SUNDAY APPLICATION FORM

Date of Application:______

Section 1: Personal Details

First Name: / Surname:
Home Address: / Current Address (if different):
Home number: / Mobile Number:
Email Address: / Date of Birth (EngHeb):
Emergency contact name: / Emergency contact no:
Current Doctor name, address, telephone no: / Current occupation:
T-shirt size: (s,m, l, xl, xxl) / DBS (formerly CRB) no.:
______
(if you are not DBS-checked, you will need to be checked before camp, please tick box) 

Section 2: Experience

Do you have any experience with children or adults with special needs? If so please describe:
Please state briefly any OTHER experience or qualifications that you feel would enhance your work at Kef (E.G helping a family after school, any other job you have had)
Do you have any skills or talents that would enhance the childrens experience at Kef Sunday?
Why would you like to work with children with special needs?

Section 3: Returning Counsellors

Which child/children have you looked after previously?
Would you like to continue with the same child?
Is there a child that you feel you would work better with or would prefer to look after?
Are you available mornings or afternoons or both? Are you flexible, but have a preference?
(Please note that we will try to accommodate all requests but it is not always possible)

Section 4: Medical

Do you have any pre-existing medical conditions? If yes please specify (full disclosure is required):
Are you currently taking any medication? Please list below:

Section 5: References

Reference 1:

Name:
Telephone no:
Connection:

Reference 2: (optional)

Name:
Telephone no:
Connection:

Please return all completed forms via email or by post to

Kef Sundays c/o

Kef Office 4 Decoy Avenue London NW11 0ET

PLEASE ALSO SUPPLY A CURRENT PHOTOGRAPH OF YOURSELF

(if form sent by email please email photo or send photo separately by post)

If you have any queries, please call

Pinky 07572 874 284