Volunteer Screening Questionnaire Application (Under 18 years old)

This form is a legal requirement and underlines our Values as we seek to be Big-Hearted and Trust-Worthy. Your answers are confidential and only accessed by the GBC Safe Church Team.

This document will be stored electronically with a password protection and only accessible by the Safe Church Team.

Please DO NOT push 'ENTER' until you are ready to submit this form. Please TAB or select each field with your mouse.

If you have already completed this form (after February 2020) for a different role that you are currently serving in, please contact your Section Leader. You may not need to complete this form again.

What ministry role are you interested in applying for? *

Tip: e.g.: Prayer Team Member, Pastoral Care Team Member...

Part A | General Information

We believe that the Holy Spirit enables us to serve the Lord and each other through our gifts and abilities, time and resources. We also believe that serving alongside other people is one of the best ways to feel connected to the community of faith here at GBC. We want to release everyone into the joy of partnering with God, as He restores and renews all things.

By completing the questions below, you will help us discern, together with you, where God might be calling you to serve in ministry at this time. We look forward to seeing where and how God will use you, in the life of our church community, as we invite others to follow Jesus.

First Name *

Last Name *

Previous Names (if applicable):

Phone Number *

Email Address *

Date of Birth *

Mailing Address

Mailing Address Line 2

Home Postcode

Gender

Name of at least one Parent/Guardian: *

Contact phone for Parent/Guardian: *

Do have any health conditions that we should know about? If so, please set out below (or leave blank)

PART B | Safety Questions

Please answer "YES" or "NO" to each of the following questions. If you answer "yes" to any one of these questions, please provide details in the text box at the bottom of the section, or discuss with the Section Leader responsible for this role. A "yes" answer will not automatically rule an applicant out of selection.

Please note that if you disclose any potential criminal actions, the church may need to report this information to the police or other relevant government authorities.

Have you ever been charged with and/or convicted of a criminal offence? *

Yes

To your knowledge, has there ever been any allegations made against you regarding any abuse of a child, physical abuse or sexual misconduct? *

Yes

Have you had a history of alcohol abuse or substance abuse (including prescription, over-the-counter, recreational or illegal drugs)? *

Yes

IF you answered "yes" to any of the questions above, please briefly provide details here:

Churches You Have Attended in the Past Three Years

Please list the details of the churches that you have regularly attended over the past three years, starting with the most recent church.

If this is GBC, please put this down.

Name of most recent church and location: *

Tip: For example: Gymea Baptist Church in Kirrawee

When: *

Tip: (Month / Year)

Any positions held:

SECOND Church

Name of church and location:

When:

Any positions held:

THIRD Church

Name of church and location:

When:

Any positions held:

Referees

Please provide the details of TWO referees. These referees need to be over the age of 18 years old and able to give a verbal report on your character. Your referees will be contacted by a member of our Serve Team.

Referee ONE: *

Referee TWO: *

Declaration

CONSENT TO HOLD INFORMATION

I consent to the information contained in this application, including any subsequent pages/documents, to be kept by Gymea Baptist Church. I understand that this information will be kept in a confidential file and used only for screening purposes.

By entering my name and the date below, I declare that:

- the information I have provided in this application is true and correct to the best of my knowledge and belief

- I understand that if I provide false or misleading information or withhold relevant information from this application, the church leadership may determine that I am unsuitable to serve in any role in the church

- I understand that prior to commencing any ministry role, I will be required to read and sign a Code of Conduct.

Name *

Date *

Parent/Guardian Name:

Parent/Guardian Email: