YWS Youth Reference Group Volunteer Application

YOUTH WATER SAFETY

Youth Reference Group Application Form

Please complete the following application form if you wish to be part of Royal Life Saving WA's Youth Water Safety Youth Reference Group. If you require any assistance completing the application, or have any questions about the role, please contact our Youth Water Safety Coordinator Tneale on 08 9383 8200 or via beamermate@royallifesavingwa.com.au. We encourage applications from young people of all backgrounds and experiences: your voice matters!

First Name *

Last Name *

Date of Birth *

Pronouns

Mobile Number *

Email Address *

Do you identify as Aboriginal and/or Torres Strait Islander? *

YesNoPrefer not to say

What is your country of birth? *

Do you speak any languages other than English? *

YesNo

If yes, please specify

Languages spoken

Why do you want to be part of the Youth Reference Group? *(100 words max)

What skills or strengths would you bring to the Youth Reference Group? *(100 words max)

Do you have any accessibility needs or requirements to help you participate fully? *

YesNo

If yes, please specify

Accessibility Requirements

Do you have any dietary requirements? *

YesNo

If yes, please specify

Dietary requirements

I confirm that all information provided is accurate. *

If under 18: a parent/guardian must sign below to confirm consent for participation.

Parent/Guardian Name

Contact Details

Parent/Guardian Signature

Clear