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Do We Have An Agreement? Staff
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Staff Induction Form
Staff Induction Form
Staff Induction Form
Please fill in some details about you for us below.
Please Note:
if you are unable to tick the boxes, please click on the statements beside the box and the box should fill.
Personal Information
Name
First
Last
Date of Birth:
DD slash MM slash YYYY
Email
*
Phone Number(s)
*
Please provide us with your contact phone number(s)
Address
*
Street Address
Address Line 2
Town / City
State
Post Code
Child Protection Number
*
This may also be known as your Working With Children Check Number. If you do not have one, please write your application number here.
Child Protection Expiry
DD slash MM slash YYYY
State of Issue of Child Protection Number
Emergency Contact
Please provide us with the name & number of an emergency contact person for you.
Young Life Australia Information
Please indicate the role you are applying for
*
Choose Role:
Intern
Student Staff
Field Staff
Area Manager
Regional Manager
Local Area Administration
National Office
Young Life Area
*
Do you regularly attend church?
*
Yes
No
Name of your local church / faith community
Acknowledgement
Staff Statement
*
I authorize, at Young Life Australia's discretion, investigation of all statements made by me in this application, and review of any civil or criminal records, which may exist, concerning me, except for such records as are sealed according to State or Commonwealth law. I further authorize Young Life Australia, at its discretion, to contact employers, references and others whose names are provided on this application form, or whose names may be identified by me in an interview, and I authorize such persons to provide Young Life Australia with information requested by Young Life Australia regarding me. I further release any such individuals, as well as Young Life Australia, from any claims I might have arising out of any discussions involving me, or the provision of any information or records regarding me. In the event I become an employee of Young Life Australia, I understand that false or misleading information given in my application or interviews may result in dismissal.
I agree
Please ensure that you hit the
SUBMIT
button so that your information is captured. If you do not hit submit, you will be asked to come & re-complete the form.
You must complete this form in order to move to the next topic.
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