Volunteer as a wellbeing coordinator

Volunteer as a wellbeing coordinator

*Please note this is an expression of interest and this form is an application only
First Name*
Last Name*
Date of Birth*

DayMonthYear
Gender*
Mobile*
Please enter a valid phone number.
Email*
T-shirt size*
Address
Street*
City*
State*
Postcode*
Qualification*
Qualifications(other)*
Current employer*
Please print your Working with Children Check number*
If you do not have one, please visit the Working with Children Check website
Do you have Professional Indemnity Insurance?*
If so, which company?
Have you attended a Diabetes Camps Victoria camp before?*
If so, which camp/s?
Do you currently work with children?*
On a scale of 1 to 5, how would you rate your level of experience with type 1 diabetes? (please select)*
Please select which camp you wish to attend:
Camps preference 1*
Camps preference 2
Camps preference 3
I give permission for Diabetes Camps Victoria to pass on my contact information to all associated parties in regards to the camp that I am attending - e.g. Camp coordinators, medical staff etc.

Yes
Should be Empty: