Join A Team! Ministry Application Form • Lifeway Christian Church

Please tick either "yes" or "no" for each question.

If your answer to any of the following questions is "yes", please give details in a separate box.

1. Do you have any health problems which may effect you working or volunteering for the church? *

Yes

* Sexual contact with someone under your care other than your spouse (such as parishioner, client, patient, student, employee or subordinate)

* Sexual conduct with the person under the age of consent.

* Illegal use, production, sale, or distribution of pornographic materials

3. Have you ever engaged in any of the above conduct, even though never having been charged? *

Yes

4. Has there been anything in your past that may hinder you in this position that you are applying for? *

Yes

5. To your knowledge, have you ever been the subject of an allegation of sexual abuse or sexual misconduct? *

Yes

6. Have you ever been apprehended violence order, order for protection or the like issued against you as a result of allegation of violence , abuse, likely harm, harassment, stalking ect.? *

Yes

7. Have you ever had permission to undertake paid or voluntary work with children or other vulnerable people refused, suspended or widrawn in Australia or any other country? *

Yes

8. Has a child or dependant young person in your care (as a parent or in any other capacity)ever been removed from your care, or been the subject of a risk assessment by the authorities? *

Yes

10. Have you a history of alcohol abuse or a history of substance abuse including prescription , over the counter, recreational or illegal drugs? *

Yes

11. Have you done anything in the past or present that may result in allegations being made against you of child abuse? Abuse includes bullying, emotional abuse, harassment, neglect, physical abuse or sexual abuse *

Yes

12. Have you ever done anything in the past or present that may result in allegations being made against you of bullying or any form of harassment of adults? *

Yes

Personal Details

Screening Questions

Record of Christian Church Memberships

Character References

Evidence of Criminal History Check and/or Working with Children Check

Consent to Hold Information

Declaration