terminated should it be subsequently found that this information is false, misleading or intentionally omitted. I declare that I am not (a) a prohibited person (i); or (b) a person who, if they were a resident in NSW, would be a prohibited person; or (c) a person in respect of whom information has been entered on the National Register(ii); or (d) a person who has been convicted of an offence punishable by more than 10 years imprisonment; or (e) a person who has been convicted or found guilty of a sexual offence I understand that checks may be made to verify the above and hereby give permission for any background checks that may be necessary. If there are any changes in regard to the above I will notify the program/service manager or Rector of the Ministry Unit hosting the program. I make this declaration conscientiously believing it to be true and in accordance with the provisions of the Statutory Declarations Act 1959. EITHER: a. Anglican Parish Lay Worker Roles; I have received a copy of the current edition of the Diocesan Code of Good Practice of the Anglican Diocese of Canberra & Goulburn and Safe Communities of Faith Policy and I agree to adhere to and implement these documents, including attending a Creating Safe OR Ministries workshop and Refresher sessions. b. Anglicare Roles; I have received a copy of the Code of Conduct and the Volunteer Policy and I agree to adhere to the Organisation’s Policies and Signature: procedures, work in a safe manner and maintain confidentiality within my role Date: / /
Signature: Date: terminated should it be subsequently found that this information is false, misleading or intentionally omitted. I declare that I am not (a) a prohibited person (i); or (b) a person who, if they were a resident in NSW, would be a prohibited person; or (c) a person in respect of whom information has been entered on the National Register(ii); or (d) a person who has been convicted of an offence punishable by more than 10 years imprisonment; or (e) a person who has been convicted or found guilty of a sexual offence I understand that checks may be made to verify the above and hereby give permission for any background checks that may be necessary. If there are any changes in regard to the above I will notify the program/service manager or Rector of the Ministry Unit hosting the program. I make this declaration conscientiously believing it to be true and in accordance with the provisions of the Statutory Declarations Act 1959. EITHER: a. Anglican Parish Lay Worker Roles; I have received a copy of the current edition of the Diocesan Code of Good Practice of the Anglican Diocese of Canberra & Goulburn and Safe Communities of Faith Policy and I agree to adhere to and implement these documents, including attending a Creating Safe Ministries workshop and Refresher sessions. OR b. Anglicare Roles; I have received a copy of the Code of Conduct and the Volunteer Policy and I agree to adhere to the Organisation’s Policies and procedures, work in a safe manner and maintain confidentiality within my role / /
Combined_Diocese_Volunteer_Application_Form_UPDATED_24th_Feb_2015-2.docx