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Auckland (2018)
Tauranga (2009)

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APPLY TO JOIN YSAR – 2019

Auckland applications open now
Tauranga applications open now

Please fill in the form to apply for YSAR 2019 intake

Interviews held in November 2018 – course starts February 2019

NB – form may not work on iPad

YSAR APPLICATION FORM

Your Details
Before filling in this form, please have a passport photo saved ready to upload.
Name*
First Last
Date of Birth*

Students must be 14 years of age at the commencement of the course (February)
Email Address*

Please enter your email address. This email will be used to correspond with you relating to YSAR matters
Home Phone Number*
Home Mobile Number*
Work Phone Number
If applicable
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Please enter your full address. This will enable your year group to arrange for car-pooling to YSAR events.
Which YSAR area are you applying for (geographic location)?*
YSAR is begining to expand into other regions. Please select where you wish to apply.
Why would you like to join YSAR*
Please describe in detail why you would like to join YSAR.
What are your career/job aspirations when you leave school?
This information is valuable to the YSAR administration to assist you in careeer development opportunities
Upload a Passport style photo*
Accepted file types: jpg, jpeg, png, gif, pdf.
Upload a photo that show a nice clear headshot of yourself. Maximum size is 5MB.
School / Education Organisation / Vocation*
What institute are you aligned to
Areas of interest
- Science
- Technology
- Engineering
- Math
- Innovation - Identifying new solutions
List the Science, Technolgy, Engineering and Math (STEM) areas which interest you
Your Facebook Profile

Please paste your facebook url if you have one. YSAR frequently use the Facebook platform to communicate with students
Male / Female*
Rate your Fitness Level*
Please enter a value between 1 and 10.
1 being very unfit. 10 being very fit.
Skills, experience and knowledge of Search and Rescue and Civil Defence*
Outdoor training courses completed
Give the name of any outdoor training courses you have completed.
Medical conditions and any limitations which may affect your participation in the YSAR programme*
Primary Caregiver
The person who is primarily responsible for your daily care
Primary Caregiver's Name*
Primary Caregiver's Mobile Number*
Primary Caregiver's Email Address*
Primary Caregiver's Occupation*
Secondary Caregiver
The person who is secondarily responsible for your daily care
Secondary Caregiver's Name
Secondary Caregiver's Mobile Number
Secondary Caregiver's Email Address
Secondary Caregiver's Occupation
Non Family Referee
Referee's Name*
Referee's Email Address*
Referee's Contact Number*
Miscellaneous
NZQA Number
Any Equipment you have?*
- Sleeping bag
- Tent
- Back pack
- Day pack
- Thermal underwear
- Warm outerwear
- Gas Cooker
- Outdoor pots, pans and utensils
- Head Torch
- Parka - Wetweather jacket
- Tramping boots
- Compass
- Other
Let us know any equipment you have. Don't forget to check out our Gear list in the Resources section of this site if you are thinking about purchasing some.
Other gear and equipment
Driver Licence*
- None
- Learner
- Restricted
- Full
- Motorcycle
Name
This field is for validation purposes and should be left unchanged.

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