Working With Children Check Application Form
Information:
Please ensure all your personal details are accurate on this form.SwimmingSA will assess your request for a volunteer Working With Children Check and if deemed appropriate will initiate an application to the Screening Unit on your behalf. The DHS Screening Unit will send you an application link to yournominated email, please complete the application form, provide 100 points ofID, and submit the application.
Full Name
*
First Name
Last Name
E-mail
*
Date of Birth
*
-
Day
-
Month
Year
Date
Are you a SwimmingSA Member?
*
Yes
No
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Please Select your Club
*
Alma Broken Hill
Barossa
Berri
Booleroo Centre
Broken Hill Aquatic
Burra
Clare
Clovercrest
Crystal Brook
Dolphins
Gawler
Gladstone
Great Southern
Henley & Grange
Immanuel Piranhas
Jamestown
Keith
Kent Town
Loxton
Mallee
Marion
Mt Barker
Mt Gambier
Murray Bridge
Norwood
Onkaparinga
Orroroo
Penola
Playford Aquatic
Port Pirie
Purruna
Quorn
STARplex
Silver City
Southern Performance
Tea Tree Gully
The Parks
Unattached SA
Unley
Vitor Renmark
West Coast
Western Aquatic
Whyalla
What Position are you fulfilling within the sport? (Select multiple if applicable)
*
Carer - Athlete with a Disability
Coach
Club Committee Member
Contractor
Team Manager
Technical Official
Volunteer
Other
Do you already have a Valid or Expired WWCC
*
Yes
No
Please enter your SRN number
*
eg. SRN 0000-1234
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Submit Form
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