Community Awareness Presenter Application Details

Community Awareness Presenter Application Details

Please fill out your information below
Personal Information
Name

First NameMiddle NameLast Name
Date of Birth

DayMonthYear
Gender

Other (please state)
Do you identify as Aboriginal and/or Torres Strait Islander?
Residential Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com
Phone Number
Format: (000) 000-0000.
Regions of Interest for Community Awareness (Please select more than one region if you wish to work across multiple regions.)

Work Availability

Do you hold any current qualifications?
Do you hold a current Blue Card?
What Surf Life Saving Club are/were you apart of?
If you have not been a part of a club, please indicate nil
Are you currently employed by Surf Life Saving Queensland?
If yes, please specify role:
Medical History
Have you sustained or do you carry any illness or limiting disability that may affect your ability to complete any physical components of the training and/or duties required?
Do you suffer from any known medical condition?
If yes, please provide details:
NOTE: You may be required to supply a medical certificate prior or during your employment as a Community Awareness Presenter
Experience
Please specify any relevant experience
Please provide any other additional information that may be relevant
Reference Checks

Please provide 2 referees SLSQ have permission to contact
Referee 1

First NameLast Name
Email
example@example.com
Contact Number
Relationship to you
Referee 2

First NameLast Name
Email
example@example.com
Contact Number
Relationship to you
Attachments
Please attach a copy of your
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Disclaimer

This is an application only, you are not employed by SLSQ until you receive a contract of employment.
Should be Empty:

Personal Information