Secondary One Orientation 2015 Facilitator’s Application Form Name: Class: CCA: Gender: M/F (delete accordingly) H/P no.: Email Address Dietary Restrictions (Pls indicate what you cannot eat, be it due to religious considerations or because you are allergic to it.) Any medical conditions? (Pls be honest and specific. Let us know if you have asthma, etc.? Are you allergic to any drug/medication?) Basic expectations: - Facilitators are expected to be able to commit to all the days of Orientation. - Each date will be a full day. There are usually briefings/debrief sessions. - Orientation 2015 dates: 2nd January, Friday 5th January, Monday 6th January, Tuesday (Ends at 9pm) - Facilitators are expected to attend 75% of facilitators’ training. (8 sessions). - These sessions will be held every Saturday beginning from 8th November 2014. - The dates and timings are subject to change. - You may be expected to help out for Sec 1 Registration. 19 December 2014. (This date is subject to change.) Procedure: - Forms should be submitted by Monday, 27 October 2014, 1pm. - Please submit your completed form to the General Office (there will be a box). - There will be a selection process in which applicants would be assessed. Factors include academic performance—which should be reasonable—and a good discipline record. - Your form teachers and CCA teachers would be approached and asked about your suitability. - The list of shortlisted facilitators will be released by 30th November, Thursday. It can be found on the school website as well as the Student Council noticeboard (located outside the General Office). Your Leadership Activity Experience: (please tick if you have any relevant experience) □ Leadership Adventure Camp □ Leadership Workshop Level 2 □ Leadership Workshop Level 3 ORIENTATION 2015 | Xinmin Student Council Why do you want to lead as a group facilitator in next year’s Secondary One Orientation? Past Relevant Experiences: e.g. Leader of CCA Camp Estimated dates of unavailability due to trips abroad: (if any) Country of travel From (date) To (date) If you have any queries, please approach Nicole Wong, Student Council VP (Communications) or email Ms Chua at chua_li_shan@moe.edu.sg ORIENTATION 2015 | Xinmin Student Council