Safeguarding

God created people in his own image and likeness, which gives everyone value and dignity. We value all people and support them and protect them from harm. We have a special responsibility for safeguarding the wellbeing of children and vulnerable adults.

Volunteering

If you volunteer for a role that brings you into contact with children, young people or vulnerable adults then you must first complete a volunteer application form, then undergo an enhanced level Disclosure and Barring Services check. This is a part of the Diocese's safeguarding process. Our Safeguarding Representative is Jackie Sullens, and she will help you with the relevant paperwork. Readers and ushers do not require these checks.

Volunteer

Role

Title

Mr/Mrs/Miss/Ms/Other (please specify)

Current Full Name

Please include all first names

First Name

Last Name

Name known by

If applicable

Email Address

Telephone Number

Address

Please include postcode

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

About you

Interests or experience

Please tell us something about yourself: interests or experience you have which are relevant to the role

Health

Do you have any current medical conditions you feel we should be aware of in order that we can ensure your wellbeing whilst you undertake the role?

Referees

Please give two people who have known you well for at least 2 years and can comment on your suitability for this role – we cannot accept references from your relatives or family members, your Parish Priest or members of your Diocesan Safeguarding Team – only one of your referees may be a member of the group or activity to which you are applying to work

First Referee

First Name

Last Name

Relationship

In what capacity does this person know you?

Telephone

Address

Please include the postcode

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Second Referee

First Name

Last Name

Relationship

In what capacity does this person know you?

Telephone

Address

Please include the postcode

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Declaration

Data

I give my consent, in accordance with the Data Protection Act 1998, for the information contained in this form to be processed and stored for the purposes of recruitment.

Agree

Vet

I understand that a Disclosure & Barring Service (DBS – formerly known as CRB)/pre-appointment vetting checks will be required as part of the recruitment process. Details of the Disclosure will be recorded and retained indefinitely on the National CSAS Confidential Database.

Agree

Not barred

By making this application I confirm that I am not barred from working with vulnerable groups and understand that to apply to work with such group/s in Regulated Activity roles when barred from doing so is a criminal offence.

Agree

Retain

In the event that I am not appointed or in the future step down from the post, I understand that relevant information will be retained on file until I reach normal retirement age, or for 10 years if that is longer. (As per Working Together good practice guidance)

Agree

True

I declare that the information I have given on this form is correct and true to my knowledge.

Agree

Contact

If you have any questions about safeguarding in the parish, you can contact Jackie or Fr Kevin to discuss in confidence. The Diocese of Brentwood Safeguarding Office has more information. To contact Jackie, email safeguarding@lourdesleigh.org or use this form:

Safeguarding

Name

First Name

Last Name

Email Address

Subject

Message