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IMP Application 2020
Applications for the 2020 IMP Squad is now open.
IMP Application 2020
Application form for 2020 recruits
Step 1 of 3
33%
Personal Particulars
Name
*
First
Last
Applicant's name
Gender
*
Male
Female
Gender Diverse
Gender
Will you be aged between 18 and 30 on 1 November 2020?
*
Yes
No
Date of Birth
*
Deadly Running Australia
If you are older than 30 by 1 November 2020, you will not be eligible to apply for IMP 2020. If you are younger than 18 by 1 November 2020, we encourage you to apply in the 2021 round of applications.
We encourage you to stay involved and suggest joining a Deadly Running Australia group. Visit http://www.imf.org.au/deadly-running/ or email: deadlyrunning@imf.org.au for more information.
Mobile
*
Email
*
Enter Email
Confirm Email
Address
*
Street Address
Address Line 2
Suburb / City / Town / Region
State / Province
ZIP / Postal Code
Post Photo
Please upload a recent photo of you.
Do you identify as an Aboriginal and/or Torres Strait Islander?
*
Yes
No
If you answered YES, please list your heritage here
*
Getting to know you
Do you know anyone who has been part of previous IMP squads?
Yes
No
If you answered YES, please list them below.
Are you a Deadly Runner?
*
Yes
No
If you answered Yes, please list which Deadly Running Group you attend below.
Are you currently employed?
Yes
No
Why do you want to be part of IMP 2020?
*
Do you have any leadership experience or experience in health promotion?
Yes
No
If you answered YES, please list your experience below.
What is your sports/running experience?
It is important that you have support from someone in your community who will keep you motivated, help with your training and be on hand to liaise with IMP staff. Please provide details of that person.
Name
First
Last
Phone/Mobile
Relationship to you
Assistance they can provide
Health History
Do you smoke?
*
Yes
No
Do you have a current passport?
*
Yes
No
Have you travelled overseas before?
Yes
No
Do you have or have ever had any of the following health issues? Please tick whichever applies.
Diabetes
High Blood Pressure
Chronic Fatigue
Heart Disease
Mental Health Issue
Do you have any injuries or disabilities that may prevent you from running? If Yes, please provide details below.
Permission
There are some offenses that prevent entry to USA. Do you have any criminal history/record?
*
Yes
No
Any Comment?
Do you give IMP permission to provide your details to local media outlets who may wish to conduct interviews during the application process?
*
Yes
No
If you answered YES, please discuss these at the interview.
You will need to attend the try-outs in early 2020. At the try-outs, men will need to run 5km and women 3km. You will also do an interview. Are you prepared to do this?
*
Yes
No
If you answered NO to the above question, please provide details below.
Comments
This field is for validation purposes and should be left unchanged.