Counsellor Application - D'Sozo Camp WA

Thank you for your interest in attending D'Sozo Camp WA as a youth leader.

Please take a few moments to familiarise yourself with the Camp Handbook before proceeding.

Upload or Take a Recent Photo of Yourself *

Firstname *

Date of Birth *

Address *

City *

State *

Postcode *

Lastname *

Gender *

Email *

Phone / Mobile *

Alternative / Emergency Contact

Name *

Mobile Phone *

Relation to You *

Home Phone

Work Phone

Why do you want to serve at D'Sozo camp as a counsellor / youth leader?

Serving as Counsellor

Your Home Church *

Relationship Status *

I support the mission, teachings and evangelism of the Seventh-day Adventist Church.

How do you maintain your walk with Christ? *

How would you rate yourself as a leader? *

How would you rate your spiritual influence? *

In order to serve, will you need to arrive on, before or after the specified dates? *

If before or after, please provide details.

Are you willing to enthusiastically participate in every aspect of the camp program, even push-ups at line call? *

Medical

Tick any medical history that applies to you. All answers will be held in strict confidence.

Other Medical History

Allergies

Please provide details of allergies.

Do you have private health insurance?

Health Insurance Details

Misc.

Have you ever been arrested, convicted or investigated for a crime involving drugs, sex or violence? *

If yes, please provide details.

Do you hold a current First Aid Certificate?

Please Note: It is required by law for everyone (including volunteers) who work with children to hold a current Working Wiith Children Check. Each counsellor and staff member must hold a current WWCC. This does not cost for volunteers. Click the following link to apply online: Working with Children Check Application

Do you hold a suitability card for child-related employment? (e.g. Working With Children Check) *

If yes, please provide your WWCC or card number and expiry

References

Please provide a minimum of three references, by entering their names and contact details below.*

Financial

.Please note: D'Sozo Camp is the result of God leading in the many lives of those who have been willing to give of their time and talents to it happen. No-one receives personal financial gain from camp fees.

Fees include one week of accomodation and meals (breakfast, lunch and light tea).

Pickup and Dropoff is available from Perth airport.

How many 'extra' guests will be travelling with you (e.g. younger children) *

Select appropriate camp fee *

Pickup / Dropoff

Optional Donation $ (expenses may be higher than actual fees charged)

Please choose the payment method that applies

Please send bank deposits to:

Account Name:	Eastward Public Relations
Bank:	Commonwealth
BSB:	06 2623
Account Number:	1016 1600

Cheques may be posted to:
Eastward Missionary College
665 Upper Rollands Plains Rd
Rollands Plains, NSW 2441

Counsellor Agreement

I have carefully read the Camp Handbook and I agree to abide by all the camp codes and guidelines. *

Please carefully read the D'Sozo Camp Risk Management Strategy.

By clicking "I Agree" below, you are stating:

I have read Eastward's Risk Management Strategy and understand this organisation's commitment to establishing and maintaining a safe, friendly environment for children and young people.

I agree to uphold the Child Protection Policy and Code of Conduct contained within the Strategy and to follow the guidelines and procedures outlined in the Strategy. I will work to contribute positively to the growth and development of the organisation, the young people and children it provides services to, and their parents and carers.

I have read and agree to abide by Eastward's Child Protection policy as outlined in the Risk Management Strategy *

Submit Application