C3 Kids Mandurah Volunteer Application Form • C3 Church Mandurah

CONFIDENTIAL

PERSONAL DETAILS:

Todays Date *

First Name *

Last Name *

Home Address *

Suburb *

Date of Birth *

Mobile Number *

Working With Children Check *

Yes

WWCC Expiry Date

Card Number

Postcode *

Gender *

Email Address *

Have you been Baptised by full immersion *

Yes

Occupation *

EMERGENCY CONTACT

Full Name *

Emergency Mobile *

REFEREES

Please give details of two people who have agreed to be your referees. Neither should be a family member.

Full Name *

Relationship *

Referees Mobile *

Full Name *

Relationship *

Referees Mobile *

VOLUNTEER AVAILABILITY

Please let us know your availability, if your preference are not available we will let you know.

Monthly (you can choose more than one)

1st Sunday of the month

2nd Sunday of the month

3rd Sunday of the month

4th Sunday of the month

If not Monthly please let us know your availability.

PLEASE TELL US A LITTLE ABOUT YOU:

1. What experience do you have of working with children or other vulnerable people? *

2. Please list any relevant qualifications and/or training that you have attained or attended (including first aid) *

3. Is there any medical condition, relevant information, or limitation (e.g. epilepsy) that may affect your ability to fully participate as a volunteer? (Please give details) *

CHILD PROTECTION STATEMENT

Children and young people who are involved in our activities should receive the highest possible standard of care and protection. Therefore, in all our work, we seek to ensure the well-being and development of each child and young person. Within this context, C3 Church Mandurah is committed to the protection of children and the vulnerable people from all forms of abuse.

1. Have you been interviewed, questioned, or charged by Police in relation to any offense involving children, young people, violence, alcohol, or drugs? *

Yes

2. Have you been convicted of any offense involving children, young people, violence, alcohol, or drugs? *

Yes

If 'yes' to either question, please give details or you may choose to discuss this with the Pastor or Kids Ministry Coordinator

MEDIA POLICY

Photos and videos can only be taken by volunteers; volunteers agree to personal message all photos and videos to the kids ministry Coordinator and to delete all photos and videos immediately from their devices.

NUT FREE POLICY

c3 Kids Mandurah is a nut free

DECLARATION

By clicking on all of the below checkboxes and typing your name below you are agree to the conditions of volunteering in c3 Kids Mandurah. *

Yes, I agree to c3 Kids Mandurah's Media Policy

Yes, I agree to c3 Kids Mandurah's Nut free Policy

Yes, I confirm that the information contained in this application is true and correct.

Yes, I agree to keeping a current Working With Children Check

Yes, I agree to a police check

Yes, I understand I am to inform c3 Church Mandurah of any information that is relevant to volunteering in Children's Ministry

Please email to kids@c3churchmandurah.com or message via whatsapp group your Working With Children Check and/or police clearance

Full Name *

Todays Date *