New Leader Application

Name*

Date of birth*

Street address*

Suburb*

Postcode*

Email address*

Mobile phone*

Home Phone

Occupation/School/University*

Church that you attend regularly*

How long have you been attending this church?*

Role at camp*

CHRISTIAN LIFE

Have you been a camper at Kedron before?*

Yes
No

How did you hear about Camp Kedron?*

Have you attended Camp Kedron's Leadership camp?*

Yes
No

Tell us about your journey to becoming a Christian.*

Why would you like to serve with us at Camp Kedron?*

How would you explain the gospel to a child or teenager?*

Have you had any experience in working with children? If yes, please describe (include time-frames).*

What gifts/talents/skills do you have that might be useful at camp? (e.g. musical, creative, sports)

REFEREES

Please give the details of 2 referees who know you well and who we can contact. (At least 1 of the referees should be your minister or youth pastor).

Referee #1 name*

Referee #1 contact number*

Referee #1 organisation and position*

Referee #2 name*

Referee #2 contact number*

Referee #2 organisation and position*

CHILD PROTECTION AND SAFETY

Working with Children Check number

This check is required for all leaders 18 years and over. If you have not completed the check yet, you must do it at least 1 month before camp begins.

Do you have any criminal convictions? If so, please state.

Have there been any incidents that you as an adult were involved in, either directly or indirectly, which were of a child protection nature? Or have you ever, to your knowledge been accused of sexual misconduct or abuse?*

Yes
No

LEADER'S DECLARATION

Please read and confirm the following:*

I am committed to this ministry as an expression of my faith in Jesus and my desire to live as his disciple.
I agree to abide by the Camp Kedron Code of Conduct.
I will work under the leadership of the Director and will support him/her.
I commit myself to operate by biblical principles - serving in love, humility and unity.
I currently do not participate in any premarital or extramarital sexual relationships, serious dishonesty of other moral lapses.
I declare that I have not in the past participated nor do I currently participate in any physical or sexual abuse of a child.
I confirm that the information provided in this application is true and correct.