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Application Form for Voluntary Post

The Parish Church of St. Mary, Jersey

APPLICATION FORM FOR VOLUNTARY POST

 

FULL NAME

 

 

VOLUNTARY POST APPLIED FOR

 

AT

 

 

ADDRESS (if less than 5 years please give previous addresses for the past 5 years)

 

 

 

TELEPHONE  (home)

(work)

E-mail

Mobile

 

Relevant education and training, and experience

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

 

Statement of Application

 

Please write a brief statement about why you want to undertake this work, and your particular strong points and areas of interest and experience which would assist you in it

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please answer the following questions. If YES to any question, please give full details:

Do you have any convictions (spent and unspent) by the courts?                                    YES / NO

 Do you have any cautions, reprimands or final warnings by the police?                        YES / NO

Do you have any criminal / abuse cases pending against you?                                         YES / NO

Do you or have you ever been the subject of any investigation or enquiry by the police,

a statutory agency or any other body, into abuse or neglect of a child or vulnerable

adult or other inappropriate behaviour?                                                                            YES / NO

Are there any reasons why you may be considered unsuitable to work with children

or vulnerable adults?                                                                                                            YES / NO

References

 

Please give names and addresses of two referees.  One should be someone from your previous church, if you have ever attended one, if you have joined this church within the last 12 months.

 

Name …………………………………………………………………………………….………………………………………………………………….

 

Position …………………………………………………………………………………………………………………………………………………….

 

Address ……………………………………………………………………………………………………………………………………………………

 

…………………………………………………………………………………………………………………………………………………………………

 

Tel No. …………………………………………………………………………………………………………………………………………………….

 

Email ……………………………………………………………………………………………………………………………………………………….

 

 

 

 

Name ………………………………………………………………………………….………………………………………………………………..

 

Position ………………………………………………………………………………………………………………………………………………..

 

Address ………………………………………………………………………………………………………………………………………………..

 

……………………………………………………………………………………………………...........................................................

 

Tel No. …………………………………………………………………………………………………………………………………………………

 

Email ……………………………………………………………………………………………..........................................................

 

I agree that the approval of the Church to my carrying out voluntary work will be subject to a clear level of disclosure being received under an “Enhanced DBS” application.

 

 I certify that the information given in this application form is complete and accurate

 

 

Signature                                                                                             Date

 

 

 

 

 


Policies and Protection
Webpage icon Protection Policy - Canterbury Diocese
Webpage icon Application Form for Paid Post
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