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About
Moving Parts
Moving Team
Moving Stories
Contact Us

apply to be a trishaw pilot

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Personal details

Name *

First

Last

Email *

Confirm Email

Mobile *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Date of birth *

Emergency Contact Name *

First

Last

Emergency Contact Phone *

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References

Please provide the name and details of two referees who can support your application.

Refereee #1 Name *

First

Last

Referee #1 Phone *

Relationship to Referee #1 *

eg. employer

Referee #2 Name *

First

Last

Referee #2 Phone *

Relationship to Referee #2 *

eg. employer

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Additional information

How often are you available to pilot a trishaw? *

Every day
Two to three times a week
Once a week
Once a fortnight
Once a month

Choose an option

Which days of the week are you available? *

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Choose all the days you are available.

Do you feel comfortable assisting seniors in to and out of trishaws *

Do you have any experience with bike maintenance? *

Do you have any medical conditions that may affect your ability to participate in Cycling Without Age (heart condition, vision difficulties)? *

Medical conditions

If you answered Yes to the previous question, please provide details.

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Police clearance

All Motion By The Ocean Inc. volunteers are required to have a Police clearance.

Don't worry if you don't have one. We will pay for this. However, if you already have a clearance you can upload it here.

Do you have a Police clearance less than 3 years old? *

Please upload your Police clearance certificate

Click or drag a file to this area to upload.

If you have a Police clearance, you would have received a certificate by email from Crime Check Australia. Please upload that attachment here (PDF only, max 1 file, 1Mb)

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Email *

Motion by the Ocean Inc. acknowledges the Wadjuk Noongar people & their continuing connection to the land, water, & community. We pay our respects to all members of the Aboriginal communities & their cultures; & to Elders past, present & emerging.