Thank you for expressing interest in wanting to be apart of the Salvo Street Teams.

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1 Thank you for expressing interest in wanting to be apart of the Salvo Street Teams. We are in some exciting times. The Salvation Army is thrilled to be partnering with The Thomas Kelly Youth Foundation, The City of Sydney, The Attorney General and NSW Police in this great initiative and are thankful that you are also wanting to partner with us in this cause. For some time now the need for such a program has been on the hearts and minds of many in our community. It would be a lot easier for all parties mentioned above to try and address this issue individually, but instead we have joined together and are united in our response. It is our hope that through this unity we will be better suited to responding to the needs of our community. As we enter the summer months, the number of people out and about in our great city will be on the increase. Our combined vision for this initiative is that each and every person that comes into the city for a night out will have a fun and safe night, then return home to their loved ones. By giving of yourself to be apart of this initiative, you are giving the most expensive and most costly thing you have time. You may be asking yourself why is time so expensive and costly? No matter what you do, no matter who you are, you can never get more time. Thank you for your willingness to give so extravagantly. Regards, Mitchell and Robyn Evans Team Leaders The Salvation Army Sydney Streetlevel Mission

2 Volunteer Agreement Form including Agreement Form for Insurance Requirement EVERY VOLUNTEER MUST SIGN THE VOLUNTEER AGREEMENT BELOW BEFORE COMMENCING THEIR ASSIGNMENT I, (name)...volunteer to assist The Salvation Army at. I understand that the times when I volunteer for The Salvation Army will be mutually agreed between myself and the Manager of the Centre. I understand that as a volunteer I will not receive a wage or salary. I understand that The Salvation Army is a Christian organisation and as a volunteer I agree to uphold its principles and standards. I agree to abide by the policies and procedures set by The Salvation Army, and to follow the directions of my Manager or Supervisor. I agree to meet all the requirements of the legislation governing the centre/program (e.g. Aged Care Act, Working with Children legislation, Criminal History legislation, etc.) I agree to abide by The Salvation Army's Occupational Health and Safety Policy. If I am injured through an accident in the course of my duties as a volunteer I will immediately report the matter to the Manager of the Centre and fill in an Incident Report. I have received a copy of the Handbook for Volunteers, which includes The Salvation Army s Code of Conduct, and agree to abide by this Code. I understand The Salvation Army has Personal Accident Insurance for volunteers and I have signed the attached Insurance Agreement Form. I understand that if my services as a volunteer are no longer required, there is no obligation on The Salvation Army to provide me with volunteer tasks or activities at any other Centre. I understand that all information I become aware of as a volunteer at the agency is in strictest confidence and must not be discussed with or divulged to any unauthorised person or organisation. I have read and understood the contents of the Handbook for Volunteers. Volunteer's name (Printed)... Volunteer's signature... SIGNED ON BEHALF OF THE SALVATION ARMY CENTRE Name of authorised person... Signature.... Position. BOTH PARTS OF THIS FORM ARE TO BE SIGNED IN TRIPLICATE: The original is to be retained by the Centre at or for which the voluntary work is performed.

3 One copy is to be provided to the Volunteer One copy is to be sent to the Divisional or Territorial Volunteers Coordinator Agreement Form for Insurance Requirement (part 2 of Agreement) Volunteers are not provided with any cover under Workers Compensation, which is established to cover employees only. Instead, cover is provided through a Personal Accident Insurance Policy which is held by The Salvation Army. The following points are noted in relation to this insurance cover if an accident occurs which requires immediate medical attention: Immediate medical needs of the volunteer will be attended to. If required to attend a doctor, volunteers should put all expenses through Medicare and private health insurance first. This is NOT Workers Compensation and this should be made clear to the medical centre. The policy covers the volunteer for 90% of non- Medicare medical costs. There are limits on some benefits. There is a $50 excess which is deducted from the first reimbursement to the volunteer. All injuries must be reported to the manager and appropriate incident reports will be completed. Once the volunteer has completed treatment they can then make a claim from The Salvation Army for out of pocket expenses including the $50 excess. They will need to put in writing what they are claiming for and itemise the costs. All receipts and documentation should be presented. This will all go to a Board for approval and payment will be made to the volunteer once approval is given. In the event of an injury sustained as a result of a vehicle accident in a Salvation Army vehicle, the standard Motor Accident Insurance Commission (QLD), Motor Accidents Authority (NSW) or ACT Department of Treasury (ACT) insurance cover applies. Volunteers use their personal vehicle at their own risk. No cover is provided for damages to vehicles that may arise during the course of, or as a result of, voluntary work being provided to The Salvation Army. Full comprehensive insurance is recommended; this is the personal financial responsibility of the volunteer. Volunteers have a responsibility to take reasonable care for the health and safety of others, and to co- operate with any health, safety or welfare requirements. Any incidents must be reported to the manager of the centre/programme. Having read and understood the above statement in regard to Voluntary Worker procedures, I hereby agree to undertake duties as a volunteer with The Salvation Army accordingly. Name: Witness: Signature: Signature: Date: Date: Corps/Centre/Programme:

4 MEDICAL INFORMATION: Your name:.. Your phone number:. Do you have any medical condition or medication which could restrict you in any activities that we may ask you to do? If yes, please give details. Yes No Details of restrictions... Do you have any allergies that could cause problems for you in this work? Yes / No If so, what sorts of things may cause allergic reactions for you? Please respond to the following questions in case of emergency: In an emergency, please contact: Name: Phone no. (mobile preferred): Address: Medical information: Name of Doctor... Suburb Phone number:.. I give permission for my doctor to be contacted in case of emergency. Signed:. Printed name: Date: Upon completion, please return this form via to streetteams@aue.salvationarmy.org. When returning the forms please put VOLUNTEER FORMS followed by your first name and last name in the subject line of the (e.g. VOLUNTEER FORMS John Smith)

5 All volunteers are required to have a current working with children check. This is a free check for all volunteers and you can start this process by clicking on the link below: with- children/working- with- children- check

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