Step 1 of 7 14% LinkedInThis field is for validation purposes and should be left unchanged.Your Name(Required)Address(Required) Street Address Address Line 2 City ZIP / Postal Code Mobile Number(Required)Email(Required) Person to Notify in Case of EmergencyEmergency Contacts Name(Required)Emergency Contacts Phone Number(Required)Emergency Contacts Work PhoneEmergency Contacts Email Will you be attending with carer/support worker under an NDIS or similar plan No Yes Name of carer/support workerNumber of carer/support workerDate of Birth(Required) Day Month Year (I understand I must be 16 years or older)How will you be presenting your Working with Children’s Check Bringing my completed WWCC to the induction WWWC Application Number Working with Children’s Check Availability(Required) Monday Tuesday Wednesday Thursday Friday Saturday Sunday (select one or multiple) [one is required]Special Skills or QualificationsPrevious Volunteer ExperienceGoals or reasons for volunteering at Irukandji?(Required)Is there any particular needs, considerations or medical history we should be aware of? VOLUNTEER CODE OF CONDUCT On the webpage this form is found there is a list of rules for volunteers, please read through in its entirety. Click here to view Code of ConductIRUKANDJI EMPLOYEE HANDBOOK Found on the webpage this form is found is a link to the Employee Handbook PDF Please read through the handbook in its entirety. Click here to view Consent(Required) I CONSENT/DECLARE: I have read and understood the Employee Book. ANIMAL DECLARATION In line with Animal Welfare Reform 2025, all NSW zoo staff & volunteers must declare: Declaration Prevention of Cruelty to Animals Amendment (Prohibitions for Convicted Persons) Bill 2022. I declare that I have not been charged or convicted of animal cruelty or a relevant offence (as defined in section 31A of the Act Prevention of Cruelty to Animals Amendment (Prohibitions or Convicted Persons) Bill 2022) unless one of the following has occurred: The charge has been heard and determined by a court The charge has been withdrawn, PUB23/1150 2 A decision has been made not to take or continue proceedings against you Declare if they have been convicted of a relevant offence before commencing work Notify the authority holder within 7 days of being charged with or convicted of a relevant offence. Consent(Required) I CONSENT/DECLARE: I understand by signing this form at the end I am signing this animal cruelty declaration IRUKANDJI MEDIA RELEASE Types of media may include, but not limited to: print, film, online and social media. The below PERSON/S may be videotaped/photographed and/or other media for purpose of advertising or incidental customer social media photos/content while on site. As that adult/youth and/or as the parent/guardian of the youth we agree and acknowledge that: The adult/youth may appear in advertising content for Irukandji, its agents and partners and we consent to the use of the adults/youth name, likeness, voice and biographical material in connection with Irukandji and publicity or promotion of Irukandji, including without limitation, in Irukandji’s Internet sites, social media sites, TV or Radio. Irukandji owns and controls all rights in and to the Video/Media and including the adults/youths appearance, may use those rights in any way and in any place and in any media worldwide. Irukandji is not obliged to include the adult/youth or the footage in the content We release and indemnify Irukandji, its servants and agents from any claim by or on behalf of the adult/youth and arising out of any loss, damage, accident or injury to the adult/youth as a result of taping the video/ shooting photos or in the exercise of the rights granted in this Agreement We assign to the Producer all present and future rights in the entire copyright (and all other present and future rights including rights as a performer) throughout the world in all media in perpetuity in the Video. Consent(Required) I CONSENT/DECLARE: I understand that by signing this form at the end I am giving permission for my photo to be taken and potentially used by Irukandji or its visitors in any (legal) means. Applicant Name(Required)Date(Required) DD slash MM slash YYYY Applicant Signature(Required)Name of carer/responsible persons if applicableSignature of carer/responsible persons if applicableThe Irukandji Team Thank you for completing this application form and for your interest in joining the Irukandji Volunteer team. Consent(Required) In receiving of this form and inducting of this applicant Irukandji witnesses this form
