Application Form

Include country area codes and mobile if applicable.
Do you work in a Volunteer capacity? *
Are you taking any prescribed medication currently? *
Are you under the direction of a mental health professional, e.g. psychologist, psychiatrist or counsellor? *
If a non NZ citizen, do you have travel insurance - covering personal belongings and health?
Are you bringing children with you? *
Do you want your children to be debriefed?
If not, please provide the name of the babysitter / childminder who will be coming with you to care for the children:
If not, please provide the name of the babysitter / childminder who will be coming with you to care for the children:
Please indicate your desired dates (remembering the debriefing week begins on Sunday evening and finishes midday Friday) and then give two other options of possible dates. We will endeavour to give you your first choice but this will not always be possible due to other bookings. We will get back to you as soon as possible to confirm dates.