Organisation Registration Form

Explanation of the form goes here.

 
Organisation Details
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Have you previously registered with Impact Volunteering? *
Is your organisation Not For Profit? *
Are you registered with Centrelink for Newstart Volunteers? *
Insurance Details
Does your organisation have insurance that covers the activity of volunteers? *
Public Liability Policy Expiry Date
Public Liability Policy Expiry Date
For example, your policy may cover volunteers aged from 18 - 50 or from 25 - 80.
Contact Details
Name of Organisation Contact Person
Name of Organisation Contact Person
Organisation's Address *
Organisation's Address
Registration Verification
I am authorised to register this organisation and have read and agree to the registration terms and conditions. I also verify that the information I have provided on this form is accurate. *
Signed
Signed