Volunteer (Job) Application Form

St. Paul's Church - Weston-super-Mare

Safeguarding Procedures

Form 2. Volunteer (Job) Application Form

(for all voluntary workers with children, youth and vulnerable adults)

Please upload a picture of yourself here to go in your file. This helps us see who you are and helps us identify you if needed.

Browse Files

Please only use a picture with you in it.

What team or teams are your applying for?

Full Name *

Prefix First Name Middle Name Last Name

Former Names

Date of Birth *

Day Month Year

Current Address *

Street Address

Street Address Line 2

City/Town County

Postcode Country

Home Phone Number *

Area Code Phone Number

Mobile Phone Number *

Area Code Phone Number

E-mail Address *

Church

Parish

How long have you lived at the above address? *

Previous Address (if you have lived at your current address for less than 12 months)

Street Address

Street Address Line 2

City/Town County

Postcode Country

How long did you live at this previous address?

Previous church you attended (if less than 12 months at St Paul's)?

Name of the minister at this previous church?

Please give details of any qualifications or training you have completed.

Please give details of any previous experience of looking after or working with children, young people or vulnerable adults.

Have you done any safeguarding training for children and/or vulnerable adults? (if 'Yes', please state what course(s) you have done and when you did them)

Any other relevant training?

Are you prepared to undertake appropriate training as agreed or as the PCC requires? *

References

Please give the name and contact details of two people who know you well (not relatives), including one who has managed or supervised your work with children, young people or vulnerable adults (if applicable). If you are currently employed, one of the references should be your current employer - unless there are specific reasons why this is not appropriate - in which case, please indicate this below.

Please write here your reasons why it may not be appropriate for your current emlpoyer to be used as a referee:

Referee 1. Name *

Prefix First Name Last Name

Referee 1. Address

Street Address

Street Address Line 2

City/Town County

Postcode Country

Referee 1. Phone Number (preferably mobile number). *

Area Code Phone Number

Referee 1. Email Address *

Referee 2. Name *

Prefix First Name Last Name

Referee 2. Address

Street Address

Street Address Line 2

City/Town County

Postcode Country

Referee 2. Phone Number (preferably mobile number). *

Area Code Phone Number

Referee 2. Email Address *

Confidential Declaration Form

Please complete the attached confidential declaration form. Under the terms of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 the age range you will be working with is a ‘vulnerable’ group and this means that you are exempt from the Act and can be asked to declare any previous criminal convictions including ‘spent’ convictions. This information can then be used for deciding whether or not you are suitable to work with the age range group. Failure to disclose criminal convictions may result in the termination of your services.

Disclosure & Barring Service (DBS) Enhanced Check

In order to work with children or vulnerable adults an enhanced DBS check must be obtained, through the diocese, from the Disclosure & Barring Service.

DATA PROTECTION

In order to comply with the Data Protection Act 1998 it is necessary to inform you that the information you provide on this form will be held securely within our recruitment system indefinitely.

All information will be held safely and in confidence, in accordance with the Data Protection Act 1998.

Applicants Signature (Please Type your full name here to state you approve of all the above)

Date