IW Nov 2013 Staff Registration

Date: 29 Nov - 1 Dec 2013

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Name *
IC Number *
or passport number
Contact number *
601XXXXXXXX
Contact email *
Medical condition (if any) *
eg: medication allergies, pre-existing conditions. Anything that is essential for us to be aware of especially during IW
Food preference *
Food allergies (if any) *
Name of emergency contact person *
Relationship with emergency contact person *
Contact number of emergency contact person *
Which positions are you interested in for this IW? *
you can choose more than one
Required
Based on your answers above, please state your first choice preference *
Please state your availability on Friday *
eg: working until 6pm, school until 1pm, available whole day, etc
What is your previous IW staff experience (if any) ? *
brief summary
Special skills *
eg: First aid certification, photography, catering/group cooking experience, heavy vehicle license, etc
If you have a car, are you available to drive to IW if we need your support? *
mileage allowance will be reimbursed accordingly. We are also collating driver info for emergency plans
Accommodation preference during IW *
Please also choose "personal" if you already made plans to share someone's tent/car
Staff facilitation training will be on 16th November 9am-6pm. Will you be able to attend? *
we have no power to "force" you to attend. but we believe that it is highly beneficial to you and the facilitation quality of IW as a whole.
Any additional requests/comments/information? *
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