SWBC - South West Baptist Church Sites > Sharp Trust > About Us > Volunteer & Supervise > Supervisor Application Supervisor Application Thanks for your interest in being a Supervisor with SHARP Trust. Please complete the form below. Applicant DetailsI'm applying to be a Supervisor/Tutor for* Holiday Programme After School Programme Rowleyz All Name* First Last Postal Address* Street Address City ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Email* Phone*Cell PhoneDate of birth* GenderMaleFemaleAre you a New Zealand citizen?YesNoIf yes, can you provide evidence if required?YesNoIf no, do you have the right of residence or a work permit?YesNoDo you have a full drivers license?YesNoDo you have a first aid certificate?YesNoHave you had a criminal conviction?YesNoPlease describe why you are applying for this position:*What strengths/gifts/talents would you bring to this position?What do you see as the key aspects of running a successful Christian children's programme?Qualifications:Health and SafetyThe Health and Safety in Employment Act requires the employer to identify hazards and to provide a safe place of work. A person's physical state may pose a hazard for themselves and/or other staff hence the reason for these questions.Do you have the ability to effectively carry out the functions and responsibilities of the position applied for?YesNoIf No, please provide details.Do you have an injury, past or present, likely to be aggravated by the position applying for?YesNoIf Yes, please provide details.Have you claimed Accident Compensation in the last five years?YesNoIf Yes, please provide details.Employer HistoryPlease provide contact details of your last 5 years of employment or two adult referees who know you well, who are NOT family members. This is so that we can contact them about your application. This is a legal requirement.Work History/Paid or Unpaid ExperienceEmployerPosition HeldMain DutiesDates EmployedReason LeftHours Worked/week I have been a leader within the last year and do not need to fill this section out. Yes! Please move on to the Consents and Declaration Section Referee NameReferee Phone NumberRelationship to RefereeReferee Name 2Referee Phone Number 2Relationship to Referee 2Consents and DeclarationPreferred Age group to lead*Younger ChildrenOlder ChildrenPlease choose an age group you would most like to work with. We cannot promise to put you with this age group. Priorities will be given to those who sign up early.After School - Which Days are you free to work Mon Tue Wed Thu Fri Holiday Programme Week 1 Week 2 Consent Yes No I consent to SHARP seeking verbal or written information about me from the New Zealand Police, representatives of my previous employers and/or referee's and authorise the information sought to be released.I declare that:* I have no criminal convictions to the best of my knowledge the answers in this application are correct.