SASLHA

Volunteer Application

Sign up form for SASLHA working group/Task team, SIG, Committee Chairperson or Committee Member

The SASLHA Bylaws indicate that volunteers on any SASLHA Working group/Task Team/ SIG/Committee Chairpersons/Committee members will be appointed by the SASLHA Council. The Council will consider volunteers to these roles according to the needs and required skills of the specific groups/roles. The Council will also consider any risks to the Association for reputational risk, financial risk, and any other relevant risks considered on a case-by-case basis. The Council will also ensure that all appointments of the volunteers to these roles are aligned with the SASLHA objectives and values.

All information will remain confidential and will only be used for record keeping and contact purposes.

Please fill in all applicable sections, initial each page and sign at the end of the application.

This is a generic application form for all SASLHA volunteer roles. Please therefore complete the relevant sections for the role in which you are volunteering.

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By submitting the form below you commit to the following conditions and values:

You will:

Maintain confidentiality about all discussions and information that you are privy to in this volunteer role unless permission has been given to share these.
Maintain an openness and willingness to engage with and learn from each other in a respectful and dignified manner.
Engage respectfully with relevant other volunteers and paid SASLHA members within the group and on social media.
State, when engaging on a public platform that you are expressing a personal opinion and not speaking on behalf of SASLHA unless expressly authorised to do so.
Keep yourself informed about the latest research and only quote what is current evidence.
Refrain from engaging on social media or any other communication platforms that may place SASLHA in any form of risk or disrepute.

You acknowledge that:

SASLHA may distance itself from anything you say publicly if it violates this agreement.
Failure to abide by these conditions may result in a termination of my appointment as a volunteer for a SASLHA activity.

I have read the Privacy Policy and grant consent to use my data.

Last Name *
First Name *
Professional Title *
HPCSA number *
Address Line 1 *
Email Address *
Phone *
Professional discipline qualifications (include place and year of qualification) *
Place of work *
Describe your interest and experience in volunteering in this role and in this topic *
Describe your reasons for volunteering in this role/topic *
Confirm that you're not aware of any incident in your professional practice that may put us at risk *
Indicate if you have any outstanding complaints against you at the HPCSA *
I undertake to volunteer at SASLHA and commit the SASLHA conditions and values *
Upload your proof of HPCSA registration *

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