Second Wind Mission Matching

PERSONAL PROFILE

SECTION A: CONTACT INFORMATION


* Username:
This must be between 4 and 20 characters and unique in our database. Username is case sensitive.
* Password:


* Re-Type Password:
This must be between 4 and 20 characters. Use a familiar password. Password is case sensitive.
Password Hint:
In case you forget your password enter a hint to jog your memory, such as "work password" or "mother's maiden name".
* First Name:
Required. (Proper capitalization please.)

* Last Name:
Required
* Email:
A valid email address is needed to permit contact by SWN Administration and Mission Agencies.
* Address:


Required
* Suburb or City:
Required
* State:

Not in Australia? State/Province:


Country:

 

* Post Code:

# Day Phone:

# Evening Phone:



Best time to call:
Working hours
Evenings
* Birth Date:
  4 digit year
Required to allow agencies to respond according to your life stage.
 
* Marital Status:

Required so agencies can respond appropriately. If married, you will be prompted to enter your spouse\'s areas of interest. If your spouse is not interested in mission involvement, and does not want his/her information included, please select \"Married but Spouse Not Included\".
 
Have you ever been divorced?
If YES, year:
 
Children:
How many Total? 

Grandchildren:   
Dependent at Home?
Dependents living elsewhere?:
Independent?:  
 

Citizen or permanent resident?

Select "No" if you are not a citizen or permanent resident of Australia

Privacy Agreement:


Australian privacy laws require us to ask whether you agree to partner agencies being able to view your profile, and contact you directly. By agreeing to YES, you (and your spouse, if married) are giving your permission for SWN partner organisations to view your personal profile, and you agree that they may contact you directly. You will still have the option later, of suspending your permission, or requesting your details to be completely removed. If you choose NO, you will still be able to continue to enter and register your profile, and view your matches with agencies. However, agencies will not be able to view your data, nor contact you. Any further contact will be entirely up to you. You will still have the option later, of giving agencies permission to view your data and/or contact you directly.

* How did you hear about
Second Wind Network?

       

Notes:

* These fields are required to be filled out.
# These fields will be needed to take full advantage of the service offered, but are not required to proceed.