Fields marked with a * are mandatory.
Please note, once you have successfully submitted the form it will clear and be replaced with a success message. If it does not you may not have completed all the required fields. Please check back through the form and make sure you have completed each question marked with a *.
Section 1 - Personal Information
Section 2 - Emergency Contact
Section 3 - Further Details
If you are attending an event where you are required to hold a VICTA authorised enhanced DBS disclosure. We will contact you asking you to complete the application and produce further identification.
Please supply details of two people that would be able to provide a reference as to your suitability for this role. They should not be family members. If you are not sure about who to put we are happy to discuss this with you.