# Volunteer Worker's Application & Registration Form

Applicant Information

<div align="left" dir="ltr" id="bkmrk-name-of-applicant%3A-d"><table><colgroup><col width="176"></col><col width="464"></col></colgroup><thead><tr><th scope="col">Name of applicant:

</th><th scope="col">  
</th></tr></thead><tbody><tr><td>Date of birth:

</td><td>  
</td></tr><tr><td>Address:

</td><td>  
</td></tr><tr><td>Suburb:

</td><td>  
</td></tr><tr><td>Phone:

</td><td>  
</td></tr><tr><td>Email address:

</td><td>  
</td></tr></tbody></table>

</div>Employment Information

<div align="left" dir="ltr" id="bkmrk-current-employer%3A-cu"><table><colgroup><col></col><col></col></colgroup><thead><tr><th scope="col">Current employer:

</th><th scope="col">  
</th></tr></thead><tbody><tr><td>Current employer address:

</td><td>  
</td></tr><tr><td>Suburb:

</td><td>  
</td></tr><tr><td>Time with current employer:

</td><td>\_\_\_\_\_ Years \_\_\_\_\_ Months

</td></tr></tbody></table>

</div>Church Involvement

<div align="left" dir="ltr" id="bkmrk-how-long-have-you-at"><table><colgroup><col></col><col></col></colgroup><thead><tr><th scope="col">How long have you attended Generocity Church?

</th><th scope="col">  
</th></tr></thead><tbody><tr><td>If less than one year, have you attended another church previously?

</td><td>□ Yes □ No

</td></tr><tr><td>If Yes, for how long?

</td><td>  
</td></tr><tr><td>Name of previous church:

</td><td>  
</td></tr><tr><td>Address of previous church:

</td><td>  
</td></tr><tr><td>- Suburb:

</td><td>  
</td></tr></tbody></table>

</div>Work Skills

<div align="left" dir="ltr" id="bkmrk-please-list-details-"><table><colgroup><col></col></colgroup><thead><tr><th scope="col">Please list details of any work skills that you may have: (E.g. Electrician, Carpenter, Accountant, Keyboard operator)

</th></tr></thead><tbody><tr><td></td></tr></tbody></table>

</div>Criminal History

<div align="left" dir="ltr" id="bkmrk-have-you-ever-been-c"><table><colgroup><col></col><col></col></colgroup><thead><tr><th scope="col">Have you ever been charged with or convicted of a criminal offence?

</th><th scope="col">□ Yes □ No

</th></tr></thead><tbody><tr><td colspan="2">If Yes, please provide details:

</td></tr></tbody></table>

</div>Ministry Involvement

<div align="left" dir="ltr" id="bkmrk-what-ministry-would-"><table><colgroup><col width="319"></col><col width="318"></col></colgroup><thead><tr><th scope="col">What ministry would you like to be involved in?

</th><th scope="col"></th></tr></thead><tbody><tr><td>What type of work would you like to perform?

</td><td></td></tr></tbody></table>

</div>Referees

<div align="left" dir="ltr" id="bkmrk-pastor%3A-contact-numb"><table><colgroup><col></col><col></col><col></col><col></col></colgroup><thead><tr><th scope="col">Pastor:

</th><th scope="col">  
</th><th scope="col">Contact number:

</th><th scope="col">  
</th></tr></thead><tbody><tr><td>Employer:

</td><td>  
</td><td>Contact number:

</td><td>  
</td></tr><tr><td>Personal:

</td><td>  
</td><td>Contact number:

</td><td>  
</td></tr></tbody></table>

</div>Declaration

I confirm that the information I have supplied on this form is true and correct to the best of my knowledge. Should it be found the answers are untrue, I understand that may be grounds for dismissal from the position held.

I accept that Generocity Church may contact the referees mentioned in this document.

I agree to release and hold harmless from liability any person or organisation that provides information, and that a copy of this application can be sent to any referee mentioned herein.

I also agree to hold harmless Generocity Church, its officers, employees and volunteers in relation to their use of this application or information contained herein.

I waive any rights I may have to inspect references provided on my behalf.

▢ I have read and signed a Volunteer Worker Code of Conduct

Signed: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Date: \_\_\_\_/\_\_\_\_/\_\_\_\_\_\_\_\_

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For Office Use Only

<div align="left" dir="ltr" id="bkmrk-date-received%3A-proce"><table><colgroup><col width="123"></col><col width="127"></col><col width="118"></col><col width="272"></col></colgroup><thead><tr><th scope="col">Date Received:

</th><th scope="col">  
</th><th scope="col">Processed by:

</th><th scope="col">  
</th></tr></thead><tbody><tr><td>Outcome:

</td><td>□ Approved   
□ Not Approved

</td><td>Comments:

</td><td></td></tr></tbody></table>

</div>This form should be kept on file along with any other relevant documentation.