Volunteer with Alpine Cycling Club via VolunteerLocal

Alpine Cycling Club (ACC) is committed to providing a safe, welcoming and inclusive environment for all children and young people involved in the Club. We are committed to protecting Children/Young People from harm. We have zero tolerance for child abuse and harm. The safety and wellbeing of children and young people is a shared responsibility and is considered in the planning and delivery of all Club activities.

We require all applicants that will work with Children/Young People to undergo a screening process prior to appointment.

These recruitment, screening and training requirements have been developed to provide a fair, safe, consistent, and comprehensive process to engage personnel across all Alpine Cycling Club activities. ACC sport takes Child/Young Person protection seriously and ensures that the organisation recruits’ personnel (contractors and volunteers), that are suitably qualified and committed to providing professional, safe, and enjoyable programs and services to Children/Young People.

Information collected in this recruitment and screening process will be stored and used only for the purposes outlined above. We comply with the relevant laws and policies applicable in Victoria and as an AusCycling affiliated club.

Should you have any questions regarding your application, please contact the activity or event coordinator, or the ACC Child Safety Officer [email] or the ACC President (president@alpinecyclingclub.com.au)

What's your email address?

Your email address:

Your information

Required fields are marked with an asterisk (*).

PERSONAL DETAILS

First name *

Last name *

Mobile Number *

Gender

Date of Birth

A valid date as MM/DD/YYYY (for example: 11/30/2015)

Emergency Contact Name

Emergency Contact Phone Number

Emergency Contact Relationship

Do you have any dietary requirements?

Do you have any medical conditions that we should be aware of?

CHILDSAFE SCREENING QUESTIONS

The questions below are used by ACC to assist with determining an applicants suitability to undertake a child-related role. Any information provided is treated with confidentiality and only used for the purposes of this screening process.

Please briefly describe any previous volunteering, employment, coaching or other experience relevant to the roles you are interested in. *

Have you previously worked or volunteered with children or young people? If yes, please briefly describe the role, organisation and approximate dates. *

Please list any relevant qualifications, accreditations or licences you hold which may be relevant to a volunteering role with ACC. *

Do you hold a current AusCycling, PMBIA, GSMBC or other relevant coaching accreditation? *

If yes, please provide details.

Do you hold a current First Aid qualification? *

If yes, please provide expiry date.

Do you currently hold a Victorian Working with Children Clearance? *

If yes, please provide your WWCC card number.

WWCC expiry date.

Please provide details of your WWCC exemption

Please list any cycling clubs, sporting organisations or other organisations where you have recently held a role involving children or young people.

Please provide the contact details of a referee who ACC can contact as part of this screening process. Please provide their name / organisation or relationship / phone / email *

Please provide the contact details of a second referee who ACC can contact as part of this screening process. Please provide their name / organisation or relationship / phone / email *

I consent to ACC contacting the referees I have nominated and verifying information I have provided where this is relevant to the volunteer role. *

Have you ever been subject to any disciplinary action, suspension, restriction or investigation by a sporting organisation, employer, volunteer organisation or professional body relating to your conduct with children or young people? *

Have you ever had a Working with Children Clearance, equivalent child-related screening clearance, coaching accreditation or similar authorisation refused, suspended, revoked or made subject to restrictions? *

Are you aware of any reason why you may not be suitable to undertake a role involving the supervision, coaching or care of children or young people? *

Do you have a child/ children involved in an ACC activity or event? *

If yes, please provide their name(s)

I understand that persons appointed to a Child-related position should complete the Sport Integrity Australia Child Safeguarding in Sport Induction online course within 12 months of their appointment. This module is available via the Sport Integrity Austr *

I understand that some ACC volunteer positions require additional screening, which may include verification of a Working with Children Clearance, qualifications, an interview and reference checks. *

Are you willing to comply with ACC's Child Safety and Wellbeing Policy and Child Safe Code of Conduct? *

Code of Conduct for Alpine Cycling Club - Childsafe Volunteer Application

Alpine Cycling Club is committed to providing a safe, welcoming and inclusive environment for all children and young people who participate in our club, events, programs and activities.
ACC has developed a number of policies, guidelines and Codes of Conduct which are all available via our website - www.alpinecyclingclub.com.au
Members and volunteers are expected to comply with these policies, guidelines and Codes of Conduct.

I have read the relevant ACC policies, guidelines and Codes of Conduct, and agree to comply with these:
Enter your name here to serve as a digital signature: