Volunteer registration form
From ITShare SA Inc
If you would like to become a volunteer for ITShare SA please fill out the following form. We require you to provide these details so that our insurance company is able to provide appropriate insurance for you when you are doing ITShare SA work. ITShare SA does not give out personal details unless you authorise ITShare SA to do so.
Personal details
| CONTACT FIRST NAME | CONTACT LAST NAME |
| ADDRESS | |
| SUBURB | |
| STATE | POSTCODE |
| CONTACT NUMBER 1 | CONTACT NUMBER 2 |
E-Mail:
Sign me up for the emailing list:
| YES | NO |
Special Interests:
Emergency contact
| Telephone: |
I would like to register as a volunteer for ITShare SA Incorporated (ABN: 51 301 610 450). I have read the Information Pack, and the ITShare SA Charter, and I accept and understand the conditions and expectations contained therein. I understand that ITShare SA may disclose these details to its insurance company as required from time to time.
Signature:
Date:
