Staff Application
1.) Personal Details
a.) First Name
b.) Surname
c.) Address
Postcode
d.) Mobile
Home
D.O.B.
e.) Have you ever had any criminal
f.) Do you hold a current Working with Children
convictions?
clearance?
YES (please provide details)
YES
NO
NO
Please attach a copy
g.) Do you hold a current Drivers
h.) Do you hold a current First Aid Certificate?
Licence?
YES
YES
NO
NO
Please attach a copy
Please attach a copy
2.) Availability
Please tick all applicable availability below;
Days
Morning Availability
Afternoon Availability
9:00 am – 12:00 pm
12:00 pm – 3:00 pm
Monday
9:00 am – 12:00 pm
12:00 pm – 3:00 pm
Tuesday
9:00 am – 12:00 pm
12:00 pm – 3:00 pm
Wednesday
9:00 am – 12:00 pm
12:00 pm – 3:00 pm
Thursday
9:00 am – 12:00 pm
12:00 pm – 3:00 pm
Friday
9:00 am – 12:00 pm
12:00 pm – 3:00 pm
Saturday
9:00 am – 12:00 pm
12:00 pm – 3:00 pm
Sunday
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Little Champs Sports Club| Application Form 2014 .au|
0421348036