Volunteer Application Form

As the MS Walk & Fun Run is on a Sunday, please check your transport options before applying. Parking is plentiful however public transport is typically only available after 8am in the morning which will prevent you from arriving on time to undertake a volunteer position.

Note: All fields are required unless marked "(optional)"

Section A

First Name

Last Name

Gender Male Female

Date of Birth (dd/mm/yyyy)

Street Address

Suburb

Post Code

State

Phone (day time)

Mobile (optional)

Emergency Contact Name

Emergency Contact Phone

Section B

Did you volunteer at the 2010 MS Walk & Fun Run?
Yes No

If yes, what position?

If you are volunteering at the MS Walk & Fun Run for the first time, please list any relevant employment or previous volunteer experience.

Do you have any medical condition or other issues you would like to share with us which may impact you volunteering at this event?
Yes No

If yes, Please advise us as to any requirements and/or restrictions which we need to be aware of in allocating you a volunteer role.

Volunteer roles (please select your preference)
Please note: Every effort will be made to accommodate your preference however this may not be guaranteed

	1^st Preference	2^nd Preference	3^rd Preference
Any Role
~~Base Manager/Coordinator~~ - Positions Filled
Base Volunteer (Information, Registration, Site Marshal, BBQ)
~~Sector Manager/Assistant Manager~~ - Positions Filled
Course Marshal
~~Equipment Setup/breakdown~~ - Positions Filled
~~Signage~~ - Positions Filled
Other – Please specify:

Volunteer Location
Please note: Every effort will be made to accommodate your preference however this may not be guaranteed

	1^st Preference	2^nd Preference	3^rd Preference
Close to Public Transport
FUN RUN shifts start between 6am - 7.30am
Milsons Point (Start/Finish)
McMahons Point
Waverton / Balls Head
WALK shifts start between 7.30am – 10am
~~Hyde Park (Start/Finish)~~ - Location Filled
~~City Centre (Martin Place, George St, Margaret St, Kent St)~~ - Location Filled
~~Millers Point~~ - Location Filled
~~Circular Quay~~ - Location Filled
~~Royal Botanical Gardens / Domain~~ - Location Filled
Pyrmont / Blackwattle Bay
Glebe Point / Rozelle Bay
Other – Please specify:

PRIVACY PROVISION

The purpose of collecting the above information is to enable MS Australia - ACT/NSW/VIC to process your application to volunteer for MS Walk & Fun Run. Your personal information will not be disclosed to any third party who is not directly involved with this activity.

I accept

UNDER 16 PARENT/GUARDIAN AUTHORISATION

All applicants between the ages of 12 to 16 must have this form agreed by their consenting parent/guardian. Interested volunteers under 12 years of age are ineligible to apply.

If this applies to you, tick this box for authorisation.

PLEASE GET A PARENT/GUARDIAN TO FILL OUT THE FOLLOWING:

Relationship to applicant
Parent Guardian

Parent/Guardian Name
Name of the parent or guardian of the above mentioned volunteer:

Consent of Parent/Guardian

I warrant that I am the Parent/Guardian of the above named volunteer who has my consent to volunteer for this event & to the best of my knowledge is not suffering from any condition which would prevent and/or render them unfit to work as a volunteer at this event. I consent to the conduct of identity verification & background security checks of the above named volunteer should the event organisers require to do so.

I accept

Event Day Supervisor Name & Contact Number
Name of person responsible for under age volunteer on event day:

Contact phone number:

Consent of Event Day Supervisor

Consent also must be given by a Supervisor/Parent/Guardian volunteer who must be present & responsible for all duty of care of the individual at this event. As the Supervisor of the above listed volunteer I acknowledge that I have volunteered for this event and accept all responsibility and duty of care for that individual during event operations.

I accept and will submit a separate volunteer application form

VOLUNTEER DECLARATION

If I find that I am unable to attend the event, I will advise MS Australia, giving as much notice as possible.
To the best of my knowledge, I am not suffering from any condition which would prevent &/or render me unfit to work as a volunteer at this event.
I accept responsibility for all property I bring onto the event site.
I consent to my mobile phone number being accessed by MS Event Staff and Volunteer Team Leaders as required.
I hereby give MSL and those acting with the MSL permission and the irrevocable right to use and/or copyright images of me in all forms and media and in all manners including alterations and composite representations, to promote the event without restriction and without compensation to the participant. The participant waives any right to inspect or approve the finished photograph(s) or image(s), or any copy that may be used in connection with the photograph(s) or image(s), or the use to which it is applied.

To agree to the above declaration, please enter your name: