Share your story

1. About you

First name *

Last name *

Email *

Phone *

Postcode & Suburb

Organisation where you work/volunteer

2. Are you of Aboriginal or Torres Straight Islander origin?

Yes
No
Prefer not to answer

3. I am a:

Volunteer
Volunteer Manager
Corporate volunteering program manager
Other (please specify)

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4. Please indicate which category your volunteering experience falls into.

Select a category

Other (please specify)

5. Please write a short description of your volunteering experience.

For example; what was the role, how long have you worked/ volunteered, what you found rewarding/ got out of the experience.

Please note that this information will assist us to best match you with opportunities to share you story. We will contact you for more information whenever we have something suitable.’

Paragraph Text *

6. Please select the media outlets you consent to being contacted about

Please note that most of these will include being filmed or photographed, or porividing an image if requested.

Checkboxes *

7. Media Consent

I hereby give permission to Volunteering Queensland to share with media outlets indicated in Question 5, and also to copy, use, re-use, publish and re-publish, my name, any still and video images, and/or audio, as well as any relevant personal information:

gathered as part of Volunteering Queensland activities,
provided by me,
in all forms of media for once-only and/or ongoing promotion, publicity, information, advertising, trade, and any other lawful purposes.

I understand that I also relinquish any right that I may have to examine or approve the completed product or products where my likeness may be included intact or in part; and, that I acknowledge that the use of my image and my participation in any promotional for Volunteering Queensland is undertaken without any financial recompense in the form of the royalties or similar payments.

7. Media Consent *

I acknowledge that I have read and understood the above authorisation.

8. Are you over 18. years of age?

Multiple Choice

Yes
No

9. Parent/ Guardian information

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Would you like to share your experience with volunteering and/or within the volunteering sector?