Summer School - Tutor Recruitment Form
	Full Name
	Preferred Name
	Date of Birth
	Address
	Email Contact
	Contact Number
	Preferred method of contact	Email Phone
	Current Year Level
	University Attending
	Current/Previous Course
	Top 3 Subject Preferences
	What role would you like to apply for (Please refer to website for role descriptions. Note: All roles require an interview process).
		Subject Coordinator Subject Tutor Focus Tutor Zine Editor Welfare Coordinator Residential Tutor Residential Coordinator Activities Team Group Leaders First Aid Officers
	Grade average
	Do you have any medical conditions?  Yes No
	Please list
	Do you have any allergies?  Yes No
	Please list
	Would you like to run a workshop?  Yes No
	Please list
	Would you be interested in attending a weekend tutor camp in December?  Yes No
	Do you have your first aid certificate?  Yes No
	T-shirt size?	XS S M L XL
	Emergency Contact
	Name
	Relationship to you
	Preferred contact number
	Please select the days which you will be available for interviews
	Monday Tuesday Wednesday Thursday Friday	1-2 2-3 3-4 4-5 5-6 10-11 11-12 12-1 1-2 2-3 3-4 4-5 5-6 10-11 11-12 12-1 1-2 2-3 3-4 4-5 5-6 10-11 11-12 12-1 1-2 2-3 3-4 4-5 5-6 10-11 11-12 12-1 1-2
	Do you have a Working with Children Check?  Yes No
	Please give some reasons why you want to apply for the Summer School?
	100 words max
	Please list any prior related working experience.
	100 words max