Your name:
Date of Birth: Gender: Email: Phone: Street Address: State / Province / Region: Postal / Zip Code: Country: Do you have a Working With Children Check?: If Yes, please provide your WWC Number: Next of Kin Phone: Next of Kin E-mail: Relationship to you?: Why do you want to become a Stride Facilitator?: Have you had previous experience facilitating or teaching in schools?: If yes please provide details: Organisation: Organisation Contact Name: Organisation Contact Phone: Role: What best describes you?: Have you ever interacted with young people aged 12 to 25 years of age? : If Yes, how and when?: Commitment/On-going Training | Stride’s programs aims to reflect best practice standards. For this reason, we require that Facilitators participate in any training and/or briefing sessions associated with these programs. Are you able to commit to these requirements? : Compliance | Comply with relevant Stride policies and procedures in the serviced communities during and outside the Stride workshop activities. Represent Stride in a professional manner. Are you able to commit to these requirements? : Team Work | Work together with the Stride Program & Development Manager, other role model/s and key community representatives to deliver Stride program workshops with a life-skills and education focus in identified Australian schools and communities. Are you able to commit to this?: Communication | Maintain regular communication with the Stride Program & Development Manager, especially in the lead up to each workshop. Consult with Stride before agreeing to be a media spokesperson for Stride programs. : Are you able to commit to these requirements?: Employer / Supervisor Name: Company/Organisation: Position/Role: Employer Email: Employer Phone: Friend/Character Reference: Friend/Character Reference Email: Friend/Character Reference Phone: Have you read and agree to the terms of the Young Person and Child Safety Policy?:
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