Instructor Application Form This application form is for qualified and experienced outdoor education instructors who meet the below selection criteria. If you do not have previous work experience as an outdoor instructor, please contact Human Resources for other opportunities. International applicants in Australia on a working holiday visa are welcome to apply. Successful international applicants will be offered 2 x 3 month seasonal contracts. Application Process Save the date! After you have passed your phone interview and reference checks, you will be required to participate in the in-the-field assessment program from 21 – 28 August 2014. This is compulsory for all instructors and takes place at our National Base in Canberra. Selection Criteria Wilderness First Aid (60 hours) CPR qualification Bronze Medallion Certificate IV in Outdoor Recreation If you have international experience or qualifications, please submit a copy of your log book and qualifications so that we can assess your relevant experience leading multi-day journey based programs. Working with children check All applicants must provide a valid working with children check before starting work. Further information can be found: ACT – http://www.ors.act.gov.au/community/working_with_vulnerable_people NSW – www.kids.nsw.gov.au WA – http://www.checkwwc.wa.gov.au VIC – http://www.workingwithchildren.vic.gov.au/ Field experience o Experience instructing multi-day journey based / expedition programs o Climb / abseil (belaying) experience o High and low ropes experience o Off-track navigation / Bushwalking experience o Flat water canoe experience Page 1 of 4 Instructor Application Form Personal Details Full Name Preferred Name Nationality Date of Birth (dd/mm/yy) When are you available to start work? (dd/mm/yy) I have a current visa Please specify the visa type: What are your working rights in Australia? I am a Citizen or Resident of Australia or New Zealand What type of work are you seeking? Full time, ongoing Do you have a preference for your work location? (If none, please leave Walpole, WA Have you previously worked for an Outward Bound school? No Seasonal or contract For how long: Tharwa, ACT Buchan, VIC I have not yet obtained my visa Casual, ongoing Kunghur, NSW blank) Yes Which Outward Bound did you work for: Please specify the dates you were employed: Current Address Post Code Contact Details Home Work Mobile Skype Email Education School/Institution Name Country Years Attended From (Start date) Qualifications Please attach photocopies of each qualification that you select below: Certificate IV in Outdoor Recreation No Yes Outdoor Education Qualification, Course or Internship No Yes Wilderness First Responder/Aid No Yes CPR Certificate No Yes Bronze Medallion / Water life Saving Certificate No Yes Swift Water Rescue No Yes To (Completion date) Degree/Major/Certificate Obtained Training provider: Qualification title: Training provider: Qualification title: Training provider: Qualification title: Hours attended: Expiry date (dd/mm/yy): Training provider: Qualification title: Expiry date (dd/mm/yy): Training provider: Qualification title: Expiry date (dd/mm/yy): Training provider: Page 2 of 4 Roping Rescue No Yes Drivers licence No Yes Qualification title: Expiry date (dd/mm/yy): Training provider: Qualification title: Expiry date (dd/mm/yy): State: Licence / ID Number: Expiry date (dd/mm/yy): Other relevant qualifications (please list) Please attach additional sheets if needed Work History A copy of my resume is attached Current Position Job title: Company: Start date: Brief summary of position: Future Positions Do you have any work planned within the next 12 months? Yes Experience Indicate your ability level/ experience in each of the following areas by ticking appropriate box No Experience Personal Experience Assist- Experience Experience instructing or CoInstructing instructing Camp Craft Experience training/mentoring other instructors Journey based / expedition Instructing White Water Rafting Please indicate what grade/class: Flat Water Rafting / Canoeing Navigation with a Map and Compass Top rope climbing Abseil / Rappelling Working with Youth (age 1418) Working with Adults Facilitating Leadership/Teamwork /Communication skills Wilderness Risk Management Page 3 of 4 Referees Please provide contact details for three referees Referee # 1 Name Position Organisation Relationship to you Phone number Email address Referee # 2 Referee # 3 Medical History Do you have any medical conditions or previous injuries that may inhibit your ability to lead an Outward Bound course? Back injury Eye/vision impairment No Yes No Joint or bone injury Ear/hearing difficulty No Yes No Muscle injury Asthma No Yes No Heart/blood/circulatory Mental/Psychological No Yes No condition illness If you answered yes to any of the above, please provide brief detail: Feedback Request How did you hear about Outward Bound? Google / Internet Search Cooee Jobs Adventure Pro Referral by friend/family Yes Yes Yes Yes Completed an Outward Bound Course Previous Outward Bound employee Word of mouth Other: Declaration I declare the above information to be correct and authorise Outward Bound to consult my referees to request verifications and/or academic transcripts from the individuals or institutions herein. I understand that it is necessary for me to undergo a medical examination and police record check (working with children check) prior to commencement of employment. Signed Date Outward Bound Australia would like to keep your application on file. In the event that your current application is not successful we may contact you in the future with other opportunities. Please tick this opt out box if you DO NOT agree to us keeping your application on file. Application Checklist Please make sure you have completed and enclosed all the required documentation listed below. Application Form CV/Resume Photocopies of all relevant qualifications (as listed in Question 3) Completed Logbook- see website if you need an example of a logbook Please submit your completed application form to: [email protected] Further queries may be directed to the Human Resources Department: Phone: +61 2 6235 5700 Fax: +61 2 6237 5224 Email: [email protected] Web: www.outwardbound.org.au Page 4 of 4
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