Agency membership application

Organisation detail
Organisation name
Website address
Street address
Suburb / Postcode
Postal address
Suburb / Postcode
Primary contact / Volunteer Co-ordinator
Name / Name
Position / Position
Phone / Phone
Email / Email
(To list volunteer positions on the Fremantle Volunteer Service database a valid email address must be provided and be kept up to date)
Organisational profile
Provide a brief statement of programmes/service(s) provided by your organisation:
Parent body:
Type of organisation Choose an item.
What is the main focus of your service (please tick options that apply)
Animal welfare / Environment & conservation / Migrant support
Arts and Culture / Family support / Museum and heritage
Community Services / Health / Recreation
Disaster relief / Homelessness / Seniors
Drug and alcohol support / Human rights / Sport
Education / Indigenous Australians / Veterans and ex-service
Emergency response / Mentoring and advocacy / Young people
Number of volunteers in your organisation
Does your organisation have a designated Volunteer Co-ordinator or manager?
Yes No
Do you have a set annual budget allocation for volunteer management programme?
Yes No
Does your organisation give cash reimbursements for volunteer out-of-pocket expenses?
Yes No
If yes, please tell us what reimbursements do you provide, i.e. petrol, police checks
Insurance details
New member and position listing service
It is part of our Department of Local Government and Communities funding agreement that all registered agencies have the relevant insurances.
If you are registering for the first time as a member organisation or just to use the listing service, Certificate of Currency for both Public Liability and Volunteer Personal Accident insurances must be provided to FVS with your application for registration.
The Fremantle Volunteer Service also needs to be updated when the insurance policies are renewed.
We are providing a copy of our current:
Public Liability Insurance with this application for membership
Yes No
Personal Accident Insurance
Yes No

Fremantle Volunteer Service 245 South Terrace, South Fremantle WA 6162

T(08) 9335 3394F(08) 9430 8358E