Expression of Interest for Youth Activity Leaders 2021/22
Name
*
First Name
Last Name
Email
*
example@example.com
Date of Birth
-
Month
-
Day
Year
Must 18 years or older
Mobile
*
Club
*
Do you have a current South Australian DHS issued Working With Children's Check & is it registered with your Club?
*
Yes.
No - but I am willing to obtain one.
No.
Camps/Activities you are able to attend as a Youth Leader/Chaperone or helper
U14-U15 Youth Development Camp - Victor Harbor (19-21 April 2022)
YHPS Pool Rescue Skills Sessions (May 2022)
Other options as they arise in 2021/22, if I am available.
Do you have any of the following? (tick any that apply - not compulsory)
Current Provide First Aid Certificate
Current Bronze Medallion (able to do water cover)
IRB Crew
IRB Driver
Heavy Vehicle license (able to drive a bus)
Teacher/Educator/other profession working with young people
Trainer or Coach
Mandatory Reporting/Child Safety Officer
T-Shirt Size
Small - mens
Medium - mens
Large - mens
XL - mens
2XL - mens
8 Ladies
10 Ladies
12 Ladies
14 Ladies
16 Ladies
Please explain why you would like to assist with SLSSA Youth Opportunities
What experience do you have working/volunteering/engaging with Youth?
Experience is not essential, but will be considered
Any additional information which you feel would be helpful for the Youth camps or activities?
Eg - Personal trainer, Allied health worker, heavy vehicle licence, I can play the ukulele; ice-breakers are my favourite thing in the world; etc...
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