RYDE Program

Cockburn RYDE Mentor Application Form
All RYDE Mentors must:

- be 21 years or older

- hold a C class drivers licence for 4 or more years continuously

- hold current Working With Children card (or be willing to obtain one)

- hold current National Police Check (or be willing to obtain one)

Full training will be provided to suitable applicants and all training costs covered.
Name *

First Name Surname
Address *

Street Address

Street Address Line 2

Suburb State

Post Code
Email *
Mobile *
Age (mentors must be 21 years or older) *
Do you have a current Working With Children card? *
Do you have a current National Police Check? *
Do you have a current C class drivers licence? *
Have you had your C class drivers licence for three or more years continuously? *
Tell us a bit about yourself *
Why do you want to be a RYDE Mentor? *
Please describe any experience you've had working with young people (16 - 24 years). *
How did you hear about the Cockburn RYDE Program? *

Website Email Facebook Newspaper Word of Mouth Other
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Cockburn RYDE Mentor Application Form