Please fill in all questions below

Week 1: Monday, 6 January to Friday, 10 January 2020
Week 2: Monday, 13 January to Friday, 17 January 2020
Week 3: Monday, 20 January to Friday, 24 January 2020

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* 1. Applicant Details

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* 2. If your postal address is different to your residential address, please enter it below:

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* 3. Please indicate your availability for the 2020 VICSWIM program below:

  YES - I am available for the whole week NO - I am unavailable
Week 1 (Jan 6th-10th)
Week 2 (Jan 13th-17th)
Week 3 (Jan 20th-24th)

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* 4. Did you teach VICSWIM in 2019?

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* 5. Is this your first ever year of teaching VICSWIM?

T