Application form: Geraldine camp host

Application form

Fill in this form to apply to be a camp host in South Canterbury.

Privacy disclosure: To process your request or information, we need to collect personal information about you. We'll only use your information for this purpose and we'll follow the principles of the Privacy Act 2020. See our privacy and security statement.

Volunteer activity

Which campsite are you volunteering for (You can choose more than one): Peel Forest Waihi Gorge Pioneer Park Mt Nimrod Otaio Gorge

What date ranges are you able to cover? Shifts are minimum of 2 weeks or more.

Do you have your own accommodation? For example, motorhome, caravan, campervan or suitable (sturdy) tent? Yes No

Does your accommodation have valid LPG and power certification? Yes No

Please ensure that your power system does not have a solid link if using an older caravan – this will affect the power supply at the campsite.

Contact details

Full name

Address

Phone

Mobile

Personal details

Are you over 20 years old? Yes No

Country of residence

Emergency contact

Contact name

Contact phone number

For international volunteers, add a New Zealand contact if available:

Contact name

Contact number:

Medical conditions

For my own health and safety, the following pre-existing medical conditions, allergies or past injuries and special dietary needs are for DOC to note.

Enter if applicable:

Fitness

The following is a general guide to help you indicate your preferred level of activity:

Fitness level Low - I can easily walk up to 2 hours over flat ground Medium - I can comfortably walk with 5kg pack up to 4 hours over uneven ground High - I am capable of walking with 10 kg pack up to 6 hours over uneven ground Very high - I am experienced at walking consecutive days with 10+ kg pack over steep, rough terrain

Licences/certificates

Current licences/certificates held by me relevant to the volunteering activity I am applying for:

Drivers:

First aid:

Others:

Relevant skills and experience

Are you fluent in English? Yes No

Skills and experience I offer: Backcountry navigation Knowledge of New Zealand flora Knowledge of New Zealand fauna Hut/campground warden Environmental education Able to relate to a range of people in a friendly manner Other (list below)

Do you have previous experience being a camphost? Can you provide examples?

Do you have other previous experience volunteering? If so can you provide examples?