PARTICIPATION CRITERIA I nominate the above named person for appointment as an Adult Helper in The Scout Association of Australia, New South Wales, The nomination is supported by two referees named below who have been contacted by me and the applicant is accepted by me as a person of suitable repute. NOMINATION FOR DESIRED APPOINTMENT On receipt of a cleared Police Records Check, I recommend the above named person for appointment. Appointment (e.g. Chairperson, Secretary, Treasurer, Group Administration Officer or Adult Helper [Regular Helper]) Region Formation (e.g. 1st Haberfield Cub Scout Pack "Koala") FORMATION ENDORSEMENT Signature of Print Date of Formation Name REGION ENDORSEMENT Signature of supervising Appointment Date Commissioner /Leader Signature of Region Date Office Manager Only those subscribing to the undermentioned Consents and Declaration shall be entitled to appointment as an Adult Helper in The Scout Association of Australia, New South Wales Branch. DECLARATION BY APPLICANT I hereby apply for Adult Membership of the Scout Association of Australia, New South Wales Branch and to the above position. i) Past Service I have listed all my previous service as an Adult Member of the Scout Movement as required on page 1 of this form. ii) Consent For Referees Check I authorise the Scout Association to make any enquiries it sees fit as to my character, background, and suitability. Names and addresses of two responsible citizens, other than relatives or members of the Scout Association, to whom I am personally known, and of whom enquiries may be made are: Referees: 1.Name Address Phone No. ( ) 2.Name Address Phone No. ( )
PARTICIPATION CRITERIA I nominate the above named person for appointment as an Adult Helper in The Scout Association of Australia, New South Wales, The nomination is supported by two referees named below who have been contacted by me and the applicant is accepted by me as a person of suitable repute. NOMINATION FOR DESIRED APPOINTMENT On receipt of a cleared Police Records Check, I recommend the above named person for appointment. Appointment (e.g. Chairperson, Secretary, Treasurer, Group Administration Officer or Adult Helper [Regular Helper]) Formation Region (e.g. 1st Haberfield Cub Scout Pack "Koala") FORMATION ENDORSEMENT Signature of of Formation Print Name Date REGION ENDORSEMENT Signature of supervising Commissioner /Leader Appointment Date Signature of Region Office Manager Date Only those subscribing to the undermentioned Consents and Declaration shall be entitled to appointment as an Adult Helper in The Scout Association of Australia, New South Wales Branch. DECLARATION BY APPLICANT I hereby apply for Adult Membership of the Scout Association of Australia, New South Wales Branch and to the above position. i) Past Service I have listed all my previous service as an Adult Member of the Scout Movement as required on page 1 of this form. ii) Consent For Referees Check I authorise the Scout Association to make any enquiries it sees fit as to my character, background, and suitability. Names and addresses of two responsible citizens, other than relatives or members of the Scout Association, to whom I am personally known, and of whom enquiries may be made are: 1.Name Address Phone No. ( ) 2.Name Address Phone No. ( ) Referees:
A2_-_Application_for_Adult_Helper_-_Aug18.docx