Welfare champion | Expression of interest
Email address *
Full name *
Date of birth *
(Please note American formatting)
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Gender *
Contact number *
State *
Suburb *
Which mental health profession do you identify with? *
Which body/organisation are you registered with and at what level? *
In 100 words or less, why would you like to get involved with Outside the Locker Room? *
Have you played team sports or been involved in a sporting club before? If not, please answer "N/A". *
Have you worked or volunteered for your community and/or sporting club before? Which club/community? *
Have you facilitated or delivered psycho-education training before? If yes, please elaborate. *
How far are you prepared to travel? Please answer in hours or kilometers. *
Most of our sessions run on week nights (6-9pm). Please indicate your availability. *
Required
Do you have an ABN? *
Do you have your own professional indemnity and public liability insurance? *
Do you have a Working with Children Check? *
Would a police check disclose anything that could impact your ability to carry out your role as a welfare champion, e.g. IVOs? *
Have you ever had any ethical or criminal complaints made against you? *
How did you first find out about this opportunity to become a welfare champion? *
By clicking 'YES', you accept that you MUST sign all relevant contractual agreements before you can become an Outside the Locker Room welfare champion. *
I have read and accept Outside the Locker Room's privacy policy. *
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