Shinfield Community Church
Application form for Youth/Children’s/Vulnerable Adults Volunteer Role
We ask all prospective workers with children and young people (0 – 18) and also for some roles connected to vulnerable adults to complete this form. The information will be kept confidentially by the church, unless requested by an appropriate statutory authority. The information in this form will be handled securely and in line with our data processing policy. You can read this policy and our data privacy notice here.
1. Personal Details
*DOB is required only for the purposes of DBS check (see section 6 below) and has no other bearing on the application
How long have you lived at the above address?
If you have lived less than three years at the above address please list below your previous address/es including post codes:
Address 2:
Length of time at address 2:
Address 3:
Length of time at address 3:
Address 4:
Length of time at address 4:
2. Nature of Post
Post applied for
When does the post begin?
When does the post end? (if not known please leave blank)
3. Experience and Skills
Please give details of previous experience of looking after or working with children/young people/vulnerable adults (whichever category is appropriate to the role). Please include details of any relevant qualifications or appropriate training either in a paid or voluntary capacity:
Please tell us about any Christian experience you may have (ie how long have you been a Christian, which church(es) have you attended (with dates), any activities undertaken):
4. Health
Do you suffer, or have you suffered any illness which may directly affect your work with children or young people?
Yes
No
If 'Yes' please give details
5. References
Please provide details of two people who know you well and who can offer a personal reference and comment on your character and work including within a church context.
-
Referees should have known you at least two years;
-
One referee should be external to Shinfield Community Church;
-
Neither referee can be family or a relative;
-
If you have experience working with children, young people or vulnerable adults (whichever is relevant to the post) at least one referee should be someone who you have worked in that context;
-
If you have moved from another church in the past three years, one referee should be from your previous church.
We also reserve the right to take up additional references from any other individuals deemed necessary.
Referee 1
Referee 2
6. Criminal Record Declaration
Because of the nature of the duties the postholder would be expected to undertake, the successful candidate will be required to make a full declaration of their past criminal record and co-operate in obtaining an Enhanced Disclosure or an Enhance Disclosure with Barred List from the Disclosure and Barring Service. Do you agree to make a full declaration of your criminal record and to co-operate in obtaining a DBS check at Enhanced Level or at Enhanced Level with Barred List?*
Yes No
* Because of the nature of the work for which you are applying, this position is exempt from the provision of section 4(ii) of the Rehabilitation of Offenders Act 1974 (Exceptions Order 1975), and you are therefore not entitled to withhold information about convictions which for other purposes are ‘spent’ under the provisions of the 1974 Act and in the event of appointment, any failure to disclose such convictions could result in the withdrawal of approval to work with children and / or young people within the church.
7. Declaration
I confirm that:
I have read and agree to work in line with the
'Policy Statement on Safeguarding Children and Young People in the Church and Key Guidelines for those Working with Children and Young People at Shinfield Community Church'
to the best of my knowledge the submitted information is correct and complete
Date:
<