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SunSmart OSHC/Vacation care Application Form

Becoming a SunSmart OSHC tells the community that you are committed to the future health of its children.

Part 1: Service information

Contact name*
 
Position*
 
 
Address*
Postcode*
Telephone*
Fax*
Email address*
 

Number enrolled:

Gender composition: boys, girls:

Is this form a
(choose one)

Service type



please specify:

Part 2: Sun protection at your centre

1. Does your OSHC/vacation care have a written skin protection policy? (choose one)

2. Does your centre regularly review its skin protection policy?
(choose one)

(if so please state how often)



3. Sun protection practices are in place



4. Sun protection is needed whenever UV is 3 and above. Is this mentioned in your policy?

5. Sun protection is not needed from May to August when the UV is below 3. Is this mentioned in your policy?

6. During the months of September to April outdoor activities scheduled before 10.00 am and after 3.00 pm or in shaded areas


7. When the UV is 3 or above, hat wearing at your service is
(choose one)



8. Children at your service wear
(choose as many as applicable)






please specify:

9. During the months of September to April when the UV is 3 and above, approximately how many children would be wearing broad brimmed, legionnaire or bucket hats?
(Choose one)




10. If a student is not wearing a hat outside when the UV is 3 and above
(Choose as many as applicable)





please specify:

11. Does your service request that all staff wear broad-brimmed, bucket or legionnaire hats while outside when the UV is 3 and above?
(choose one)


12. Are any of the following included in your dress code/uniform?
(choose as many as applicable)






13. Regarding the use of SPF 30+ sunscreen
(choose as many as applicable)





14. Which of the following are in place to minimise the time spent outside during peak ultraviolet (UV) radiation times between September and April or when the UV is 3 and above. Please note if you are OSHC centre only  - some of these may not apply.
(choose as many as applicable)







please specify:

15. Describe the available shade at your service.
(choose as many as applicable)






Attach your policy:



 


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