Facilitator EOI Form

Facilitator Expression of Interest Application Form

Please fill out the application form below to submit your interest in joining our Team at Blue Light Victoria.
Personal Details
Full Name*

First NameLast Name
Pronouns
Email*
Suburb you live in:*
Enter name of Suburb you live in
Phone Number*
Please enter a valid phone number.
Availability

Select all that apply
What days are you typically available to work (School hours)?*

MondayTuesdayWednesdayThursdayFriday
Are you available for 3 hour shifts during school hours?*

YesNoUnsure
Are you able to travel to schools across Victoria?*

YesNoUnsure
Please specify preferred Suburbs/Regions:*
Experience & Qualifications
Why are you interested in becoming a Blue Light Victoria Facilitator?*
Briefly describe your experience working with young people (e.g., school programs, coaching, youth work, camps, volunteering):*
Do you have experience presenting, facilitating groups, or leading activities?*

YesNoOther
If Yes, please give a detailed description below:
Do you currently have relevant qualifications - (Select all that apply)*

Working with Children Check (or willing to obtain)First Aid CertificateYouth work qualificationsMental health and wellbeing trainingOther
If other please specify
Safety & Compliance
Do you currently hold a valid Working with Children Check (WWCC) for Victoria?*

Yes - Employee CheckYes - Volunteer CheckNo, but willing to obtainNo
Do you have a current Police Check? (Not older than 3 months)?*

YesNo, but willing to obtainNo
About you:

In just a few brief words describe something about yourself:
What strengths or personal qualities would make you a great fit for our facilitator team?*
How would you ensure sessions remain safe, inclusive, and engaging for all students?*
Please upload a copy of your Resume*

Cancelof
Declaration:
I can confirm that the information provided is true and accurate:*
Date:*

MonthDayYear
Date
Privacy and Confidentiality Statement
Blue Light Victoria collects and uses the personal information provided in this Expression of Interest solely for assessing suitability for facilitator roles and related administrative purposes. Information will be stored securely and will not be disclosed except as required by law. Submission of this form indicates your acknowledgement of this use.
Should be Empty:

Facilitator Expression of Interest Application Form

Personal Details

Availability

Experience & Qualifications

Safety & Compliance

About you:

Declaration:

Privacy and Confidentiality Statement