Townsville campus | Townsville
Qld 4811
Cairns campus | Cairns Qld 4870
W jcu.edu.au
CRICOS Provider Code 00117J
AUTHORISATION OF A VOLUNTEER (for insurance purposes)
Volunteer Details
Name
Address
Contact Number
Emergency Contact
Name
Contact Number
Volunteers are insured under various JCU insurance policies whilst conducting JCU
approved activities. Details of insurances applicable can be found on the insurance web
page: https://www.jcu.edu.au/chancellery/legal-and-assurance/insurance
Volunteer’s Signature Date
To be completed and signed for and on behalf of the University:
Name of University Contact
Division / College
Period of Volunteering ____/____/20____ to ____/____/20____
Brief Description of Work to be Undertaken:
Approved on behalf of the University:
Signature Date
click to sign
signature
click to edit
click to sign
signature
click to edit
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