2024 Winter School Staff Form | Melbourne Youth Orchestras

Name*

First Last

Preferred Pronouns*

Mobile Number*

Home Phone Number (Optional)

Email*

At Winter School, all morning tea and lunch is provided. If you have any allergies or dietary requirements, please list them here.*

Role*

Conductor/Director

Ensemble Coordinator

Tutor

MYO Office Staff or Operations/Admin Team

Allocated Ensemble*

Ford Symphonic Band

Edwards Symphonic Band

Mathers Symphonic Band

Select all that apply

Music Scores and Parts

What of the following options would you like?

Digital links to scores and parts (preferred option)

Printed Scores

Printed Parts

Printed scores and parts

First Aid Qualifications

Do you hold any of the following Qualifications?

Select all the apply

WWCC / VIT Registration

All MYO employees, including conductors and tutors, must hold a valid Working With Children Check or VIT Registration. If you do not provide details now, and haven't recently provided valid details to MYO, proof of accreditation must be supplied to MYO by Friday 21 June 2024.

I have a current VIC Working With Children Check

I have a current VIT Registration

I have another state-issued teacher's registration

Working With Children Check Number

Working With Children Check Expiry

Please upload proof of WWCC

Max. file size: 128 MB.

VIT Registration Number

VIT Registration Expiry

Please upload proof of VIT Registration

Max. file size: 128 MB.

Please upload proof of other state-issued teacher's registration

Max. file size: 128 MB.

Child Protection Training

All MYO staff are required to complete the online Child Protection Training module every 12 months.

Please view the Child Protection Training module below and confirm your understanding and acceptance of these procedures via the tickbox below.

Untitled*

I confirm that I have watched the MYO Child Protection Video in full.

I understand and accept MYO's Child Protection Policy, Code of Conduct and Procedure.

Medical and Emergency Contact Details

The following information will be used during Winter School in the case of a health emergency. Please provide all relevant details and ensure that any emergency contacts listed are able to be contacted during the Summer School.

Do you have any of the following medical conditions?

Please detail any other medical conditions not listed above, and provide any additional health notes.

Do you have any allergies?*

Yes

e.g. foods, drugs, insects, plasters/bandaids etc

Please indicate the allergy, type/severity of reaction and recommended treatment.

Are you anaphylactic?*

Yes

Do you carry an Epipen?

Yes

If you have a health-related action plan, please upload it here.

Max. file size: 128 MB.

Emergency Contact Name*

Emergency Contact Phone Number*

Emergency Contact Relationship to You*

Important: Should your medical condition change at any stage during your involvement with MYO, it is your obligation to advise the MYO office in writing immediately.

2024 Winter SchoolStaff Form

2024 Winter School Staff Details Form

Music Scores and Parts

First Aid Qualifications

WWCC / VIT Registration

Child Protection Training

Medical and Emergency Contact Details