ACC Volunteer Church Workers Declaration

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First Name *

Last Name *

Email Address

Contact Number

Gender

Date of Birth

Do you have a Former Name?

Tip: If yes, please state.

Home Address *

Criminal History Check

I hereby consent to an Australian Federal Police Check if one is considered necessary for my role. *

Yes

Working with Children Check

Blue Card Registrations

My Blue Card details, where required are as follows:
State of Issue: __________ Reference No. _____________ Expiry: _____

Blue Card Number

Blue Card Expiry

What to do if You Don't Have a Blue Card

If you don't have a Blue Card you will need to register for a Blue Card.

This is a five step process
Step 1 - To register for a Blue Card, use this link: https://my.bluecard.qld.gov.au/login

Step 2 - As soon as you receive a registration number, forward that number and your Birth Date to hr@rhythm.org.au

Step 3 - Rhythm Church will link your registration number with Rhythm Church and you will then receive a text message / email from Blue Cards Services

Step 4 - Finish the application process by filling out the form from Blue Cards Services

Step 5 - Rhythm Church will receive notification of your positive Blue Card from Blue Cards Services

Date you completed this Declaration:

Consent to Hold Information

I consent to the information contained in this application including the subsequent pages to be kept by our church. I understand that this information will be kept in a confidential file and used only for screening and disciplinary purposes. *

Consent to Hold Information

Yes

Full Name

Referee Check

Referre Details

Tip: If you have been at the church for less than 3 years, Please nominate a character reference including their name and contact number

Name of Previous Pastor (if applicable):

Declaration

1A. I understand that the church operates in an environment of numerous legal and ethical restrictions, and I will fully cooperate with the church in abiding by these.

Agree

Tip: I assure the church, in considering me for a volunteer role that I have no health impediment that will put me or any other person at risk in the fulfilment of my designated role

1B. Other than those matters disclosed to the church I know of no past behaviour that renders me unfit to serve as a volunteer or which detracts from the obligation of the church to operate as a place of safety to a minor or any other person.

Agree

Tip: Such past behaviour may include being the subject of an allegation of sexual abuse (whether convicted or not), including any type of molestation, indecent exposure, sexual harassment or intimidation.

2. I understand that if I am unclear as to any of the statements in this document, I will seek clarification from a team leader or church leader before signing.

Agree

3. I have provided this information and any documents accompanying it in good faith and declare they are true and correct to the best of my knowledge and belief.

Agree

4. I understand that any material misstatement in or omission from this questionnaire may render me unfit to hold a particular role in the church.

Agree

5. I have read and signed the ACC Volunteer Church Workers Code of Conduct.

6. I understand that when considering whether there is an avenue for my voluntary services, my church may refer to ACC and local church policies, guidelines and position papers.

Agree

7. I will respect the decision of my church as to where I volunteer my services within the church, and whether my services are required from time to time.

Agree

8. I understand that a team leader will be available to me to discuss my service.

Agree

Agreement

Description

By Clicking Below *

Yes

Tip: I certify that the information contained in this application is complete and accurate. I agree to the policies and procedures of Rhythm Church and to refrain from unscriptural conduct on behalf of Rhythm Church One of our leaders will be in touch soon

Proposed Volunteer Signature *

Tip: If under the age of 18, please have the form co-signed by your parent/guardian

Parent/Guardian Consent (If Volunteer is Under 18)

Parent / Guardian Full Name

Tip: Only if Volunteer is under 18

Parent/Guardian Contact Number

Tip: Only if Volunteer is under 18

Parent/Guardian Signature

Tip: Only if Volunteer is under 18

Rhythm Church Aura

ACC Volunteer Church Workers Declaration

Criminal History Check

Working with Children Check

What to do if You Don't Have a Blue Card

Consent to Hold Information

Referee Check

Declaration

Agreement

Parent/Guardian Consent (If Volunteer is Under 18)