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Leader Inquiry Form

Submitted by cooinda on August 24, 2009 - 10:19pm

Because of the number of inquiries received about being a leader at Camp Cooinda, we send further information only to people who provide the information requested on this Leader Inquiry Form.

Once we have your details, we will send you information about the next summer program as soon as possible.

(* indicates essential information)

Name: *

Street Address: *

City/Suburb: *

State: *

Postcode: *

Country:

Phone Number:

Please include the area code

Email Address: *

Age:

I have read the file "Becoming a Leader" on the Cooinda Leaders page: *

Yes

Please ensure you have reviewed the Cooinda Leaders page.

I am interested in being a volunteer leader between 27 December 2012 and 17 January 2013: *

Yes

I could complete the selection process described in "Becoming a Leader" by early November 2012: *: *

Yes

Unsure

Please ensure you have reviewed Becoming a leader 2012.

I am available for a leader training camp, 30 November to 2 December 2012: *

Yes

Unsure

My experience in working with young people is:

I am able to receive Adobe Acrobat Pdf files by email:

Yes