Counsellor Application - D'Sozo Camp NSW

Thank you for being willing to serve at camp as a counsellor. Before you continue, please familiarise yourself with the 'Camp Handbook'.

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

Serving as Counsellor

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

Year of Baptism *

Your Local Seventh-day Adventist Church *

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?

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

Musical Experience

Please note that we will not be doing a formal musical production at D'Sozo NSW, however if you are interested in music, please complete the fields below.

Enter any instruments you play, including how long you've been playing them and your level of proficiency (e.g. beginner, intermediate or advanced)

What musical part(s) can you sing?

Youth Leadership training

YLT will take place at Obadiah from January 13th - 15th just before D'Sozo starts. YLT is mandatory for all first-time counsellors and highly reccommended for all to attend.

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 (preferably) from Port Macquarie aiport, or Wauchope / Kendall train stations. If necessary, Newcastle airport may also be a possibility.

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 Counsellor Handbook and I agree to abide by all the camp codes and guidelines. *

Submit Application