission, vision, and values of Vinnies in all member activities.
To comply with Vinnies Code of Conduct and all policies and procedures that apply to members.
To comply with any reasonable and lawful directions of any person Vinnies delegates to supervise membership activities.
To Vinnies lawfully using my personal details to administer programs and communicate with me about Vinnies and its activities. I understand that my personal information will be kept securely and used only if required for identification and compliance purposes.
Not to disclose confidential information about Vinnies that I learn while performing membership duties unless specifically authorised to do so or required to by law.
To make reasonable efforts to ensure my personal health and safety, and that of others in the workplace, to comply with reasonable and lawful directions (such as wearing personal protective equipment) given by Vinnies leaders for health and safety purposes, and to advise my supervisor of changes to my health or capacity, that may affect my ability to perform my role.

I declare all information given by me in this application is true and correct, and that I have not knowingly withheld any information that would, if disclosed, affect my application. I understand that if any information I have provided is found to be false or misleading, I may be subject to disciplinary action up to and including the cessation of my membership.

Name *

Signature *

Clear

Date *

Parent/Guardian Name: (If applicant is under 18 years of age)

Parent/Guardian Signature: (If applicant is under 18 years of age)

Clear

Date

Conditional Membership Commitments

I wish to become a Member of the St Vincent de Paul Society *

YesNo

The Rule is the document that governs the operations of the St Vincent de Paul Society internationally. Your induction will introduce you to the Rule. You can also read it here.

I agree to abide by The Rule of the St Vincent de Paul Society as published in Australia *

YesNo

Name *

Signature *

Clear

Date *

Parent/Guardian Name: (If applicant under 18 years of age)

Parent/Guardian Signature: (If applicant under 18 years of age)

Clear

Date