C022 – Version 01/16 Sensitive: Personal Application for Acceptance as a

1. The (AAC) is a component of the Cadets (ADFC) organisation operating under the Defence Act 1903. The AAC is a personal development program for young people conducted by the Australian Army in cooperation with communities and schools. Cadets are not members of the Australian Defence Force, and acceptance into the AAC does not imply acceptance into the Australian Defence Force at some later time. 2. To be eligible to join the AAC as a Cadet the applicant must meet the age requirements specified by the Chief of the Australian Defence Force. This means the person must already be aged 13 years or older, or turn 13 years of age anytime in the year that they are joining the AAC, and must not have reached the age of 17 years. Subject to meeting all criteria, and if a vacancy exists in the Army Cadet Unit applied for, the applicant will be accepted into the AAC as a Cadet. Instructions for Completion Of This Form 3. This form, and other forms and documents as listed in this application form, will be used to assess if the applicant meets the criteria to be accepted into the AAC, and to provide information necessary for the ongoing management, administration and care of the applicant. Parents/guardians are responsible for notifying to the Army Cadet Unit as soon as possible any changes to the: - details provided in this form; - name and contact details for Parents / Guardians; - permanent or temporary Emergency Contacts (for example, while the applicant is attending an AAC activity and his/her parents are on a holiday overseas); - applicant's health condition (including allergies and prescribed medication); - parental responsibility arrangements; or - Police and / or Court orders affecting the applicant. 4. The applicant’s parent/s or guardian/s with legal ‘Parental Responsibility’ for the applicant must complete Sections 1 – 11 & 14, while the applicant must complete Sections 12 & 13. 5. Section 14 includes statements of acknowledgement and consent by parents or guardians with regard to typical activities and issues that may occur during a cadet’s time in the AAC. A separate information sheet and an attendance consent form will be provided for activities away from the Army Cadet Unit's home training location and for all overnight activities. These activity-specific forms must be signed and returned before a cadet is allowed to attend the activity. 6. Proof of age of the applicant is required to be supplied with this form. A copy of the proof of age will be retained by the Army Cadet Unit, however original documents must be shown to the Army Cadet Unit at time of application. Acceptable forms of evidence of the applicant's date of birth are ORIGINALS (not copies) of: - Passport, Birth Certificate or official Extract of a Birth Certificate. - Current proof of age card, photo identity card or licence card issued by a school or a Commonwealth or State / Territory government department, agency or institution. The card must display the applicant's name, photo and date of birth. - A licence, official form, or certificate from a Commonwealth or State / Territory government department, agency, or institution which shows the applicant's name and date of birth. 7. After all Sections have been completed, please submit all pages of this application to the Army Cadet Unit Officer Commanding or Administration Officer. Information Privacy Statement 8. In order for you to be considered for acceptance as a Cadet, and throughout your time as a member, the AAC will collect information from you. This information will be used by the AAC only to assist in determining your suitability for enrolment as a Cadet; managing, administering and caring for you as a Cadet; administering the AAC organisation; and meeting the AAC’s obligations under the law. 9. For the purposes of the Privacy Act 1988 (Commonwealth), the AAC is a component of the Department of Defence. As such, the AAC is required to comply with the Defence Privacy Policy. This policy is designed to inform individuals about the way Defence collects, stores, uses and discloses personal information. This Privacy Policy also provides guidance about how you can access, or seek correction of, personal information held by Defence about you. You should read this Privacy Policy if you are considering becoming a Cadet. The full Defence Privacy Policy is available at the Defence Privacy Policy web page: http://www.defence.gov.au/ComplaintResolution/privacy.asp

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Army Cadet Unit To Join:

Section 1 – Personal Information Given Name Preferred Name

Middle Name Family Name

Gender Date of Birth Male Female Indeterminate/Intersex/Unspecified

Proof of Age document (see Note 6 on page 1) Enclosed

Section 2 – Reason For Joining What is your main reason for joining the AAC? (please tick one)

Family in Defence Friends in Cadets Interest in military

My school has Cadet unit Fun and excitement Make new friends

Saw advertising Interested in joining Defence Want to learn new skills

Section 3 – Previous Membership of the ADF Cadets Have you previously been a member of the AAC, the Yes No or the Australian Air Force Cadets? If yes, what Cadet Unit, Training Ship or Squadron What year/s were you a member? were you in?

If you had a different name at this time, what was it?

Section 4 – Background Information (optional)

Religion:

Are you of Aboriginal or Torres Strait Islander descent? Yes No

Section 5 – Address

Home Address Suburb / Town State/Territory Postcode

Mail Address (if different from home address) Suburb / Town State/Territory Postcode

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Section 6 – Contact Information

Mobile Phone Number Home Phone Number

Email Address 1 Email Address 2

Section 7 – Parent / Guardian and Emergency Contact Details The AAC needs to collect information about the parents / guardians and emergency contacts of the applicant to enable the AAC to properly manage, administer and care for the applicant. Details of the legal parents / guardians of the applicant are collected through the AAC form C025 - Parent / Guardian Details - Cadet. Please complete and submit a form C025 with this application.

Form C025 - Parent / Guardian Details - Cadet Enclosed

For the purpose of this form and membership of the AAC, an 'Emergency Contact' is a person who may be contacted by the AAC in the event that the AAC member is involved in an emergency situation, or for short- notice administrative purposes, when a Parent / Guardian cannot be contacted. The Emergency Contact may be a Parent / Guardian, but does not have to be a Parent / Guardian – they may be a grandparent, aunt or uncle, adult brother or sister, neighbour - and it may be either a permanent or temporary arrangement (for example, when the applicant is attending an AAC activity while his / her parents are away on holiday).

Details of the Emergency Contacts for the applicant are collected through the AAC form P026 - Emergency Contact Details. Please complete and submit a form P026 with this application.

Form P026 - Emergency Contact Details Enclosed

Section 8 – Citizenship / Residency Status Details What is the applicant’s citizenship / residency status? (please tick one box) Australian Permanent New Temporary Resident Citizen Resident Zealand of Citizen From: To:

Section 9 – Education (if attending secondary school)

School Name: School Year:

Section 10 – Medical And Health Conditions The AAC needs to collect health information for the management, administration and care of the applicant. Further information about the AAC’s collection and use of medical and health information is contained in AAC Standing Orders, Volume 2, Chapter '2MED' - Entry Medical Procedures For Army Cadets Staff And Cadets; and AAC Standing Orders, Volume 2, Chapter '2MHC' - Management of Health Conditions. Details of the medical and health conditions of the applicant are collected through the AAC form C028 - Health Declaration Form - Cadet. Please complete and submit a form C028 with this application.

Form C028 - Health Declaration Form - Cadet Enclosed

If you answered YES to question 9 in the C028 - Health Declaration Form - Cadet form you will also need to complete and submit a form P029 - Health Management Plan (HMP) with this application.

Form P029 - Health Management Plan Not Applicable Enclosed

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Section 11 – Police And Court Orders The AAC needs to collect information about any legal orders that effect the management of the applicant. If such Police or Court Orders apply, please provide details of any AVO, DVO or other Police / Court Order that affects the applicant by using the AAC form P027 - Details of Police & Court Orders and submitting it with this application.

Form P027 - Details of Police and Court Orders Not Applicable Enclosed

Section 12 – Information for Cadet Applicant - The AAC Code Of Conduct The AAC has adopted a Code of Conduct that applies to all members, including youth cadets and adult Officers / Instructors. A member of the AAC who breaches the Code of Conduct may receive one or more punishments, which are explained in AAC policy, and range from formal counselling, to warnings, to cancellation of their membership of the AAC. If you want to join, and stay in, the AAC you must agree to comply with the Code of Conduct. The Code of Conduct applies whenever you are ‘on duty’, which includes: - attending an Army-approved AAC activity (including attending activities of the Australian Navy Cadets, Australian Air Force Cadets and Australian Defence Force); - performing the duties of your AAC appointment; - wearing your AAC uniform (including to and from school or cadet activities); - representing the AAC in an official capacity; - otherwise representing yourself in a public forum (including electronic forums such as 'facebook', 'Twitter', etc) to be a member of the AAC, whether or not you are authorised to do so; - using facilities owned or leased by Defence or a cadet unit, or used by a cadet unit; and - using computer equipment or services supplied by the Government or a cadet unit (eg, broadband internet connection, ICT hardware and CadetNet email address). The full Code of Conduct is set out in AAC policy and is available on the AAC website ( www.armycadets.gov.au ), but the following is a summary of the main requirements of the Code: - act to ensure your safety and the safety of other people; - treat all others with respect and courtesy, and not engage in harassment or bullying (including when using social media, phone, email and internet); - behave honestly and with integrity; - be careful and thoughtful; - do what you are told by any person who is allowed to tell you what to do; - comply with any policies, procedures, directives and instructions; - comply with all Australian laws, and the laws of the State or Territory in which you are located; - provide true and accurate information when asked to do so; - use the AAC's computers, website, intranet and email account only for proper purposes that relate to your membership of the AAC; - use any equipment provided to you only in a safe manner and only for its proper purpose, and care for it properly; - only reveal confidential information about yourself or others to people who have a need to know it (such as your Army Cadet Unit adult staff); - if you read or hear any information that has a Government security classification (like 'RESTRICTED' or ‘FOR OFFICIAL USE ONLY’), don't reveal it to any person who is not a member of the AAC or Australian Defence Force; - demonstrate appropriate behaviour that enhances the administration, discipline and reputation of the AAC, the Australian Army and the Australian Defence Force. The content of the Code of Conduct may change from time to time. It is your responsibility to keep up-to-date with the content of the Code of Conduct by regularly checking the AAC Intranet or the AAC website.

Statement by Applicant I have read the summary of the AAC Code of Conduct in Section 12 above and agree to comply with the AAC Code of Conduct (the full version is available at www.armycadets.gov.au) Applicant’s Signature Date

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Section 13 – Information for Cadet Applicant - Sharing Information About You With Your Parent / Guardian or Emergency Contact

The purpose of the AAC is to assist young people to develop into good adults. The AAC believes that, in most situations, it is in your best interests as a Cadet that your parent / guardian (or Emergency Contact if appropriate) is informed about incidents that you are involved in during AAC activities. However, the AAC also recognises that you have rights to privacy under the law (particularly the Privacy Act 1988 (Commonwealth)).

To assist you to develop, and to understand rights, responsibilities and consequences, if you are under 18 years of age the AAC will want to inform your parent / guardian / Emergency Contact if you are involved in a serious incident (called a ‘Notifiable Incident’ in AAC Standing Orders’). However, the AAC also recognises that, in most circumstances, you have the right to choose whether or not the AAC informs your parent / guardian / Emergency Contact. This is how the AAC will manage these situations: - If you are not able to make a decision about whether your parent / guardian / Emergency Contact should be informed of the incident (for example, if you are unconscious), then the AAC will automatically inform your parent / guardian / Emergency Contact. - If you are able to make a decision on this matter, then before the AAC informs your parent / guardian / Emergency Contact of your involvement in a Notifiable Incident it will ask you if there is any reason why your parent / guardian / Emergency Contact should not be told about the incident. Then if: - you agree to the AAC informing your parent / guardian / Emergency Contact, then the AAC will do so. - the AAC accepts your reason why your parent / guardian / Emergency Contact should not be informed, it will not inform them. - the AAC does not accept your reason, you have the choice to either: (1) allow the AAC to inform your parent / guardian / Emergency Contact, or (2) cancel your membership of the AAC, in which case the AAC will not inform your parent / guardian / Emergency Contact of the incident or of the reason for you choosing the leave the AAC.

Statement by Applicant I understand and accept the conditions stated in Section 13 above, under which the AAC will inform my parent / guardian / Emergency Contact of my involvement in a Notifiable Incident. Applicant’s Signature Date

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Section 14 – Parent / Guardian Acknowledgement And Approval To be completed by each Parent / Guardian with legal ‘Parental Responsibility’ for the applicant. Agreeing to the following statements will be regarded as ‘informed consent’ to what may occur during normal AAC activities. If a parent / guardian wants more information about these statements, they should discuss with the Army Cadet Unit Officer Commanding and / or view the content of the AAC website at: www.armycadets.gov.au

For the purposes of this document, the ‘Australian Defence Organisation’ (Defence) is taken to include the: - Ministers in the Defence portfolio (and their respective staff), - Department of Defence, - Australian Defence Force, - Australian Government Security Vetting Agency, and - Australian Defence Force Cadets [comprising the Australian Navy Cadets, Australian Army Cadets (AAC), and Australian Air Force Cadets].

A. Use of Firearms I authorise the applicant to use and live-fire Defence weapons and / or civilian firearms during Army- approved AAC activities conducted in accordance with Defence and AAC policy and procedures.

Yes No

Please note that acceptance by Parents / Guardians of all of the following conditions B. to J. is required if the child is to be accepted by Defence to become a Cadet in the AAC.

B. Media I acknowledge that Defence: - cannot control or prevent the use of the applicant’s photographic image, video images or recording of their voice in electronic and print media which is not under the authority and/or control of Defence; - may include the applicant’s photographic image, video images or recording of their voice as a secondary, background, and/or ancillary character in electronic and/or print media produced and/or published by Defence; and - will not include the applicant’s photographic image, video images or recording of their voice as a main character in electronic and/or print media produced and/or published by Defence unless I have previously given my permission for this to occur.

C. Vehicles I authorise and permit the applicant to travel in military or Defence-approved civilian vehicles, aircraft or watercraft should the need or opportunity arise during any period the applicant may be participating in an authorised AAC activity.

D. First Aid, Medical and Dental Treatment I acknowledge that, if required, Defence will provide emergency first aid to the applicant within the scope of competency held by staff and / or will refer the applicant to professional medical / dental assistance. I understand and accept that I will be responsible for the cost of any medical / dental expenses should this be required during an AAC activity, notwithstanding that compensation may be available under the Military Rehabilitation and Compensation Act 2004 if the injury or illness is accepted as due to the applicant’s participation in the AAC program.

E. Food and Allergies I acknowledge that cadets are provided with centralised prepared / cooked meals and ration packs which are likely to include ingredients not recommended for individuals with severe food allergies that may be life threatening; or those with special dietary requirements, such as Coeliac disease. I acknowledge that the Australian Defence Force (ADF) is unable to provide a severe food allergy free environment (such as from peanuts) in relation to the consumption of food during cadet activities. Such a risk may be life threatening for people who suffer from a severe food allergy. It may be in the member’s best interest not to participate in the proposed activity, or to provide, at their own expense, sufficient food to cover the duration of the activity.

F. Clothing and Equipment I agree to accept responsibility for AAC clothing and other Commonwealth stores and items issued to the applicant, and to ensure that such items are cared for and returned to the applicant’s Army Cadet Unit at the conclusion of the applicant’s membership of the AAC.

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G. Information About My Child I acknowledge that the AAC must comply with the requirements of the Privacy Act 1988 (Commonwealth) and other laws that limit the extent to which the AAC can inform me of incidents in which the applicant is involved. I understand that the procedure outlined in Section 13 above will be applied to any Notifiable Incident involving the applicant.

H. Information Sharing I acknowledge that the AAC will not share the information it holds about the applicant with other people, departments, agencies or organisations without my express permission, except in the following circumstances when the AAC may share the applicant’s personal information without seeking my prior permission: (1) When the law requires the AAC to provide the applicant’s information to another person, department, agency or organisation. (2) When a Defence policy requires the AAC to provide the applicant’s information to another person, department, agency or organisation. (3) With authorised persons within the Australian Defence Organisation. (4) With authorised persons within Government House, Canberra for the purpose of administration relating to the Australian System of Honours and Awards. (5) With authorised persons within the Department of Veterans’ Affairs for the purpose of administration relating to the Military Rehabilitation and Compensation Act 2004 (Commonwealth). (6) With non-Defence (external) agencies with legitimate reasons for requiring information, including (but not limited to) law enforcement agencies, courts, coroners, and external complaint bodies (such as the Commonwealth Ombudsman and the Australian Human Rights Commission). (7) With first aid personnel, health professionals and health organisations (such as ambulance service or hospital) for the purpose of ensuring that the applicant receives appropriate health care as required during his / her participation in AAC activities, when I or the applicant cannot give our consent to such information being released. (8) With authorised persons within the Army Cadet Unit's parent school if the applicant is a member of a School-Based Unit of the AAC. (9) With relevant State / Territory government authorities, agencies, and departments and / or the head of the applicable school (if the applicant is a member of a School-Based Unit) for the purposes of: (a) contributing to the protection from harm of a child, young person or vulnerable person; (b) investigating, or assisting the investigation of, allegations of inappropriate behaviour with a child, young person or vulnerable person; (c) screening of individuals for suitability to work with children / vulnerable people; and / or (d) contributing to, maintaining and accessing State / Territory / school records relating to the applicant’s history of involvement with children, young people or vulnerable people.

I. AAC Code of Conduct I acknowledge that the applicant has agreed in Section 12 to abide by the AAC Code of Conduct, as summarised in Section 12 (noting that the full Code of Conduct is available from the AAC website).

J. Permission I give my permission for the applicant to join the AAC as a Cadet in accordance with the Defence Act 1903.

1st Parent or Guardian with ‘Parental Responsibility’ Name Signature Date

2nd Parent or Guardian with ‘Parental Responsibility’ (if applicable) Name Signature Date

Summary of forms and documents to include with this application: - Proof of Age document Required - see Note 6 on page 1 for details. - Form C025 - Parent / Guardian Details - Cadet Required - see Section 7 for details. - Form P026 - Emergency Contact Details Required - see Section 7 for details. - Form C028 - Health Declaration Form - Cadet Required - see Section 10 for details. - Form P029 - Health Management Plan May be required - see Section 10 for details. - Form P027 - Details of Police and Court Orders May be required - see Section 11 for details.

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Australian Army Cadets Parent / Guardian Details - Cadet

This form is to be used to advise the AAC of the Parents / Guardians and Parental Responsibility arrangements for a Cadet. Section 1 - Cadet's Details

Rank or Title Family Name Given Name(s)

Date of Birth Unit / HQ

Section 2 - Parent / Guardian Details

For the purpose of this form and membership of the AAC: The person or persons who have been identified below as Parents / Guardians with 'parental responsibility' for a Cadet will be the primary contact for all matters relating to the Cadet's activities with the AAC. The AAC recognises that families exist in many different forms. This includes different arrangements for who has 'parental responsibility' for a child. - If both Parents / Guardians are living together and have 'Parental Responsibility', then each Parent / Guardian should complete Part A or B and (if required) Part D. - If the Parents / Guardians are not living together, then only the person or people with 'Parental Responsibility' under an agreement or Court Order should complete Parts A and / or B below, as well as Part C and (if required) Part D. - If there is only one Parent / Guardian with 'Parental Responsibility', then this person should complete Part A and (if required) Part D. Part A - Parent / Guardian 1 Full Name Relationship to Applicant

Mobile Phone Number Home Phone Number Work Phone Number

Home Address State / Territory Postcode

Email Address

` Part B - Parent / Guardian 2 Full Name Relationship to Applicant

Mobile Phone Number Home Phone Number Work Phone Number

Home Address State/Territory Postcode

Email Address

Part C - Further details of 'Parental Responsibilities' Arrangements If the Parents / Guardians are separated, please indicate the nature of the 'Parental Responsibility' arrangements for the applicant (Please tick one box)

Both Parents / Both Parents / 1st Parent / 2nd Parent / Guardians Guardians Jointly Guardian ONLY Guardian ONLY Separately

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Section 2 (Continued)

Part D - Details of Court-ordered 'Parental Responsibility' arrangements. Please provide details of agreed or Court-ordered 'Parental Responsibility' arrangements (for example, access or contact restrictions). If further space is required, please attach a separate page to this form.

Section 3 - Declaration of Parent or Guardian This section is not required to be completed if this form is part of an enrolment application.

I declare that the information provided in this form is true and correct. Full Name Relationship to Cadet

Email Address Contact Phone Number

Signature Date

Section 4 - For Army Cadet Unit / Headquarters Action ONLY

Details have been updated in CadetNet, and notified to the relevant staff in the ACU / HQ.

Administration Officer Details Name Rank Position

AAC Unit / HQ Signature Date

Sensitive: Personal Page 2 of 2 C028 - Version 2/16 Sensitive: Personal This section for use by Army Cadet Unit / HQ only Received by: Date: Entered in CadetNet by: Date: HMP Required? Yes No Australian Army Cadets Health Declaration Form - Cadet Section 1 - Instructions for Completion & General Information

1. This form is to be completed by the cadet's parent / guardian if the cadet is under 18 years of age, or by the Cadet if he / she is aged 18 or over.

2. The information provided in this form will be used to assess the person's suitability for acceptance as a Cadet in the AAC program, and to identify any support and resources that may be required to assist the cadet to participate in AAC activities.

3. The information will only be used for the purpose you have provided it. Information will not be passed to a third party without your express permission, except to medical and dental personnel as required for treatment or as otherwise required by law.

4. The AAC reserves the right to request, at any time, that the person provide a medical certificate and/or further information from their general practitioner, dentist or specialist.

5. The mere existence of an illness, condition or disability will not exclude a person from being accepted to the AAC or from participating in AAC activities. Their participation will depend on the arrangements the AAC, the person and their parent / guardian can reasonably make to assist that participation. The person can generally participate in an activity if it is safe for them to do so, if there is no negative impact on the participation of other cadets, and if the AAC and / or parent / guardian can provide the necessary supervision and assistance.

6. A Health Management Plan will be required for any health / medical condition where the person is at risk of sudden incapacitation or worsening of their condition during an AAC activity, where the AAC may be required to make special arrangements to support the person during an activity, or where modification of an activity is required in order to enable the person to participate. Full details of the AAC policy on the management of health conditions is available at http://www.armycadets.gov.au

7. Cadets are provided with centralised prepared / cooked meals and ration packs which are likely to include ingredients not recommended for individuals with severe food allergies or special dietary requirements. The Australian Defence Force (ADF) is unable to provide a severe food allergy free environment (such as from peanuts) in relation to the consumption of food during cadet activities. Such a risk may be life threatening for people who suffer from a severe food allergy. It may be in the cadet's best interest not to participate in proposed activities, or to provide, at their own expense, sufficient food to cover the duration of the activity.

Please select the reason for completing this form: On joining the AAC as a Cadet. To change the Cadet's health / medical information previously provided. Note - If any change is required, the whole form must be completed. This new form will entirely replace any previous form. Section 2 - Cadet's Details

Family Name Given Name(s)

Date of Birth Army Cadet Unit

Medicare Number Position on Card Card Expiry Date

Name and Address of the Cadet's usual Doctor / GP or Medical Centre

Optional Information (used in the event of hospital treatment): Is this person of Aboriginal or Torres Strait Islander descent? Yes No

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Section 3 - Health / Medical Information

1. Is the cadet permitted to take analgesics for pain such as from injury, headaches or other generalised pain? Yes No

The cadet is permitted to take the following non-prescribed medication for pain control:

Paracetamol (such as Panadol and Heron) Yes No Dosage

Ibuprofen (such as Neurofen) Yes No Dosage

Other (Please state) Dosage

Note: It is the responsibility of the individual or parent / guardian to provide such non-prescription medication.

2. Does the cadet have any health condition (either temporary or permanent) that may prevent his / her full participation in the activities conducted by the AAC? Yes No

Please provide details and attach a separate page if required.

3. Does the cadet have any diagnosed psychological or behavioural conditions? Yes No

Please provide details and attach a separate page if required.

4. Does the cadet have any special dietary requirements (e.g. vegetarian, gluten intolerant, dairy intolerant, food intolerances not listed above)? Yes No

Please provide details and attach a separate page if required.

5. Does the applicant have any medically diagnosed allergies to foodstuff, medication, drug, plant, animal or substance?

Yes No

Allergy Trigger Consequence e.g Mild or Anaphylactic Medication

Medication NameDosage Dose Per DayDosage AM Dosage PM Known Side Effects

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6. Does the cadet have any health / medical conditions that are life threatening, which may worsen or be aggravated through activity or exposure to a trigger or circumstance? Yes No Condition Consequence e.g Mild/Anaphylactic Medication

Medication NameDosage Dose Per DayDosage AM Dosage PM Known Side Effects

7. Does the cadet take any other regular medication not listed above (e.g. acne treatment)? Yes No Condition

Medication NameDosage Dose Per DayDosage AM Dosage PM Known Side Effects

Condition

Medication NameDosage Dose Per DayDosage AM Dosage PM Known Side Effects

8. Is the cadet permitted to self administer their medication and / or analgesics? Yes No Please provide details and attach a separate page if required.

9. As a result of the information provided above, does the cadet require assistant / intervention by the AAC to support their health condition during AAC activities? Yes No

If you have answered yes to this question the unit will discuss with you the requirement for a Health Management Plan (HMP). A HMP is required if the applicant is at risk of sudden incapacitation or worsening of their condition during an AAC activity; where the AAC may be required to make special arrangements to support the person during an activity; or where modification of an activity is required in order to enable the person to participate. If required a HMP will be developed in consultation with the unit staff, the parent / guardian and / or doctor.

Section 4 - Declaration of Parent, Guardian or Cadet (if aged 18 or over)

The parent / guardian (or the Cadet if he / she is aged 18 or over) is responsible for notifying to the Army Cadet Unit as soon as possible of any changes to the details provided in this form. I declare that the information provided in this form is true and correct. Full Name Relationship to Applicant

Email Address Contact Number

Signature Date

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Australian Army Cadets Emergency Contact Details

This form is to be used to advise the AAC of the details of an Emergency Contact person for a member of the AAC.

The details provided in this form are: Permanent - that is, until otherwise advised; or Temporary - that is, for a specified period: and finishing on (ie, the last Commencing on day being) Date Date Section 1 - Member's Details

Rank or Title Family Name Given Name(s)

Date of Birth Unit / HQ

Section 2 - Emergency Contact Details For the purpose of this form and membership of the AAC: An 'Emergency Contact' is a person who may be contacted by the AAC in the event that the AAC member is involved in an emergency situation, or for short-notice administrative purposes, when a Parent / Guardian or other Next-of-Kin cannot be contacted. The Emergency Contact does not have to be a Parent / Guardian or Next-of-Kin (for example, it may be a grandparent, aunt or uncle, adult brother or sister, neighbour), and it may be either a permanent or temporary arrangement (for example, when a cadet is attending an AAC activity while his / her parents are away on holiday). Full Name Relationship to Applicant

Mobile Phone Number Home Phone Number Work Phone Number

Home Address State / Territory Postcode

Email Address

` Section 3 - Declaration of Parent, Guardian or Member (if aged 18 or over) This section is not required to be completed if this form is part of an application for acceptance as a Cadet.

I declare that the information provided in this form is true and correct. Full Name Relationship to Member

Email Address Contact Phone Number

Signature Date

Section 4 - For Army Cadet Unit / Headquarters Action ONLY

Details have been updated in CadetNet, and notified to the relevant staff in the ACU / HQ.

Administration Officer Details Name Rank Position

AAC Unit / HQ Signature Date

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Australian Army Cadets - Health Management Plan

Section 1 - Health Conditions and Preferred AAC Support (to be completed by parent / guardian, or the AAC member if aged 18 or over)

Surname Given Name(s) Date of Birth ACU / HQ

It is requested that the AAC provide to the member the following support and / or response to manage the indicated condition(s) during AAC activities: Health Condition What medication is required Is the What triggers this condition? What are the signs and What first aid and/or emergency response What other actions, facilities for this condition - name, member symptoms of this condition? is required if this condition is triggered? and/or resources are requested dosage and storage authorised to from AAC? requirements? self (If any information is entered into medicate? this column, Section 2.b. MUST be Yes/No completed by AAC). (a) (b) (c) (d) (e) (f) (g)

Plan prepared by: Member's GP / Specialist Contact Details: Surname First Name Name & Address

Signature Date

Phone Number

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Section 2 - Activity Participation Conditions and AAC Support (to be completed by ACU Officer Commanding)

a. Assessment of suitability for ACU activities: The support and / or response requested in this HMP (in Section 1 columns (f) and (g)) can be provided for all ACU activities. Yes No If 'No', then complete sections c. and/or d. below b. Assessment of suitability for regional, national and international activities (including OOC/IOC courses) If any information has been entered into Section 1 column (g) then this HMP must be discussed with Regional HQ (COMD, XO, OPSO or FSA only).

Discussion with Regional HQ regarding this HMP in a email with occurred on: phone Date & Time meeting Rank & Name

As a result of this discussion, the support and / or response requested in this HMP can be provided by the AAC for all Yes No If 'No', then complete sections activities conducted by regional and national HQ. c. and/or d. below

c. If serials a. or b. are assessed as 'No', then detail any exceptions and restrictions to the support and / or response provided by the AAC:

d. If serials a. or b. are assessed as 'No', then detail any restrictions and / or conditions that will apply to the member's participation in AAC activities:

e. The content of this HMP, including the support / response requested of the AAC, any exceptions and restrictions to the support that will be provided by the AAC, and any restrictions / conditions placed on the member's participation in activities have been discussed with the AAC member and, if under 18, with his / her Parent / Guardian.

ACU OC or HQ CO / COMD Parent / Guardian (or AAC member if aged 18 or over) Surname First Name Surname First Name

Signature Date Signature Date

Emergency Contact Phone Number:

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