EmailMe Form - Current Volunteer Application Form

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email *

Mobile Number *

Date of Birth *

DD / MM / YYYY

Best way to contact you for camps, eg. Instagram, Facebook, mobile etc. *

School Grade

What church are you attending, if any?

Medical Information

Dietary Requirements

Accountability

Policies and Procedures

I have read and understood Camp Clayton's Client Protection Policy. *

Yes

No

I agree to abide by Camp Clayton's Client Protection Policy and not engage in teaching or practices which cause division, disruption or disharmony within the ministry work it conducts. *

Yes

No

I'd like to discuss this more with the Ministry Coordinators

I agree to be held accountable to Camp Clayton for the above declaration. *

Yes

No

Would you feel confident in sharing your faith with a camper? *

Yes

No

Yes, with more training

Working With Vulnerable People Check *

I need to apply for a WWVP check http://www.justice.tas.gov.au/working_with_children

I am under 16 years and do not require a WWVP check

I have a current WWVP check (supply details below):

WWVP Registration Number:

Expiry:

Statutory Declaration

I declare that all the answers I have given on this form are truthful to the best of my knowledge and understanding

Signature *

Clear

Please use the mouse to sign or finger if using a touchscreen