Volunteer Worker's Application & Registration Form Applicant Information Name of applicant: Date of birth: Address: Suburb: Phone: Email address: Employment Information Current employer: Current employer address: Suburb: Time with current employer: _____ Years _____ Months Church Involvement How long have you attended Generocity Church? If less than one year, have you attended another church previously? □ Yes □ No If Yes, for how long? Name of previous church: Address of previous church: Suburb: Work Skills Please list details of any work skills that you may have: (E.g. Electrician, Carpenter, Accountant, Keyboard operator) Criminal History Have you ever been charged with or convicted of a criminal offence? □ Yes □ No If Yes, please provide details: Ministry Involvement What ministry would you like to be involved in? What type of work would you like to perform? Referees Pastor: Contact number: Employer: Contact number: Personal: Contact number: 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: ____/____/________     For Office Use Only Date Received: Processed by: Outcome: □ Approved □ Not Approved Comments: This form should be kept on file along with any other relevant documentation.