Personal Information Form (Staff)

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Welcome to the team!

Thanks for taking a few moments to complete this form.

A friendly reminder that it is your responsibility to keep Upbeat Arts updated with any changes to the information provided here. All personal information collected by Upbeat Arts Ltd is confidential. You may access your own personal records at any time.

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Name(Required)

First Last

Phone(Required)

Email(Required)

Date of birth

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Status

Emergency Contact

It's important we know who to call in the event of an emergency.

Emergency Contact Full Name(Required)

Relationship(Required)

Phone Number(Required)

Food Allergies

Gluten Free and Celiac

Dairy and Lactose Free

Nut Allergies

Seafood Allergies

None

Other

If you have any other food allergies, please provide details:

Code of Conduct

Please indicate here that you've read through and agree to the Code of Conduct and Cooperation - Staff.

In case you missed it, the Code of Conduct is in the email we sent you.

Do you agree to the Upbeat Arts Code of Conduct and Cooperation - Staff?(Required)

Blue Card

Do you have a CURRENT Queensland Working with Children Blue Card(Required)

If yes, please provide the details:

Blue Card Number

Blue Card Expiry Date

If no, that's ok!

Please start the process to obtain one. Let us know if you need the links and assistance with this.

If you've put in your application, please advise below when you did this?

Blue Card Application Date

Media Statement

From time to time Upbeat Arts Ltd may commission or require that photographs, videos, and/or audio clips of any Upbeat Arts programs and their members be created ("Materials").
Upbeat Arts requests the right and consent to use the Materials in relation to the provision of its ongoing community programs and activities. The Materials may also be used in relation to the reasonable promotion and publicity of Upbeat Arts programs and activities and its fundraising and sponsorship activities. Such use may include, for example, use of the Materials in brochures, posters, flyers, website, press releases and newspaper and television news and current affairs programs.
By signing this form, I agree with Upbeat Arts and otherwise consent as follows:
1. That Upbeat Arts may use the Materials in the manner set out above.
2. That Upbeat Arts may use my First Name in connection with the above use.
3. That there will be no financial compensation for any such use (including any royalty payments).
4. That Upbeat Arts may authorise others to use the Materials provided that their use shall be consistent with the terms of this release and consent.
5. I agree that the photographs/video and/or audio remain the physical property of Upbeat Arts. Any further use of the Materials (eg in relation to any book, publication or television program on a commercial basis) shall be subject to a further agreement between Upbeat Arts and myself.

Media Release(Required)

I understand and agree to the terms and conditions of the media release above

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THANK YOU

We look forward to working with you at Upbeat Arts.