Buddy Application Form - The Jam Project 2020
Women aged between 21-28 years of age can apply to become a buddy. The Jam Project is run under the auspice of NCJWA Vic. All information will remain private and confidential. Please complete all mandatory sections of the form. For more information please contact: The Jam Project co-ordinator Naomi Swart on 9044 5408 or email: jamproject@ncjwavic.org.au

Objectives of The Jam Project:
The Jam Project, established in 2016, aims to empower adolescent girls in their transition to adulthood. The Jam Project has identified that providing emotional support during adolescence can foster a sense of self-worth, self-belief and independence. The program will address pivotal stages and topics that often require support during the teenage years. Echoing the vision of NCJWA Vic, ‘powering women and girls for a better world’, The Jam Project aspires to strengthen and empower young women in their development, fostering future leaders.

Your commitment:
- Attend all training sessions (times to be confirmed for February 2020)
- Commit for the twelve-month period
- Fortnightly catch ups with your match
- Attendance at all group sessions
- Attendance is compulsory for all group supervision sessions throughout the year
- To report to the Jam co-ordinator after your fortnightly catch ups

What will you get out of being an effective buddy:
- Professional training by NCJWA Vic to become a buddy
- Support a young woman through their journey of adolescence
- Enhance your own interpersonal relationship skills

Processes:
- Application forms will be evaluated by The Jam Project co-ordinator
- Interviews will take place for potential buddy applicants
- Interviews will be evaluated, and successful applicants will be selected
- Buddies will then be matched in February 2020

Requirements:
- Working With Childrens Check
- Police Check
- References
- Character Reference who has known you for 12 months or longer. E.g. Teacher, lecturer, neighbour, family friend.
- Professional Reference. E.g. Employer, Volunteer Co-ordinator
- Please note, if you are going to provide a Youth Movement reference, we require a Shaliach/Head of Movement as
reference.
Full Name: *
Your answer
Home Address: *
Your answer
Mobile Phone: *
Your answer
Email: *
Your answer
Date of Birth: *
Your answer
Age: *
Your answer
Emergency contact - name, phone number and relationship to you: *
Your answer
Relationship status *
Describe your current working/studying status (include details) *
Your answer
What school did you attend? *
Your answer
What are your hobbies and interests? *
Your answer
Have you worked / volunteered with youth in the past? Please describe your experience in this area *
Your answer
Identify 3 characteristocs in yourself that you see as your strengths *
Your answer
Identify those areas or themes in which you would like support *
Your answer
Identify a meaningful experience you went through as an adolescent. Please describe what it was, why it was meaningful to you *
Your answer
Idenitfy a challenge or concern you faced as a adolescent *
Your answer
What strategies did you use to support you through this challenge *
Your answer
Describe your family structure *
Your answer
Do you all live at the same address? *
Is home a positive place for you? Please discuss *
Your answer
Was school a positive place for you? Please discuss *
Your answer
Have you ever been in contact with a psychiatrist, psychologist or family counsellor? If yes - when and have strategies been put in place to support you moving forward? *
Your answer
Have you currently or in the past struggled with any of the following personal conditions: *
Required
What attracted you to apply as a buddy for The Jam Project? *
Your answer
Your role as a buddy will require you to be introspective. How do you think your values align with the program's objectives? *
Your answer
The Jam Project is a special program and whilst we would love to cater for all buddies, we do have limitied spaces. Please describe how you will manage the commitments/requirments for 2020 (training, fortnightly catch ups, jam sessions, professional development) *
Your answer
The Jam Project will take place for the duration of a year. Do you plan on taking any holidays/going away in 2020? *
Your answer
I Consent to photos/videos of myself being taken by NCJWA Vic for a variety of public relations, communications and promotional activities relating to the Jam Project
Please select the days of the week and times that best suit your schedule (select as many as possible): *
Required
Please list any information you have (day of week/date/month) regarding times where you will be unavailable in 2019. E.g. School and youth movement camp dates, school trips such as Yorta Yorta or Cambodia, musical rehearsal, holiday dates: *
Your answer
Requirements and Referees
Please provide the contact information of two referees. One reference should be a character reference (who has known you for longer than 12 months) E.g. Teacher, neighbour, family friend, lecturer.

Second reference should be professional. E.g. Employer, Volunteer Co-ordinator. Please note, if you are going to provide a Youth Movement reference, the Shaliach/Head of Movement is required.
Character Reference (name, phone number and email) *
Your answer
Professional Reference (name, organisation, phone number and email) *
Your answer
Do you have the following *
Required
Date of submission: *
Your answer
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