• SECC Enrolment Form

    Help us get to know you.

  • Below are some demographic questions. This information will help us better understand your needs and how we can best address them. All the information you provide will be strictly confidential.

  • Personal Details

  • Your Contact Details

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  • Emergency Contact Details

  • Demographic Details





  • Multimedia Consent

  • South Eastern Community Connect (SECC) may take photography, audio, and video recordings throughout the duration of its programs and activities for multimedia content production which is typically used in organisational promotion and marketing in a range of platforms and mediums. Do you provide multimedia consent?

  • Privacy and Confidentiality Policy

  • SECC has a strict policy around issues of privacy and confidentiality. All files are securely maintained.Your name and personal details will not be given to any person or agency outside of the Centre without your informed and voluntary consent. Exceptions to this agreement involve:

     

    • Where a child or young person under the age of 16 years is at risk of significant harm from abuse or neglect (e.g. a child or young person witnessing incidents of Domestic Violence)
    • Where there is a serious and imminent threat to life and health of any person, including the person seeking a service (e.g. a person is at risk of hurting themselves or harming others)
    • Where a person discloses information that would substantially assist in the prosecution of any offence punishable by 5 or moreyears imprisonment
    • Where a worker is required to provide documents (e.g. a person's file) or give evidence under subpoena

    If you have any questions, please ask a staff member-all SECC staff can describe these exceptions in more detail. 

  • Data Collection Consent

  • The information you provide on this form includes your personal information. Your personal information is protected by law, including by the Commonwealth Privacy Act.

    We are using an IT system called the ‘Data Exchange’ to store your information. This system is hosted by the Australian Government Department of Social Services (DSS). The personal information that is stored on the Data Exchange is only disclosed to us for the purpose of managing your case.

    You do not have to consent to sharing your personal information with DSS. If you do not consent to us sharing your personal information, it will not affect the services you receive. If you do consent to sharing your personal information with DSS, you can ask for this information to be removed at any time.

    DSS de-identifies your data. This means they remove information that identifies you or that could be used to re-identify you (e.g. your name).

    DSS combine your data with other clients’ data in the Data Exchange to identify trends at the program level. This information is used to develop policy, administer grants programs, and conduct research and evaluations.

    DSS may use this data to produce reports. These reports may be shared with other organisations. The data in these reports is de-identified.

    You can find more information about how DSS will manage your personal information in the DSS privacy policy on their website: https://www.dss.gov.au/privacy-policy. This policy explains:
    • how to access the personal information that is stored about you on the Data Exchange
    • how you can ask for this information to be changed or removed.
    • the circumstances in which DSS may disclose personal information to overseas recipients
    • how to complain about a breach of the Australian Privacy Principles by DSS, and how DSS will deal with your complaint.

  • Follow SECC on Facebook and Instagram and keep informed.

  • SECC collects basic program statistics. The collection is for funding and reporting purposes. The collection never identifies individuals. The collection allows us to monitor service usage patterns across the years. It also allows us to report to our Board and the bodies that provide us with funding with service provision. At no stage is any identifying data provided to either the Board of SECC or to funding bodies. If you choose to not have this particular information passed on you are able to inform the worker. You will still be able to receive services from SECC. Do you consent to the collection of statistics for the purposes stated above on the condition that any collection will not identify you personally?

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