Apply to YSAR :: Youth Search and Rescue

Your Details

Before filling in this form please have a passport photo saved ready to upload in this form.

Name*

First Last

Date of Birth*

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 Area are you Applying for?*

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?

Upload a Passport style photo*

Upload a photo that show a nice clear headshot of yourself. Maximum size is 5MB.

School / Education Organisation / Vocation*

Your Facebook Profile

Please paste your facebook url if you have one

Male / Female*

Rate your Fitness Level*

Please enter a value between 1 and 10.

1 being very unfit. 10 being very fit.

Skills and Experience and Knoledge Search and Rescue*

Outdoor Training Courses Completed

Give the name of any Outdoor Training courses you have completed.

Medical Conditions and Limitations*

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 Contact Number*

Referee's Email Address*

Miscellaneous

NZQA Numbers

Any Equipment you have?*

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

Driver Licence*

None
Learner
Restricted
Full
Motorcycle

Untitled

Phone

This field is for validation purposes and should be left unchanged.

APPLY TO YSAR

YSAR APPLICATION FORM

Your Details

Primary Caregiver

Secondary Caregiver

Non Family Referee

Miscellaneous