Glory City Church

Volunteer Details

Volunteer for

Department

First Name

Last Name

Your Email

Date of Birth

Mobile

Gender

Male

Female

Address

City

State

Post Code

Country

Reference Check

Please nominate two character references. This can be for example an employer, leader or pastor from a previous church with a well established personal history (minimum two years). Nominated references cannot be directly related to the applicant. Please ensure you have all their details before submitting.

Reference 1

Reference Name

Last Name

Reference Email

Phone number

Nature and length of relationship

Reference 2

Reference Name

Last Name

Reference Email

Phone number

Nature and length of relationship

Is there anything you can think of that may render you unfit for serving as a volunteer at Glory City Church such as a recent conviction, issues with addictive substances etc?

No

Yes

Please explain

Declaration

1. 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. 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
● Other than those matters disclosed by me to the church (note above) at the time of making this declaration, 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. Such past behaviours 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 intimidations.

2. I understand that if I am unsure of any of the material in this document, I should seek clarification from the team leader or church leader before signing.

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.

4. I understand that any misstatement in this form may render me unfit to hold a particular voluntary role at Glory City Church.

5. I have received a copy of the Volunteer Church Workers’ Code of Conduct (see page 1) and I agree to uphold it.

6. I understand that when considering whether there is an avenue for my voluntary service, Glory City Church may refer to the relevant policies and guidelines.

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

8. I understand that a team leader will be available to me to discuss my services to Glory City Church.

9. I consent to the information contained in this application (including any subsequent pages) being kept by Glory City Church. I understand that this information will be kept in a confidential file and used only for screening and disciplinary purposes.

Signature

Sign Here

Volunteer Reference Check - Under 18

Volunteer Details

Reference Check

Reference 1

Reference 2

Declaration