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Adult Membership Application

If you need help completing this form please refer to the 'How to' Guide on the Scouts ACT website here.

This form is for all new ADULT membership applications for Scouts ACT.

Adult membership includes:

Adult Leader
Rover Scout
Venturer Scout (18 years and over)
Scout Fellowship
Adult Supporter

Existing or new Venturers who have turned 18 and are continuing in Venturers until the end of year 12 must apply for Adult Membership (use this form).

People 18 years and over who are joining Rovers for the first time or linking from Venturers to Rovers must apply for Adult Membership (use this form).

If you already have an Adult Appointment and are taking on an additional role, use the Secondary Appointment form.

If you are changing roles, use the Transfer form.

There are other forms and verification steps required as part of the application for Adult Membership in addition to this form. You, and sometimes you and your Team Leader together, will also need to complete the following before your membership application is complete and can be formally approved:

Your current ACT WWVP card must be provided (you can upload it in this form, if you already have it)
Two Referee Reports are required (your Team Leader will contact your referees from the information you provide in this form)
Two online learning units must be completed (you will receive access links to these once this form, your WWVP card and two referee reports are received - allow up to 5 business days for access to be enabled.
If you are applying to be a Leader, your Team Leader will work with you to complete an Individual Adult Volunteer Plan Phase 1 (IAVP Phase 1).

On receipt of all forms listed above, your adult membership application will be recommended to the Branch Executive Committee (BEC) by the Appointments Committee. This process can take up to 8 weeks.

Contact admin@scoutsact.com.au if you have any questions.

PART 1: About the applicant

Please provide your full legal name.

First Name *

Middle Name/s

Last Name *

Preferred Name

Date of birth -- please double check your answer! *

Gender

Why are we asking for gender?

We ask about gender because it helps us understand and meet the needs of our members (for example it helps us plan and deliver better Scout activity programs, better training, and better facilities).

We also ask because gender inclusivity and diversity are metrics by which we are assessed when applying for government and philanthropic funding.

If the way we have phrased or constructed the following question can be improved, please let us know. We welcome the feedback.

Gender (if none of the options suit, please feel welcome to answer in your own words at the free text field provided) *

Optional. Gender (in your own words)

Do you identify as: *

Optional. Other languages spoken at home

Home address

	Details
Address Line 1
Address Line 2
Suburb / Town / City
State
Postcode

Postal address (if different to home address)

	Details
Address Line 1
Address Line 2
Suburb / Town / City
State
Postcode

Phone number (Number) *

Email address *

Occupation *

PART 2: Appointment sought

Membership type - please name your role in question 20 below *

Role: (eg, Cub Leader, Group Committee Treasurer, Rock Activity Leader) *

Previous service in Scouting or Guiding or service in similar organisations and/or community activities. Please include details (Branch, Group, Section) of any previously held Adult memberships or appointments and youth membership, including dates. If insufficient space, please upload a separate document. *

Tell us how you heard about Scouting *

PART 3: Working with Vulnerable People Card (WWVP)

A copy of your ACT Government Working with Vulnerable People (WWVP) card MUST be provided before an applicant can be accepted and registered as an Adult Member.

If you have a card, a copy of both the front and back must be uploaded with this application.
If you do not have a card at the time of submitting this application, when you receive your card, immediately upload it via the Upload your working with vulnerable people card so that it can be added to your application documents.

Apply here for a WWVP Card (this link takes you to an external website - Access Canberra)

You will need these details for the application (which will mean you don't have to pay an application fee):

The Scout Association of Australia ACT Branch
89 Kitchener Street, Garran ACT 2605
Jo Legge-Wilkinson, Executive Officer
eo@scoutsact.com.au | 02 6282 5211

Select one *

I have a current WWVP card. I have uploaded a copy of both front and back with this application

I do not have my card yet, and I am aware that my application cannot be processed until copy of my card is received by Scouts ACT.

Upload a copy of your card (front and back, if you have one). Please DO NOT upload a copy of your WWVP application receipt, as this will not be accepted.

Add attachment

List of Allowed file types

PART 4: Referees

All applicants for Adult membership are required to nominate two referees to whom enquiries about your suitability as a member can be made.

Referees may not be related to you; and are to have known you for at least two years. One referee may be a Member of Scouting, however not a member of the Group or Team in which membership is sought. The other referee must not be a Member of Scouting.

Interstate transfer applications should include a referee report from your previous District Commissioner, Region Commissioner, Group Leader or equivalent.

Referee details

	Referee 1	Referee 2
Name (REQUIRED)
Phone Number (REQUIRED)
Email address (REQUIRED)

Have you ever been found guilty of an offence of any sexual nature in Australia or in any other country? *

Yes

Have you ever been charged, reported or defended in a court of law on any allegation of sexual abuse, assault or a sexual offence of any kind in Australia or in any other country? *

Yes

Have you even been (or are you currently) subject to any restrictions regarding your contact with children in any employment, volunteer, or personal capacity (other than child visitation rights as part of a Divorce Agreement)? *

Yes

Have you ever been dismissed or resigned as a volunteer or employee (or reported by an authority) for improper conduct relating to children in any jurisdiction? *

Yes

Have you been named as a defendant in an intervention order, restraining order, apprehended violence order or domestic violence restraining order, or equivalent, in any jurisdiction? *

Yes

If you answered YES to any of the previous five questions, please provide details here. If needed, you can upload documents below

OPTIONAL. Upload any other relevant documents here.

List of Allowed file types

PART 5: Conditions for Acceptance of Adult Members

By signing this form you confirm that you have read and agree with Scouts ACT's terms and that you acknowledge and agree to uphold the values of Scouting.

Part A – Release and Indemnity

I am aware that the Association is not responsible for any injuries or damage to property which may occur in circumstances where the Association has not been negligent. I am aware that it is also a condition of joining the Association and participating in its activities that I release and indemnify the Association in respect to any injury or damage in any circumstances where the Association is not indemnified by a policy of insurance.

In consideration of being permitted to:

join the Association;
participate in activities organised by or for the Association; and/or
use the equipment and facilities provided by and for the Association;

I hereby:

for myself, my heirs and assigns, release and forever discharge; and
agree to be liable for and to indemnify

the Association, its officers, leaders, employees, agents and contractors, whether voluntary or paid (the 'beneficiaries'), jointly and severally from and against any loss, damage or liability and all actions, suits, claims, costs and demands arising out of or concerning any accident illness, injury, death, loss or damage to me or to any other person:

during or as a result of my participation in any activity or function connected with the Association
when travelling to or from any such activity.

This release and indemnity does not extend to any loss, damage, liability, action, suit, claim, cost or demand to the extent that the beneficiaries may claim indemnity under any insurance policy held by the Association, and the relevant insurer has agreed or has been ordered to provide indemnity.

I have read, understood and agree to the release and indemnity *

Yes

Authority to obtain necessary medical treatment

I authorise the beneficiaries to obtain any medical assistance which in the opinion of the beneficiary I require, including hospital accommodation in the event that I suffer any accident or illness and am unable to consent to such treatment on my own behalf. In the event that medical expenses are incurred which the beneficiaries cannot claim under any policy of insurance, I agree to pay for those expenses.

I have read, understood and give authority to obtain medical treatment *

Yes

Application

I agree to abide by all policies and rules now in force or which may be issued by The Scout Association of Australia, or the Australian Capital Territory Branch of the Association and to return my Certificate of Adult Membership and/or Appointment, if issued, and any other Scout property when I cease to perform the functions for which the Certificate of Adult Membership and/or Appointment is issued, or when called upon to do so by the competent authority. I acknowledge that only an Adult Leader who has been authorised through the issue of a Certificate of Adult Appointment may take charge of a Unit (formerly called a 'Section') or any part of a Unit or of Youth Members.

I acknowledge that I have read and understood, and that I agree to, the terms of the following which can be read in detail from the National Policy and Rules:

Code of Conduct
Mutual Agreement; and
Code of Ethics.

I will do my best to live by the Scout Promise and Law.

I acknowledge that should my membership be cancelled for any breach of the Code of Conduct, this will be made available to Scouts Australia and its Branches.

I have read, understood and agree to the expectations of me as a member of Scouts ACT, as expressed by the policies and rules including but not limited to the Code of Conduct, Code of Ethics and Mutual Agreement *

Yes

I authorise the Association to make any inquiries about my character, background and suitability for appointment as an Adult member. *

Yes

I further agree and acknowledge that:

Any photographic image taken of me at a Scouting activity may be used in any electronic or hard copy Scouting publication
The email address that I have provided will be connected to ScoutsIT for the purpose of internal Scouting communication.

I have read, understood and agree to the above conditions *

Yes

Privacy Notice - OUR Commitment to You

The Scout Association of Australia ACT Branch Incorporated (Scouts ACT) respects your privacy. Scouts ACT collects personal information for the purpose of processing applications for membership and fulfilling its obligations to members. This includes:

administering Scouts ACT activities or services provided by or to each member (including member's health and safety at those activities and receiving feedback about activities or services);
communicating with the member, a youth member's parents or carers, and others, to facilitate those activities and services;
obtaining help or participation in those activities from parents and carers.

This information may include sensitive information, such as health information about youth members, or information about trade or professional skills that parents and carers may be able to offer. If Scouts ACT does not collect this personal information, it may not be able to carry out the purposes described above satisfactorily. Individuals have certain rights to access their personal information held by the Branch by contacting Scouts ACT (see below).

Unless otherwise required or authorised by law, or your consent, this personal information will only be disclosed to:

Scouts ACT staff, Leaders, Youth Helpers and some branch members to assist Scouts ACT in carrying out the purposes described above; and
agents of Scouts ACT (such as mailing houses) to assist Scouts ACT in carrying out the purposes described above (for example, communicating with youth members and their parents/carers about Scouts ACT matters, or unless you tell us you do not wish to receive it, sending information to you about other products and services).

Contact Details:

The Privacy Officer, Scouts ACT, 89 Kitchener Street, Garran ACT 2605

P: 02 6282 5211. E: admin@scoutsact.com.au

You can find out more about Scouts ACT's use of your personal information in Policy 2.11 at: https://www.scoutsact.com.au/policies-and-procedures.html

I have read, understood and agree to the Scouts ACT privacy commitment. My personal details may be used by Scouts Australia and its Branches in accordance with the Branch Privacy Policy *

Yes

Privacy Notice - YOUR commitment to Scouts ACT

In undertaking your Scouting role you have, or may have, access to the private and personal information (also known as PPI) of other members of Scouting.

You have a responsibility to handle this information responsibly in accordance with Scouts ACT policy, Scouts Australia policy, and the law.

Please acknowledge your awareness of and commitment to the appropriate use and management of private and personal information in Scouting.

I understand that in using Scouts ACT data systems (such as, but not limited to, Operoo, Extranet and Xero) I will have access to sensitive information about individuals within Scouts ACT *

Yes

I agree to adhere to the Scouts Australia Privacy Policy and I acknowledge information stored in Scouts ACT systems are subject to the Privacy Act 1988. *

Yes

I agree to protect and maintain the confidentiality of all data and information and will not (1) share my access details, including passwords, with other people (excluding approved shared email inboxes or during approved role transitions); (2) I will not share soft copies or hard copies of data or information which contains sensitive information with other people unless they have a specific requirement to have the information to undertake their Scout role. *

Yes

I am responsible for ensuring the maintenance of hardware and software issued to me by Scouts ACT or under my ownership but used in my Scouting role to ensure it does not comprise the integrity of Scouts ACT systems. *

Yes

I will not use the data or information in any manner that is not for the purpose for which I have been given access. *

Yes

I agree to contact the Executive Officer Scouts ACT at the earliest opportunity to obtain guidance and direction on the occurrence of (10 any suspected or actual data breach (2) any uncertainty I have with regard to this document or my access and use of data within the above-mentioned systems. *

Yes

I will contact the Executive Officer Scouts ACT at the earliest opportunity if I no longer require access and will destroy any copies of information I may have on my personal device. *

Yes

Participant Acceptance *

I hereby apply for appointment as an Adult Member in The Scout Association of Australia ACT Branch Incorporated.

Name

Submission Public, please sign Show me how

Clear

First Name *

Last Name *

Adult Membership Application

Approvals

Team Leader Approval

Branch Office Processing