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Buddy Application Form

Kidsline Buddy Application

 First Name*






 Last Name*









 Email Address*






 Contact Number*






 Physical Address*






 Current School*






 Current Year Level in 2017* 




 Nearest Lifeline Branch 






 Do you have a disability that we should be aware of?* (This will help us to provide better support during the training and on shift, this will remain confidential to Lifeline Aotearoa)









 Please type your Ethnicity of you select "other"






 Do you agree to the minimum required commitment?* (This is two 2.5 hour shifts per month, plus 5  training afternoons per year)




 I am able to travel to our Greenlane base by 3.45pm after school twice a month*




 I can make a significant commitment to year to shifts, training and community activities to the end of year 13



 Why Are you applying for Kidsline?* (100 Word Limit)




 At Kidsline we value diversity.Can you explain a time you have been mindful of others from diverse background? E.g Different cultures, religions, sexualities, genders and abilities *(100 Word Limit)




Provide a quote that sums up your attitude towards life and describe why ?*(100 Word Limit)




 My parent/guardian has given consent for me to apply*
(Once you are confirmed as buddy, your parent/guardian will need to sign a permission form)



  I can attend at least ONE of the following dates for an Interview night*;
Tuesday 28th of March :6.30 - 8.30
Wednesday 29th of march: 6.30 - 8.30
Thursday 30th of March: 6.30 - 8.30
  I can attend ALL of the FIVE Training dates in April School Holiday which are*;
Wednesday 19th of April: 9am - 4pm
Thursday 20th of April : 9am - 4pm
Wednesday 26th of April: 9am - 4pm
Thursday 27th of April : 9am - 4pm
Friday 28th April : 9am - 4pm
   ** Application closing Date :  24th February 2017



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