18+ Safe Ministry Screening Questionnaire • Green Point Baptist Church

Safe Ministry Screening Questionnaire 18+

For Staff and Volunteers aged 18 and over.

Please Note: This is a sensitive document that wull be stored in a confidential manner accessible only by a limited number of authorised persons.

First Name *

Date of Birth *

Last Name *

Gender *

Previous Name

Phone Number *

Email Address *

WWCC Number *

WWCC Expiry Date *

Home Address *

Home City *

Home Postcode *

Please outline any health conditions that may affect your volunteer role?

Church Attendance

Have you attended any other churches regularly during the last 3 years? *

Yes

Please give details including: Church names, locations, when attended (month/year) and any positions held.

Referees

Please provide details of two referees who are over eighteen years of age and able to give a verbal report on your character and suitability for ministry. Referees may be part of the Church but must not be related to you, or be the Ministry Leader of the ministry you'll be involved in.

Referee 1:

Name *

Email *

Number *

Relationship to you *

Referee 2:

Name *

Email *

Phone *

Relationship to you *

Creating Safe Spaces

Creating Safe Spaces (CSS) is a mandatory training course for Volunteers at GPBC run by the Baptist Association of NSW/ACT.

I have completed Creating Safe Spaces training within the last 4 years *

Yes

I will email my certificate to office@gpbc.net.au as proof of training *

Yes

I commit to completing the online module of CSS before commencing, and to attending the face-to-face workshop within 3 months of commencing. *

Yes

How to Complete Creating Safe Space Training

Go to www.creatingsafespaces.org.au
Click on ‘Start Online Training’ and select the 2nd option: Creating Safe Spaces Online Training - v4 (New)
Click on 'Find a Workshop' and register for a course that is convenient for you. They also regularly run a Zoom option for this session.
Once you have completed both sections, they will email you a certificate which you can forward to office@gpbc.net.au

Consent & Declaration

By submitting this application, I agree to the following:

I consent to verification of my WWCC number (if required) and a National Police Check (staff only).
I consent to the information contained in this application, including any subsequent pages, to be kept by our Church. I understand that this information will be kept in a confidential file and used only for screening purposes.

I sincerely declare that: 

The information I have provided in this application is true and correct to the best of my knowledge and belief. 
I understand that if I provide false or misleading information or withhold relevant information from this questionnaire, the church leadership may determine that I am unsuitable to serve in any role in the Church.

Full Name *

Safe Ministry Screening Questionnaire 18+

Please select either "YES" or "NO" for each of the following questions.

Church Attendance

Referees

Creating Safe Spaces

Consent & Declaration