APPLY TO BE A 2020 KOKODA KID

The Kokoda Challenge Youth Program (KCYP) 2020 Applications

We're excited to have you apply for KCYP in 2020. By completing this survey, your application will be submitted into consideration for our 2020 Youth Program. The next step will be an interview stage, which you will be contacted by our Youth Manager, Dann Hollingshed. For more information, contact dann@kyf.org.au or visit www.kokodachallenge.com/youth-programs/kcyp

The new intake of Kokoda Kids will be announced at the start of April with the program commencing in May 2020. To be eligible to apply, applicants must be 16 before or 18 after the 30th June 2020.

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Are you ready for the experience of a lifetime?

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* 1. First Name

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* 2. Last Name

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* 3. Address

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* 4. Suburb/Town

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* 5. State

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* 6. Postcode

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* 7. Date of Birth

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* 8. Email

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* 9. Home Phone

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* 10. Mobile

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* 11. What KCYP Branch do you want to join?

Melbourne

Gold Coast

Logan

Brisbane

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* 12. Which situation best describes you:

In 2020 I will be in grade 10 at school

In 2020 I will be in grade 11 at school

In 2020 I will be in grade 12 at school

I am currently enrolled in TAFE

I do not attend school

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* 13. If you go to school or TAFE, which one?

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* 14. Please tell us a bit about yourself:

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* 15. What do you know about the Kokoda Challenge Youth Program (KCYP)?

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* 16. What do you hope to achieve by participating in the Kokoda Challenge Youth Program?

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* 17. How do you think the Kokoda Challenge Youth Program might influence your future?

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* 18. Who do you feel will support your involvement in the program? (please specify family members, friends, youth worker etc)

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* 19. Can you please tell us about your known or anticipated time commitments in 2020 (work, family, etc)

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* 20. How would you rate your level of fitness?

Very unfit

Somewhat fit

Fit

Very fit

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* 21. Do you identify with being Aboriginal or Torres Strait Islander?

Yes

Not sure

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* 22. Do you have any known medical conditions?

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* 23. Have you had any past injuries/operations?

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* 24. Do you have a current passport for international travel?

Yes

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* 25. Where did you hear about the program?

PARENT/GUARDIAN INFORMATION

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Are you ready for the experience of a lifetime?

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* 1. First Name

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* 2. Last Name

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* 3. Address

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* 4. Suburb/Town

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* 5. State

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* 6. Postcode

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* 7. Date of Birth

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* 8. Email

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* 9. Home Phone

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* 10. Mobile

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* 11. What KCYP Branch do you want to join?

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* 12. Which situation best describes you:

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* 13. If you go to school or TAFE, which one?

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* 14. Please tell us a bit about yourself:

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* 15. What do you know about the Kokoda Challenge Youth Program (KCYP)?

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* 16. What do you hope to achieve by participating in the Kokoda Challenge Youth Program?

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* 17. How do you think the Kokoda Challenge Youth Program might influence your future?

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* 18. Who do you feel will support your involvement in the program? (please specify family members, friends, youth worker etc)

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* 19. Can you please tell us about your known or anticipated time commitments in 2020 (work, family, etc)

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* 20. How would you rate your level of fitness?

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* 21. Do you identify with being Aboriginal or Torres Strait Islander?

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* 22. Do you have any known medical conditions?

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* 23. Have you had any past injuries/operations?

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* 24. Do you have a current passport for international travel?

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* 25. Where did you hear about the program?

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* 26. Parent/Guardian First Name

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* 27. Parent/Guardian Second Name

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* 28. Parent/Guardian Email

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* 29. Parent/Guardian Home Phone

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* 30. Parent/Guardian Mobile