Gondwana Kids Choral Academy Volunteer Sup

Personal Information

* Title:

* Given Name:

* Last Name:

* Mobile:

* Home Phone (with area code):

Work Phone (if any) :

* Email:

* Address:

* City / Suburb:

* State:

* Postcode:

Occupation (if any):

All supervisors are required to complete the Working With Children Check with NSW. Do you currently have a working with children check number in NSW? If you do not have one, you will have to apply one before coming to Sydney (more information will give out once we confirmed your place.)

Yes

No

If yes, please provide your Working With Children Check number (must start with WWC)

Please indicate your availability to supervise:
Week 1: 6-10 January 2015, 9 - 4pm
Week 2: 13-17 January 2015, 9 - 4-pm
NB. Supervisor must be available at least two full days of any week including Monday

Have you been a supervisor for National Choral School (NCS) or Sydney Children's Choir before?

Yes

No

If yes, please state the most recent year and choir you supervised:

If you are a parent / guardian of NCS 2015 participant, please state the name and program they are offered in 2015
NB - you may assign to supervise a different Choir from the one your child / ward takes part in

Participant Name:

Choir / Programme:

Relationships to Participant:

* Do you have current first-aid qualifications?

Yes

No

If yes, please provide details:

Do you have current lifesaving qualification

Yes

No

Please provide details below of any relevant skills, interests and experience of supervision:

If you haven't been a Volunteer Supervisor for Gondwana Choirs or Sydney Children's Choir before, please provide Gondwana Choirs with one reference who we may contact with regard to your application:

Name:

Phone:

Email:

Relationships to you:

Emergency Contact:

* Name:

* Contact Number:

* Relationship to you:

By submitting this form, I hereby declare that the above information is true and complete to the best of my knowledge. I understand that a false statement may disqualify me from further consideration as volunteer and or result in dismissal from my duties as a volunteer

I Agree