VOLUNTEER Application Variety NT Adventure Camp Variety NT Adventure Camp VOLUNTEER Application Without volunteers, Variety NT Kids Adventure Camp just couldn't happen, you are integral to this amazing program. Thank you for your interest in helping at the Camp. Fill out your details below and let's get started!This form requires file uploads, if you are unsure of how to upload copies, or have any questions about completing this form, please reach out to us on 08 8981 2544 or email [email protected] BEFORE YOU STARTTo help make the form process easier, make sure to have file copies of the below list before you start!Checklist Working with Children Clearance Current Drivers Licence HR or licence to drive bus etc (if this is your chosen role) Passport style photo of yourself PERSONAL INFORMATIONName(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last AgeAddress(Required) Street Address City State / Province / Region ZIP / Postal Code Postal Address is different than above?NoYesPost Address(Required)Mobile Number(Required)Email(Required) GenderFemaleMaleX / Prefer not to sayDo you speak any languages other than English?(Required)NoYesPlease list(Required)Do you identify as Aboriginal or Torres Strait Islander?(Required)NoYesEMERGENCY CONTACT DETAILSName of your Emergency Contact(Required)Relationship to you(Required)Emergency Contact Phone Number(Required)Doctor’s Name(Required)Doctor’s Contact Phone Number(Required)VOLUNTEER ROLESWhich volunteer's role(s) are you applying for?(Required)Multiple roles can be selected Senior Carer Junior Carer Nurse/medical Camp Caterer/Cook Kitchen Hand House Keeping General Hand Driver Do you have a licence to drive a bus with passengers (MR licence or other)(Required)NoYesPlease upload copy of licence(Required)Max. file size: 512 MB.Have you attended a Variety Camp at Goanna Park in the past?NoYesHow many times?(Required)EXPERIENCE & SKILLSWhat experience do you have to fulfil the role you are applying for?(Required)Tell us about your personal skills and attributes?(Required)Do you have a current First Aid Certificate?NoYesDo you have a current Working with Children's check (Ochre card)?NoYesPlease upload a copy of your clearance(Required)Max. file size: 512 MB.Do you have a current Driver’s License?NoYesPlease upload a copy of your licence(Required)Max. file size: 512 MB.MEDICAL AND SPECIAL REQUIREMENTSPlease note that a moderate level of physical fitness and mobility is required to undertake the role of senior/junior carer and that you might be required to participate in some of your camper's activities.Do you have any physical limitations, restrictions or pre-existing illness/injury that could affect your ability to undertake the role of a volunteer?(Required)NoYesPlease select from the list below(Required)Back problemsUnable to lift heavy thingsCan only walk short distancesOther (please detail)Please describe(Required)Any medical conditions or special medication we should be aware of?(Required)NoYesPlease describe(Required)Do you have any allergies or dietary requirements?(Required)NoYesPlease describe(Required)Do you have a disability or access requirements?(Required)NoYesPlease describe(Required)Any other relevant information or comments:Please upload a passport style photo of yourself(Required)Max. file size: 512 MB.REFEREESPlease provide the name and contact details for 2 refereesReferee 1Referee 1 Name(Required)Position/Relationship to you(Required)Mobile Number(Required)Email Address(Required)Referee 2Referee 2 Name(Required)Position/Relationship to you(Required)Mobile Number(Required)Email Address(Required)CAMP SHIRTSWhat size t-shirt do you wear?(Required)Small (chest measurement 96cm)Medium (chest measurement 102 cm)Large (chest measurement 112cm)XL (chest measurement 122cm)XXL (chest measurement 136cm)Other, please adviseadvise of your preferred size(Required)ACCOMMODATIONBasic accommodation with shared bathrooms is available at Goanna Park as well as camping space if you would like to bring your own tent or caravanPlease indicate which accommodation type you will require(Required)Shared room with shared bathroomCamping site for caravan/trailerCamping site for tentCONSENT & AGREEMENTPolicies(Required) Agreement to adhere to Variety NT’s policies, code of conduct, and child safety guidelinesMedia(Required) Photo/video consent (for promotional materials)Condidentiality(Required) Confidentiality agreementName First Last Date MM slash DD slash YYYY Δ