Nomination Form for SESA volunteer program staff

The South East Sports Academy (SESA) is calling for nominations for staff to support its sports programs.

Successful candidates will be provided with an honorarium to support their work with the SESA teams and athletes.

Nominations will be assessed by SESA and the relevant State Sporting Organisation and successful applicants will be notified.

Applicant Information

Applicant First Name *

Applicant Family Name (Surname) *

Preferred Name

Postal Address *

Suburb *

State *

Postcode *

Date of Birth * +

Gender *

Male

Female

Other, please specify

Phone Type *

Phone Number * 🛈

Phone Type

Phone Number 🛈

Applicant email address *

Confirm email *

Do you have a Working With Children Check? *

Yes

No

Working with children check number *

Expiry date of Working with Children Check * +

Do you identify with any of the following groups? 🛈

Aboriginal or Torres Strait Islander descent

From a Cultural and Linguistically Diverse background

Disability