Youth & Government - Standard Application & Enrolment

YMCA NSW Youth Parliament 2022

Youth Press Gallery Participant Application Form
Thank you so much for applying to the Y NSW Youth Parliament 2022. We cannot wait to see you in our better than ever program post Covid-19!

Key Dates:

Training Camp: 22 April - 24 April 2022

Residential Camp: 9 Jul - 17 July 2022

Please do not hesitate to contact the Program Coordinatior Tina Flaskas on youth.parliament@ymcansw.org.au if you have any concerns or queries.
Name of Participant*

First NameLast Name
Preferred name*
Date of Birth*

MonthDayYear
Age*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Which NSW State Electorate are you in?*
If you are unsure what electorate you reside in please visit this website to double-check! Click HERE!
Gender*
Mobile number*
Participant E-mail*
Confirm Participant E-mail*
School or Education Institution or current status*
Grade or certificate level *
Aboriginal and/or Torres Strait IslanderCulturally or Linguistically DiverseLGBTIQA+None of the above
Yes - PhysicalYes - IntellectualYes - SensoryYes - NeurologicalYes - OtherNo
If you answered yes to the above question, please provide details and/or accessibility requirements
Additional Information

Your acceptance into the program is not determined on your level of experience. This information is to help the team develop the learning content to suit the needs of all participants.
Are you able to commit to all key dates as outlined in the information pack?*
Which role are you most interested in? *
Which role is your second preference?*
Why would you like to participate in the Y NSW Youth Press Gallery?*
What relevant experience do you have in media/ journalism/ social media? *
Permission

To be completed and understood by parents or guardians
Before filling out this section. Please click here to review the information pack.

I give full consent to the participant listed on the enrolment form to participate in The Y NSW Youth Press Gallery Program.

I understand that this involves attending an overnight camp in January, participating in some physical activity, travelling to, in a hired bus, and attending Parliament House in Sydney.
Yes
Yes
Yes
YesNo
Please note we reserve the right to remove participants from the program if we find they have breached our Safe Behaviour Policy and/or Respect Guide
Name of parent or guardian *

First NameLast Name
Date*

MonthDayYear
Signature*

Clear
Should be Empty:

YMCA NSW Youth Parliament 2022

Additional Information

Permission