YMCA South Australia Youth Parliament 2024 Application

Participant Application Form

Click 'NEXT' to begin

YOUTH PARLIAMENT OVERVIEW

Make sure you read the YP2025 Overview for more details before you apply.

WHAT IS YOUTH PARLIAMENT?

YMCA South Australia Youth Parliament is a non-partisan program providing a platform for young people aged 15 - 25 to have their say on important issues, build skills and parliamentary understanding. It focuses on personal development, empowerment and connecting politicians and decision makers with youth voices and opinions.

The Youth Parliament program runs from March to July 2025 and includes mentoring, a training weekend, a week-long camp and access to Parliament House.

**Key Dates**
Training Weekend: 26th- 27th April 2025 (Saturday and Sunday)
Parliament Week: 6th- 11th July 2025 (Sunday-Friday)

There is a participant fee of $550 per person. YMCA South Australia will provide all successful participants with a Sponsorship Pack to assist them in sourcing sponsorship for their position if this is a barrier to participation.

There will be a $250 deposit, which is payable providing engagement within the program from the 1st of April 2025. The due date of the deposit will be set out within an email if you are accepted into the program.

The remaining $300 is payable if you are still engaged in the program from the 1st of June 2025.

SELECTION PROCESS

There are limited places available in the Youth Parliament program. Please note that completing this online application does not guarantee you a position as a participant for the 2025 program.

YMCA SA is strongly committed to ensuring Youth Parliament is a diverse program that represents the views and experiences of young people across South Australia. Special preference will be given to participants who are from Aboriginal or Torres Strait Islander backgrounds, culturally diverse backgrounds, first time participants and to regional young people.

Applications close on Sunday 2nd March 2025. All applicants will be notified of the outcome of their application via email by Friday 14th March 2025.

QUESTIONS?

Email Adelle Martin at youth@ymcasa.org.au or call 0422 343 916.

TO APPLY

Please click NEXT and fill in the following questions. If you're applying as a group of participants and wish to be considered for the same Ministry, please indicate at the end of this form.

If you want to be part of this incredible experience, apply to be a Youth Parliamentarian today!
I have read the Youth Parliament Overview and understand the commitments and responsibilities involved in being a Youth Parliamentarian.*

Personal Details
Full Name*

First NameLast Name
Preferred Name and Pronouns

Preferred NamePreferred Pronoun
What is the preferred name you would like on formal documents? (E.g. Bill book and certificates)

Preferred First NamePreferred Last Name
Date of Birth*

DayMonthYear
Date
Age*
Gender*
Let me type... (any other details you would like us know to know about your gender)
What is your country of birth?*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Address*

Street Address

City/SuburbState

Post Code
Applicant Phone Number*
Applicant E-mail*
Are you currently studying, or working?*

Studying (School)Studying (University/TAFE)WorkingNone of the Above
What is your LOCAL COUNCIL area? (If you do not know, you can find out at https://www.lga.sa.gov.au/sa-councils/councils-listing)
Example: City of Onkaparinga
What is your STATE electorate? (If you do not know, you can find out at https://www.ecsa.sa.gov.au/map
Example: Newland
What is your FEDERAL electorate? (If you do not know, you can find out at https://electorate.aec.gov.au/
Example: Adelaide
Example: City of Onkaparinga
What is your STATE electorate? (If you do not know, you can find out at https://www.ecsa.sa.gov.au/map*
Example: Newland
What is your FEDERAL electorate? (If you do not know, you can find out at https://electorate.aec.gov.au/*
Example: Adelaide
Which school do you attend?
This is for demographic purposes, and won't be disclosed.
Which University/TAFE?
This is for demographic purposes, and won't be disclosed.
My School/ University/TAFE is not listed, let me type...
Do you attend a community language school?*

YesNo
If so, which one?*
**Please Note: Applicants under the age of 18 require parental/caregiver consent to participate.**
Parent / Guardian Name (if under 18)

First NameLast Name
Parent / Guardian phone number (if under 18)
Parent / Guardian email contact (if under 18)

Emergency Contact Details
Emergency Contact Person #1*

First NameLast Name
Relationship to Applicant*
Mobile Number*
Phone Number
Other Phone Number
Phone Number
Email*
example@example.com
Emergency Contact Person #2*

First NameLast Name
Relationship to Applicant*
Mobile Number*
Phone Number
Other Phone Number
Phone Number
Email*
example@example.com
Emergency Contact Person #3 (Optional)

First NameLast Name
Relationship to Applicant
Mobile Number
Phone Number
Other Phone Number
Phone Number
Email
example@example.com

Medical Details
Medicare Number
Number Next to Applicant Name
Expiry Date (MM/YY)
Do you have Ambulance Cover?

YesNo
Are there any other details about the applicant we should be aware of?*

Image Consent, Application Permission and Important Information

To be completed by the applicant or parent/guardian if under 18.
YMCA South Australia - IMAGE CONSENT

I give YMCA South Australia the irrevocable right to use my name/photograph/ image/audio recording/video recording and likeness in all forms and manner (“My Image”) for the purposes of advertising, media publicity, publication, general display or for any other organisation purposes in whole or in part, including but not limited to publication on internet web sites, broadcasts and any other publications as released to or by YMCA South Australia.

I waive any interest that I may have in the copyright to My Image now or at any future time and acknowledge that I am not entitled, nor shall in the future be entitled, to receive any payment or consideration in respect of it and agree to make no claim against YMCA South Australia for any payments for the Publication of My Image.

I understand YMCA South Australia cannot control unauthorised use of My Image by persons not associated with YMCA South Australia upon the Publication of My Image. I release and indemnify YMCA South Australia from any loss, damage, costs, expense, or claim (including consequential loss) connected with the Publication of My Image, including action for defamation, libelous material, breach of privacy, or copyright.

If under the age of 18, image consent must be granted by a parent or legal guardian.
Full name of person providing consent (must be over the age of 18)
I have read, understand and agree to the above Image Consent*

YesNo
I hereby give full consent to the applicant listed in this form to participate in the YMCA South Australia Youth Parliament program. I understand that this involves attending a two (2) day training weekend, a week long residential camp (Parliament Week), participating in some physical activity, travelling to various venues in a hired bus and attending Parliament House in Adelaide.

I also acknowledge that due to evolving COVID-19 pandemic, changes may be made to the program following applications and those changes will be made to me at the earliest convenience.

I acknowledge that there is a program fee of $550 per person to participate in Youth Parliament. I understand that the fee covers program costs such as parliamentary training, recreation activities, Training Weekend meals, Parliament Week accommodation, transport and meals. I understand that program fees can be covered by seeking external sponsorship.
I acknowledge the details in this application are true and accurate at time of submission. I wish to be considered for Youth Parliament 2025.*

Yes
I understand that there is a $550 participation fee for Youth Parliament. I understand it is my responsibility to either find a sponsor or pay the fee myself.*

Yes
Are you interested in seeking sponsorship for the participant fee?*

YesNo
Youth Empowerment Terms and Conditions
Should be Empty:

Participant Application Form

Personal Details

Emergency Contact Details

All About You

Applying for Youth Parliament

Experience/Background

Youth Parliament Ministries

Medical and Health Details

Medical Details

Image Consent, Application Permission and Important Information