B E C O M E  I N V O L V  E D

If you would like to register as a VISE Volunteer, please fill out this form and Submit. Please take the time to answer as completely as you can. VISE will then post to you forms required to allow the Queensland and NT governments to undertake police checks. All VISE volunteers must apply for Working With Children Check Cards issued by the the Queensland and NT Governments. These checks are mandatory. No state will accept the police check of another state. Privacy Statement  VISE respects the privacy of its members, donors and visitors. We will not sell, or otherwise trade personal information to others unless you expressly permit it. Any personal information that VISE maintains will be stored securely and is only accessible to authorised staff. Application for Registration Australian citizens and residents only Items in red are required. Press [ Tab ] to move between fields.

Items in red are required. Press [ Tab ] to move between fields.

I wish to register for placement as a VISE:
Tutor    Angel    Internet Trainer
Given Names
Surname
Birth Date	Gender
DD MM  YYYY	Male    Female
Street Address	Postal Address (if different)
Suburb or Town	Suburb or Town
State                  Postcode	State                   Postcode
> Select State ACT NSW NT QLD SA TAS VIC WA	Select State ACT NSW NT QLD SA TAS VIC WA
Phone (AH)	Mobile
Phone (BH)	Fax
Email Address	Web Site

Qualifications

Relevant Experience

Preferred Teaching Levels

Years P-2		Years 3-7
Years 7-9		Years 10-12
Other		(Please Describe)

Please indicate the regions that you prefer to work in and the general time of year you are next available:
AllNTQLDNSWAg ShowsWAVICTAS	01020304050607080910111213141516171819202122232425262728293031JanFebMarAprMayJunJulAugSepOctNovDec20122013201420152016 Available From
	01020304050607080910111213141516171819202122232425262728293031JanFebMarAprMayJunJulAugSepOctNovDec20122013201420152016 Available Until
(Select multiple regions by holding down the ctrl key and clicking on each desired region.)
Preferred transport
CarPublic TransportCaravan

If accompanied by spouse please enter their name here

Will spouse assist during placement and if so how?

Medical conditions VISE should be aware of (i.e. allergies)

Please provide the names and contact details for two referees

Please provide any other comments that you think are relevant

To submit your application click the 'Submit Form' button and
wait for confirmation that your application has been received.

    

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