UOWx Online Claim Form for Community Volunteering

Name Name First Last
Student number
UOW email
Degree
Community volunteer organisation details
Name of community volunteer organisation
Supervisor's name
We ask for this in case we need to verify any details. The name you provide here should match the name of supervisor who signs your verification letter. Supervisor's name
We ask for this in case we need to verify any details. The name you provide here should match the name of supervisor who signs your verification letter. First Last
Supervisor's email
Supervisor's contact number
Web address for community volunteer organisation
Details of your role
Title of your role at community volunteer organisation
A 50-word overview of the role you undertook at the community volunteer organisation:
Maximum of 50 words allowed. Currently Entered: 0 words.
Please describe the activity, the objectives of the activity and your role within the activity. This 50 word overview will appear on your UOWx Record.
Year you completed the volunteering role
Exact number of hours you committed to this volunteer role in the year entered above -- including training/induction:
(Please note: a minimum of 20 hours must be completed in a calendar year per community volunteering opportunity)
Were you remunerated in any way?

Were you remunerated in any way? Yes No
If yes, please provide details.

If yes, please provide details. Payment received Academic Credit received Professional accreditation Other Other
Did you complete a training/induction?

Did you complete a training/induction? Yes No
Please select the Learning Streams your volunteer work addresses. Provide a statement of how this occurred, the skills you developed and how this fits with your ongoing professional development plan.
(Please address a minimum of 2 areas)

Please select the Learning Streams your volunteer work addresses. Provide a statement of how this occurred, the skills you developed and how this fits with your ongoing professional development plan.
(Please address a minimum of 2 areas) Leadership Community & Social Change Mentoring & Wellbeing Global & Cultural Awareness Innovation & Creativity Collaboration & Communication
Leadership statement
Community & Social Change statement
Mentoring & Wellbeing statement
Global & Cultural Awareness statement
Innovation & Creativity statement
Collaboration & Communication statement
Please select the sub-category that best describes the volunteering activity you engaged in

Please select the sub-category that best describes the volunteering activity you engaged in Aboriginal communities Aged care Animal welfare Arts, culture & heritage Children & young people Community & welfare Corporate Disabilities Education Environment & conservation Health Multicultural Parents & carers Police emergency services Special events Sports & recreation Women's services
Did you comply with the organisations policies and code of conduct during your time as a volunteer with this organisation?

Did you comply with the organisations policies and code of conduct during your time as a volunteer with this organisation? Yes No
Please attach the signed UOWx verification letter from the organisation that you volunteered with.

Attach Files
I understand that by submitting this claim for recognition that this information will be used by UOWx to populate my UOWx Record.

I am aware that the community volunteering organisation will be de-identified on my UOWx Record.

I understand that the following information will appear on my UOWx Record:
• Year of volunteer role
• The Sub-Category of the role (i.e. Children & Youth Community Volunteer) that UOWx deems the role best adheres to
• The number of hours that I committed to the volunteer role
Yes No
Privacy Statement

The University of Wollongong has provided you with this online form. UOWx will be utilising the information that you post in this form to process your application for UOWx Recognition of external community volunteering. The information that you provide in this application will inform UOWx’s decision on your eligibility for this recognition.

Your email address is collected so UOWx are able to contact you to discuss your application and provide an application outcome.

Your involvement in co-curricular activities at the University of Wollongong, whereby the activity is recognised by UOWx, will result in you automatically being uploaded to the UOWx online system. The information provided to UOW regarding your involvement in UOWx will be stored in your student portal and used to produce your UOWx Record, help us to keep you informed of your claim entitlements and determine your eligibility for the UOWx Award. Aggregated data may also be used for reporting purposes and quality assurance activities.

Please note that UOW will not be able to determine your eligibility for external recognition unless you enter all of the required details and initiate a claim.

Please note that UOW will not be able to determine your eligibility for the UOWx Award unless you enter all of your involvement activities and initiate a claim. Your UOWx Record will only show the details that you enter once you meet the minimum requirement of engagement for that activity.

If you do not wish to take part in UOWx you can email uowx@uow.edu.au to opt out at any time.

Further information about how UOW handles your personal information can be found at https://www.uow.edu.au/about/privacy.

UOWx Online Claim Form for Community Volunteering

UOWx Online Claim Form for Community Volunteering

Community volunteer organisation details

Details of your role

Privacy Statement