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APRIL SCHOOL HOLIDAYS APPLY NOW - 2023 DIGITAL DETOX PROGRAM

Digital Detox Program (DDP) 2023 Applications

We're excited to have you apply for our April school holiday DDP in 2023. By completing this survey, your application will be submitted into consideration for our program scheduled for 1st - 8th April 2023. Once you have completed this application, you will be contacted by the Digital Detox Program Coordinator to organise an interview with yourself and your parent/guardian.  

The successful participants for the Digital Detox Program will be announced no later than the 16th of March, 2023.

To be eligible to apply, applicants must be aged between 12 and 14 on the 1st April 2023.
Are you ready for the experience of a lifetime?
1.First Name(Required.)
2.Last Name(Required.)
3.What is your gender?
4.Address(Required.)
5.Suburb/Town(Required.)
6.State(Required.)
7.Postcode(Required.)
8.Date of Birth(Required.)
9.Email(Required.)
10.Home Phone
11.Mobile(Required.)
12.How may hours of screen time do you average per day:(Required.)
13.How many hours are you on devices for education purposes?  And how many hours are for social or gaming interaction?(Required.)
14.How would you rate your relationship with technology?(Required.)
15.Please tell us a bit about yourself:(Required.)
16.What school are you attending in 2023?  And what grade are you in?
17.What do you know about the Digital Detox Program?(Required.)
18.What do you hope to achieve by participating in the Digital Detox program?(Required.)
19.What would be you biggest concern about disconnecting from technology?(Required.)
20.Who do you feel will support your involvement in the program? (please specify family member who will attend for for the last 2 days and also who will support you post program)(Required.)
21.Do you identify with being Aboriginal or Torres Strait Islander?
22.Do you have any known medical or health conditions (including diagnosed mental health) ?(Required.)
23.Have you had any past injuries/operations?(Required.)
24.Where did you hear about the program?(Required.)
25.I understand that the Digital Detox program is an 8 day camp at which I will not have access to devices/technology including my mobile phone and earphones.(Required.)
PARENT/GUARDIAN INFORMATION
26.Parent/Guardian First Name(Required.)
27.Parent/Guardian Second Name(Required.)
28.Parent/Guardian Email(Required.)
29.Parent/Guardian Home Phone(Required.)
30.Parent/Guardian Mobile(Required.)
31.I understand that the Digital Detox program is a 8 day camp at which my child will not have access to devices/technology including their mobile phone and that a parent/guardian must attend the final 2 days of the camp.(Required.)
Current Progress,
0 of 31 answered