Program
Which program would you like to apply for
Program 2026 - September 2026 - September 2027
Personal Information
Name
*
First Name
Last Name
Phone Number
*
-
Country Code
-
Area Code
Phone Number
Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Current Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age
*
Please type in a number, eg. 20
Do you have a current driving license?
*
Yes
No
Age calc
Country of Passport
*
Passport type
*
Please Select
The United Kingdom of Great Britain and Northern Ireland
Belgium
Canada
Republic of Cyprus
Denmark
Estonia
Finland
France
Germany
Hong Kong Special Administrative Region of the People's Republic of China (including British National Overseas passport holders)
Republic of Ireland
Italy
Japan
Republic of Korea
Malta
Netherlands
Norway
Sweden
Taiwan (other than an official or diplomatic passport)
Other
Country of Residence
*
Employment History
Have you ever worked as a swim instructor?
*
Yes
No
If yes, please provide details:
*
Please tick any additional experience that is relevant to you:
*
Child Care
Customer Service
Holiday Program Leader
Sport Coaching
Gym/Group Fitness instructing
Other
About You
Please give a brief description about yourself
*
Why would you like to participate in the program
*
Have you ever been to Australia on a working holiday visa?
*
Yes
No
Do you have any working restrictions that the business would need to be aware of?
Comments
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