Medical – Apply Online 2020 - Medical Volunteers If you are interested please complete the information required below. Personal DetailsFirst name* Surname* Mobile Phone*Email address* Availability ICHC Dates 2020 Thursday - 3 December Friday -4 December Saturday - 5 December Sunday - 6 DecemberYour Shift AvailabilityPlease select the shift (s) you would like to work. You are welcome to select as many shifts as you would like. THUR - 12:00pm - 6:00pm THUR - 3:00pm - 10:00pm THUR - 9:30pm - 8:30am FRI - 7:30am - 3:30pm FRI - 3:00pm - 10:00pm FRI - 9:30pm - 8:30am SAT - 7:30am - 3:30pm SAT - 3:00pm - 10:00pm SAT - 9:30pm - 8:30am SUN - 7:30am - 3:30pm Medical BackgroundMedical background*Doctor - GPDoctor - OtherRN - Registered NurseRN - Registered Nurse (Not currently registered)EN - Enrolled NurseAIN - Assistant in NursingAllied Health ProfessionalMedical StudentStudent NurseOtherSpecialty (If applicable) (ie Area of Nursing or other medical specialty)Nurses' Registration No.* Which institution are you studying with? E.g. University of Sydney, UTS, UNSW etc. Are you still actively working in your field of expertise?*YesNoDoctor*Available for the oncall roster onlyAvailable to be present on camp for a shiftWorking with Children CheckDo you have a valid Working With Children Check number?*YesNo - I will apply for one in NovemberN.B. You MUST have a valid WWCC number to volunteer. The College Executive has requested that all volunteers provide the College with copy of their Working with Children Check and a copy of their driver’s licence. A volunteer Working with Children Check is easily obtained and there is no cost involved. For your convenience the link is below: http://www.kidsguardian.nsw.gov.au/working-with-children/working-with-children-check/apply/apply Once you have obtained their Working with Children Check, please scan it, along with a copy of your driver’s licence, and forward it to Mary Byrne at [email protected] WWCC number :* Date of birth (required for WWCC)Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920WWCC registration expiry date (If known) Day Month Year Do you need to renew your WWCC number?*Yes - I will renew my WWCC before Nov 20No - I have already renewed my WWCC noNo - My WWCC will still be valid in DecemberI don't knowN.B. You MUST have a valid WWCC number to volunteer. Working With Children Check Numbers were first introduced in March 2013 and last for 5 years. ICHC requires WWCC for all volunteers so if you have been volunteering with us for 5 years or more you may need to renew your WWCC number. You cannot renew your WWCC number until 3 months before its expiry. To renew your WWCC no, please search your emails for "wwccnotification" or visit the website Please start the renewal process early - as a ID check at a Service NSW centre is required, and the college needs to perform additional checking once it has been renewed. - How to find out when my WWCC no expires - How to renew my WWCC no - Find my WWCC noMiscellaneousHow did you hear about ICHC/volunteering? Do you have any other comments?Code of ConductThe college requires all volunteers to have read, understood and agree to comply with the terms of the Australian Province of The Society of Jesus Code of Conduct. A copy can be found here.Code of Conduct Acknowledgement* I have read, understood and agree to comply with the terms of this Code of Conduct.