Leader Application

New or Returning Leader
Have you been a leader at Teapot Valley Christian Camp before?
Your Details
First Name*
Last Name*
Date of Birth*

DayMonthYear
Gender*
Street Number*
Street Name*
Suburb*
Town*
Postcode*
Your Email Address*
Your Parents Email Address (if under 18)
Your cell phone number*
Your home phone number*
School year*
Church you currently attend*
Camp Details
I want to be a leader at*
I prefer leading
Are you prepared to hand your phone in at the start of camp and only use it during your breaks out of sight of all campers, this includes at night in cabins*

YesNo
Areas of interest:

MediaMC (Meals, line up)Activities/GamesKickstartNone of the above
Dietary and Medical Information
Emergency Contact Details
Emergency contact person*
Their relationship to you*
Their cell phone number*
Their home phone number
Referees
We require you to provide the details of two people to be your character referees, who we will contact. Please make sure you ask them first. Family members cannot be referees. Please contact us if you have a question about suitable referees for you.
Referee one*
How you know them (e.g. employer, church pastor, school)*
Their cell phone number*
Their email address*
Referee two*
How you know them (e.g. employer, church pastor, school)*
Their cell phone number*
Their email address*
Other Information
Please describe your relationship with God*
Please list any current/previous work roles you have had, duties performed etc, if any.
What relevant personal experience, qualities, skills and strengths do you have that you think you will bring to the team?*
Why would you like to be a leader with us?*
Declaration
I have read the Leaders Manual within the last 12 months and I agree to abide by this Code of Behaviour at Teapot Valley Christian Camp (Link on the Leaders page)*
By submitting this form I declare to the best of my knowledge that the answers in this Leader Application are true and correct.
Should be Empty:

New or Returning Leader

Your Details

Camp Details

Emergency Contact Details

Referees

Other Information

Declaration