Volunteers Application Form • Beenleigh Baptist

APPLICATION FOR WORKING WITH CHILDREN, YOUNG PEOPLE AND VULNERABLE ADULTS. VOLUNTEER

CS-03 Jan, 2024

Personal Information:

First Name *

Last Name *

Previous Names: (Maiden, Known as..etc.)

Home Address *

Home Address Line 2

Home City

Home Postcode

Phone Number

Mobile Number *

Email Address *

Date of Birth *

Church Involvement:

Have you attended Beenleigh Baptist Church for six months? *

Are you a Member of the Beenleigh Baptist Church?

Previous Churches:

Please list any churches you have been involved in over the last 5 years and list any roles you held at those churches that involved Children, Young People and Vulnerable Adults:

Church 1 Name:

Church 1 Previous Role:

Church 2 Name:

Church 2 Previous Role:

Personal Abilities & Qualifications:

Gifts and abilities: Please list your gifts and abilities that would be beneficial to your volunteer role

Previous experience, qualifications and training: Please list the specific details of prior experience that equips you to work effectively in the volunteer role you are applying for (attach a copy of any relevant documents and qualifications if applicable

Work/volunteer history: Please provide details of the last place where you performed a similar paid or volunteer role (if relevant)

Motivation and Calling: Please describe why you want to serve in this way.

Specific Needs: Please describe any medical, emotional, or social needs we should know about that may affect your leading and how we can assist you in your role.

Referees: (2 required)

Name of first referee *

Home Phone of first referee:

Mobile phone of first referee: *

Email address of first referee: *

Name of second referee: *

Home Phone of second referee:

Mobile phone of second referee: *

Email address of second referee: *

Blue card/exemption card details:

If your role will involve working with children and / or young people, please provide the following details. Note that your Blue Card must be sighted, a copy taken and linked to the church’s Blue Card Portal before you commence volunteering with children and young people.

Full name as it appears on your blue card or exemption card: *

Blue Card Number: *

Blue Card Expiry Date: *

Type of Card: *

Exemption Details:

Has your Blue Card ever been suspended?

Proof of Identity

Please indicate which of the following options you will provide as proof of identity and email a copy of to the Church to support this application: *

If Other, please provide details:

Personal Disclosure:

It is a requirement Beenleigh Baptist Church that all people in leadership/volunteer roles are asked to disclose if they have ever been the subject of a formal accusation. If you haven't already disclosed a prior accusation, it is recommended you inform the Church Child Safe Coordinator immediately.

Have you ever engaged in (or been the subject of a formal accusation for):

emotionally abusive behaviour
neglectful behaviour
physically abusive behaviour, or
sexually abusiver behaviour (including sexual contact with a person under the age of consent) towards a child, young person, vulnerable adult or adult?

Response: *

Training Requirements:

To provide a safe space for everyone, you will be required to complete initial training before you commence your role as well as annual refreshers, including the signing of a Code of Conduct annually. If your role involves being in contact with children, young people, or vulnerable adults you will be required to complete the Beenleigh Baptist Child Safe Policy Training before commencing and refresh this annually.

Applicant's Statement:

The information contained in this application is correct to the best of my knowledge. I authorise the churches listed in this application to give you any information they may have regarding my character and fitness for working with children, young people and vulnerable adults.

Should my application be accepted, I agree to be bound by any Beenleigh Baptist Church Child Safe Policy and additional policies and procedures and refrain from unscriptural conduct in the performance of my services on behalf of the church.

I have read and agree to abide by the following:

The Church Code of Conduct; and

The Beenleigh Baptist Church Child Safety Policy CP-04.

I understand the following:

It is an offence for a "disqualified person" to sign a Blue Card application form or renewal form.

By signing the application form I am consenting to the screening process; and

It is an offence for a staff member or volunteer to fail to notify Blue Card Services on the appropriate form of any change in personal details within 14 days.