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Confidential Screening Questionnaire

NON-MINISTRY ROLE APPLICANT

Confidential Safe Ministry Check Questionnaire

Ordained Ministry, Application for appointment as a Paid, Licensed or Authorised Church Worker

Name

Surname

Parish or Organization

Role applying / renewing for

Today's date (dd/mm/yyyy)

*This application is valid for 3 months from this date.

SECTION 1
CONFIDENTIAL SAFE MINISTRY CHECK QUESTIONNAIRE

To you, the Applicant

The Anglican Church of Australia has established standards of conduct for clergy and church workers to maintain a safe and healthy ministry environment. The Anglican Diocese of Tasmania adheres to these standards.

Our commitment to these standards requires that we conduct background referencing for all persons who intend to engage in ordained and lay ministry in Australia. This request for information is being made to comply with Anglican Church of Australia policies, and not because we have any reason to believe that any applicant has in fact engaged in inappropriate conduct.

As part of our screening process, we request you to answer a series of questions which are, of necessity, intimate in nature. If you do not understand the question or would like to discuss your answer further, please feel free to call the Director of Professional Standards on 6220 2025 or the Safe Church Communities Coordinator on 6220 2020.

Completing the Form

1. Before completing this document read Faithfulness in Service, which includes the code of conduct for safe ministry to children. You can find Faithfulness in Service on the Diocesan website under Quick Links – Code of Conduct.

2. The Safe Ministry Check takes the form of a Statutory Declaration. It is a criminal offence to make a Statutory Declaration knowing it to be untrue in any material way.

3. You must answer all questions. Where required, select the appropriate response.

If you answer ‘Yes’ to a question—and where there is insufficient room—please add additional information in the details section provided, extra details can be added on the Additional Comments section at the end of the questionnaire.

Please note:
a ‘Yes’ answer to a question will not automatically rule an applicant out of selection; and
we do not interpret a ‘Yes’ answer to a question as a charge of professional misconduct. The Diocese has a formal process for making such a charge.
some questions have words set in bold print. These words or phrases are defined under ‘Key Terms’ in Faithfulness in Service.
4. Click SUBMIT. You will receive an email with an attached PDF. Print the PDF. On the printed copy of your PDF, sign the declaration and ensure that your signature is witnessed by a person authorised to witness a Statutory Declaration.

5. Scan and send to psu@anglicantas.org.au or post addressed to Confidential to the Professional Standards Unit, Anglican Diocese of Tasmania, GPO Box 748, Hobart, Tasmania 7001.

Interview

The Diocese of Tasmania conducts Safe Ministry Check Questionnaire interviews to enable discussion of the questions in this form and of your responses. You will be advised if this is required for the position for which you have applied. If you attend a Safe Ministry Check Questionnaire interview, please bring for Proof of Identity one (1) document, which includes a recent photograph either a Passport, current Driver’s Licence or WwVP.

For help to complete this form:

For personal Support:

To make a complaint about abuse:

Safe Church Communities Coordinator - Ph: 03 6220 2020.

Please contact your minister or Lifeline 13 11 14.

Director of Professional Standards - Ph: 036220 2020.

SECTION 1
THE SAFE MINISTRY CHECK

To you, the Applicant

Thank you for applying for a position in the Anglican Diocese of Tasmania.

The Anglican church is committed to doing everything we can to ensure that churches and organisations are safe places for all who participate in our activities – including children, people with disabilities, the aged, and our employees.

This is why everyone who participates in any type of ministry or employment is screened and helps to ensure that the Diocese provides a safe place for all.

About this Form

This form is part of your assessment process for employment in the Diocese of Tasmania.

Your answers are confidential and are only accessed by the Professional Standards Unit and then stored securely.

You are asked to provide referees who will share their understanding of your suitability for the role for which you have applied.

Completing the Form

1. Please read and complete ALL sections of this form.

2. You must answer all questions. Where required, select the appropriate box.
If you answer ‘Yes’ to a question please add additional information in the space provided.

Please note:
a ‘Yes’ answer to a question will not automatically rule an applicant out of selection.
3. Click SUBMIT. You will receive instructions for your e-signature via email. Follow these emails.

4. You will also received an email with an attached PDF for your personal records.

Privacy Statement

Privacy Statement

Your privacy is important to the Anglican Diocese of Tasmania. Only information relevant to the purpose of this form is collected. Your details are held in a secure system and not made available to others unless it is legally required to do so. For further details please read the Privacy Policy. Your form will be stored digitally, and paper copies will be shredded.

SECTION 2
YOUR DETAILS

2.1 Personal details

Title

Enter preferred title

Legal Name/s

Legal Surname

Previous Surname/s

Also Known as:

Date of birth (dd/mm/yyyy)

Gender

Marital Status

Current occupation

Home phone

Mobile phone

Work phone

This email will be used for all communications to you including your private documents.

Street address

Suburb

State

Postcode

Country

Have you been a resident in any other Australian State or Territory, or in another country?

YesNo

Please list all previous interstate or international address, the most recent first.

To add another address, please click Add another response at the bottom of this box.

Address

From (dd/mm/yyyy)

To (dd/mm/yyyy)

If you do not know the exact dates, put the 1st of the month when you first commenced and when you finished, e.g. 01/12/2020.

2.2 Confirming your identity

Please attach to this form a clear copy of ONE of the following:

Your birth certificate; a current Australian passport; an Australian citizenship document or Australian immigration papers.Your current Australian State or Territory driver’s license.A current student identity card from an educational institution or equivalent form of identification.A Tasmanian Personal Information Card.

A Working with Vulnerable People Card or Working with Children Card.

Upload your soft copy of Australian State or Territory driver's license

Upload your soft copy of valid documents a mentioned above

Upload your soft copy of current student ID

Upload your soft copy of Tasmanian Personal Information Card

2.2 Confirming your identity

Please attach to this form a clear copy of ONE of the following:

Upload your Proof of Identity below

2.3 Working with Vulnerable People Card Details

Please attach to this form a clear copy of your WwVP Card.

Working with Vulnerable People Card?

Name on Card	Card number
Expiry (dd/mm/yyyy)	Upload your WwVP Card

2.4 Record of Anglican Ordination/Consecration

	Yes	No
Have you ever been ordained in the Anglican Church as a deacon or a priest, or consecrated as a bishop? (Provide details of ordained or authorised ministry in another denomination in 2.6)

Diocese ordained as Deacon

Date (dd/mm/yyyy)

Diocese ordained as Priest

Date (dd/mm/yyyy)

Diocese consecrated as Bishop

Date (dd/mm/yyyy)

2.5 Record of Anglican Bishop's Licences or Authorities

	Yes	No
Have you previously held a Bishop's Licence or Authority?

Please provide details below, the most recent first.
To add another record/role, please click Add another response at the bottom of this box.

Position

Diocese

Bishop

From

If you do not know the exact dates, put the 1st of the month when you first commenced and when you finished, e.g. 01/12/2020.

2.6 Record of Christian Church Membership and Christian Ministry

Complete the table below regarding any church you have attended regularly during your adult life, excluding positions detailed above. List the most recent first.

To add another record/role, please click Add another response at the bottom of this box.

Church (Name & Denomination)

Location & Diocese

Role

From (dd/mm/yyyy)

To (dd/mm/yyyy)

Snr Minister or equivalent:

If you do not know the exact dates, put the 1st of the month when you first commenced and when you finished, e.g. 01/12/2020.

2.7 Record of past employment

Please provide your employment history for the last 15 years below, with the most recent first.

To add another record/role, please click Add another response at the bottom of this box.

Employer

Location & State

Position or Role

From (dd/mm/yyyy)

To (dd/mm/yyyy)

If you do not know the exact dates, put the 1st of the month when you first commenced and when you finished, e.g. 01/12/2020.

SECTION 3
SUITABILITY FOR MINISTRY

3.1 Identity

	Yes	No
a. Have you ever, since the age of eighteen, been known by any names(s) other than the one given above?

3.1 Details for any YES answers above (provide question reference):

3.2 Health and social issues

	Yes	No
a. Do you have any health condition(s), which may affect your work with children or young persons, or others in general?
b. Do you have a history of alcohol abuse or heavy consumption?
c. Does your current use of alcohol adversely affect or impair your ministry, personal well-being or relationships?
d. Do you have a history of substance abuse including prescription, over-the-counter, recreational or illegal drugs?
e. Does your current use of other mind-altering or addictive substances adversely affect or impair your ministry, personal well-being or relationships?
f. Do you have history of gambling or problem gambling?
g. Do you have any stress release behaviours that may affect your suitability to work with children, young persons, or others in general?

3.2 Details for any YES answers above (provide question reference):

3.3 Criminal and other offences

Throughout this document charged or charges indicates allegations made in writing and known to you OR allegations made to a court, disciplinary tribunal or employer in Australia or in any other country.
A traffic infringement is not a criminal offence.

	Yes	No
a. Have you ever been charged with a criminal offence in Australia or in any other country?
b. Have you ever been convicted of a criminal offence in Australia or in any other country?

c. This question relates to action before a licensing board, professional association, community association, sports club, employer, educational institution, church or any other body.

	Yes	No
i. Has disciplinary action of any sort ever been taken against you?
ii. Have there been charges against you to the above named bodies that did not result in discipline?
iii. Are there charges pending against you before any of the above-named bodies?
d. Have you ever been charged with any offence related to cruelty to animals?
e. Have you ever been charged with a traffic offence which required you to attend court?

3.3 Details for any YES answers above (provide question reference):

3.4 Licences/authorities

	Yes	No
a. Has your licence to drive a motor vehicle ever been revoked or suspended?
b. Have you ever had a license to own firearms refused or revoked?
c. Have you ever applied for a Working with Vulnerable People Check or a Working with Children Check in any State or Territory?
d. Did the authority to which you applied refuse to issue the check?
e. Has your Working with Vulnerable People Check or a Working with Children Check ever been cancelled, revoked or suspended?

Card Name:

WWVP/WWC State:

WWVP/WWC Number:

WWVP/WWC Expiry Date

3.4 Details for any YES answers above, except c (provide question reference):

3.5 Employment and professional conduct

	Yes	No
a. Have you ever been asked to resign or been terminated by a training program, employer or church body?
b. Have you ever had a civil suit brought against you arising out of alleged professional misconduct, or is any such suit pending?
c. Have you ever had professional indemnity insurance declined, suspended or revoked for any reason?

3.5 Details for any YES answers above (provide question reference):

3.6 Financial matters

	Yes	No
a. Have you ever been charged with misappropriating funds, or otherwise breaching fiduciary duties in any capacity?
b. Have you ever been charged with an offence under the taxation laws?
c. Have you ever had an order made against you or entered into a composition with creditors or an assignment for the benefit of creditors under the Bankruptcy Act or have you ever had an order made against you under any Act regulating corporations?

3.6 Details for any YES answers above (provide question reference):

3.7 Abusive conduct

	Yes	No
a. Have you ever had an apprehended violence order, order for protection or the like issued against you as a result of allegations of violence, abuse, likely harm, harassment or stalking?
b. Have you ever been charged with verbal or physical harassment?
c. Has a child or dependent 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?
d. Have you ever been charged with the production, sale or distribution of, or illegal access to child exploitation material?
e. Have you ever had permission to undertake paid or voluntary work with children refused, suspended or withdrawn in Australia or any other country?
f. Have you done anything in the past or present that may result in allegations being made against you of child abuse?

'Child abuse' means the following conduct in relation to a child:

bullying; emotional abuse; harassment; neglect; physical abuse; sexual abuse; spiritual abuse; grooming; or

the failure without reasonable excuse to comply with the laws of the Commonwealth, a State or Territory requiring the reporting of child abuse to the police or other authority; or

the possession, production or distribution of child exploitation material.

The context of the conduct includes personally, virtually or by any electronic means.

3.7 Details for any YES answers above (provide question reference):

3.8 Sexual conduct and misconduct

'Sexual conduct' includes sexually motivated touch and conversation through to sexual intercourse of any kind. The context of the conduct includes personally, virtually or by any electronic means.

'Sexual misconduct’ includes:

abuse of power or role for sexual purposes
sexual conduct with a person under the age of consent or with an adult not competent to give consent
sexual assault (e.g. rape)
soliciting for sexual purposes
public indecency (eg. indecent exposure)

	Yes	No
a. Have you ever been charged with having engaged in sexual conduct or attempted sexual conduct with a person with whom you had a pastoral or professional relationship (e.g. a parishioner, a client, a patient, an employee, a student, a subordinate)?
b. Have you ever been charged with having engaged in sexual conduct with persons under the legal age of consent?
c. Have you ever been charged* with an offence related to sexual misconduct?
d. Have you ever been charged with an offence related to sexual harassment?
e. Have you ever engaged in any of the following conduct, even though never having been charged?

Sexual contact with a parishioner, client, patient, student, employee or subordinate (other than with your spouse)
sexual contact with a person under the age of consent
illegal use, production, sale or distribution of child exploitation material
conduct likely to cause harm to a child or young person, or to put them at risk of harm

3.8 Details for any YES answers above (provide question reference):

3.9 Personal Behaviour

	Yes	No
a. Are you living outside the biblical sexual ethic of chastity in singleness and faithfulness in marriage?
b. Have you ever participated in any occult practices?
c. Do you currently or regularly view, produce or distribute pornographic or sexually explicit materials
d. Is there any information from your past or present that may result in allegations being made against you which could be regarded as disgraceful and inconsistent with the standards to observed by a Christian?
e. Have you ever had a complaint made about you using your spiritual authority or views to control the behaviour of others?

3.9 Details for any YES answers above (provide question reference):

3.10 Additional comments

Additional details for any YES answers above (provide number):

SECTION 4
CHARACTER REFERENCES

Please provide details below of three (3) referees.

Referees must be over eighteen years of age and be able to give a report on your good character and suitability for ministry among children and young people. They must NOT be a relative, close friend or a member of the Selection panel. If you have lived in another state or country, please include a referee from your last parish or organisation in that state and/or country.

Please advise your referees that you have nominated them on this form and their prompt response will be appreciated.

We will contact your referees by email, please ensure mail address is current if referee has no email.

Note: Three (3) referees are required

To add another referee, please click Add another response at the bottom of this box.

REFEREE 1: This person must be a Senior Church Leader, e.g. Bishop, Archdeacon, rector, church warden, elder.
REFEREE 2: This person must be one of the following: a current or former employer, current or former supervisor or authorised person in a para-church or other organisation in which you have worked or served in an honorary or volunteer capacity, or if you have no employment or volunteer history, a current or former teacher.
REFEREE 3: This person must be someone who knows you well, having known you for at least three years.

Title	Enter preferred title
First name Email	Surname Mobile No/s
Street address	Suburb/Town
Postcode	State
Country	Home No/s

SECTION 5
STATEMENTS

Authority for information

I understand that it is the policy of the Anglican Church of Australia to ask:

Those who serve or have served as my bishop or equivalent
Churches I have regularly attended as an adult and
my employers;
whether to the best of their knowledge I have engaged in specified conduct that is relevant to the assessment of whether I am a suitable person to undertake ministry in the Church.

I have identified all positions in which I have held a bishop’s licence or authority or equivalent, all churches which I have regularly attended as an adult and my employers. I hereby authorise the Anglican Church and its delegates to contact and exchange information with them.

I further hereby authorise every one of those bishops, churches and employers to inform the Anglican Church and its delegates of any knowledge they may have relevant to the assessment of whether I am a suitable person for to undertake ministry in the Church.

I hereby authorise my referees to answer the Referee’s Screening Questionnaire and to provide any information relevant to my application to you and your delegates.

Release from liability

I hereby release from liability any person or organisation that provides information relevant to the assessment of my suitability to undertake ministry in the Church.

I also agree to release the Anglican Church and its delegates from any and all liability as it relates to any investigation by them regarding the information contained in this application, or any action by them as a result of such investigation.

Acknowledgement

I understand that any material misstatement in or omission from this questionnaire may render me unfit to hold a particular or any office in the Church or to remain in employment in a Church body.

Name of Applicant

Date (dd/mm/yyyy)

SECTION 6
STATUTORY DECLARATION

When you have submitted this online application, you will receive a PDF of your application. You will need to print out this PDF and have this signed in-person by yourself and a witness.

Your signature must be witnessed by a person authorised in this jurisdiction to witness a Statutory Declaration. The witness is not required to read the document.

Declaration by the applicant

hidden section... might be needed later

I, (applicant name) __________________________________________________________

of ___________________________________________________________________________

do solemnly and sincerely declare that the information I have provided in this application and the information contained in any documents accompanying this application are true and correct to the best of my knowledge and belief.

Declared at (address):________________________________________________________

Declaration Date (DD/MM/YYYY): ____________________________________________

Witness full name: ___________________________________________________________________

Witness address: _____________________________________________________________________

SECTION 3
SCREENING QUESTIONS

3.1 Health and social aspects

	Yes	No
a. Do you have any physical or mental health conditions which need to be taken into consideration for your work in this role?
b. Do you have a history of abuse or heavy consumption of alcohol, or abuse other substances (e.g. illegal drugs, prescriptions, over-the-counter medication)?
c. Does your current use of alcohol or mindaltering or addictive substances adversely affect or impair your work, personal wellbeing or relationships?

3.1 Details for any YES answers above (provide question reference):

3.2 Criminal and other offences

	Yes	No
a. Have you ever been charged with a criminal offence in Australia or any other country?

‘Charged’ means that the police or other government authority has accused you in writing of committing a criminal offence. (Traffic infringement notice does not need to be declared.)

	Yes	No
b. Have you ever been convicted of a criminal offence in Australia or any other country?
c. Has anyone in Australia or in any other country alleged to a court, disciplinary tribunal or employer that you have committed a criminal offence?

3.2 Details for any YES answers above (provide question reference):

3.3 Licenses/authorities

	Yes	No
a. Have you ever had a driver’s license, whether in Australia or in another country revoked or suspended?

	Yes	No
b. Have you ever applied for a Working with Vulnerable People Check or a Working with Children Check in any State or Territory?
c. Did the authority to which you applied refuse to issue the check?
d. Has your Working with Vulnerable People Check or a Working with Children Check ever been cancelled, revoked or suspended?

3.3 Details for any YES answers above (provide question reference):

3.4 Respectful conduct

	Yes	No
a. Has anyone ever made a formal complaint about you bullying them? (E.g. Communicating in an abusive manner, behaving threateningly or inappropriately or making derogatory comments)
b. Have you ever had a complaint made about you using your personal views to control the behaviour of others?
c. Have you ever had a court order issued against you because of someone accusing you of violence, abuse, likely and/or threats of harm, harassment, or stalking? (E.g. An Apprehended Violence Order)
d. Has anyone ever accused you of child abuse?

A child is a person under the age of 18. Child abuse means:

Doing any one or more of the following things to a child, whether directly in person or via an electronic device such as a computer, tablet or phone: bullying; emotional abuse; harassment; neglect; physical abuse; sexual assault; spiritual abuse; grooming; or

Failing – without a reasonable excuse – to comply with any law that requires you to report child abuse to the police or other authority; or

Possessing, producing, or distributing child exploitation material (e.g. viewing child pornography or sexting)

	Yes	No
e. Have you ever done anything that may result in someone accusing you of child abuse?
f. Have you ever engaged in any of the following conduct in any way (personally, virtually or by any electronic means)?

Conduct likely to cause harm to a child or young person, or to put them at risk of harm; or

Failing – without a reasonable excuse – to comply with any law that requires you to report child abuse to the police or other authority; or

Possessing, producing, or distributing child exploitation material (e.g. viewing child pornography or sexting)

Production, sale, distribution, or illegal use of child exploitation material.

3.4 Details for any YES answers above (provide question reference):

3.5 Sexual conduct

	Yes	No
a. Have you ever behaved in a sexually inappropriate manner, either physically or electronically, with those you know through work or social networks?
b. Do you currently or regularly view, produce or distribute pornographic or sexually explicit materials

3.5 Details for any YES answers above (provide question reference):

3.6 Financial and resource integrity

	Yes	No
a. Have you ever been accused of not following organisational procedures for the handling of finances (including cash) and/or resources/property?

3.6 Details for any YES answers above (provide question reference):

3.7 Additional comments

Additional details for any YES answers above (provide number):

SECTION 4
RECORD OF EMPLOYMENT AND VOLUNTEER ACTIVITY

Please provide your employment history below, with the most recent first.

	Yes	No
Have any of these been outside Tasmania?

To add another record/role, please click Add another response at the bottom of this box.

Employer

Location & State

Position or Role

From (dd/mm/yyyy)

if you do not know the exact day, please put the 1st of the month when you started e.g. 01/12/2021

To (dd/mm/yyyy)

if you do not know the exact day, please put the 1st of the month when you ended e.g. 01/12/2021

If you do not know the exact dates, put the 1st of the month when you first commenced and when you finished, e.g. 01/12/2020.

SECTION 5
CHARACTER REFERENCE

Please provide details below of three (3) referees. In this context, a ‘referee’ is someone over 18 years of age who has known you for a minimum of one year and who can give a report on your good character and suitability for employment or appointment in a position in this organisation. A referee cannot be a relative or a close friend.

We will contact your referees by phone or email. If you have lived in another state or country within the last three years, please nominate at least one referee from your most recent employer or organisation in that state or country.

Note: Three (3) referees are required

To add another referee, please click Add another response at the bottom of this box.

For REFEREE 1: This person must be an employer or volunteer work supervisor or similar.
For REFEREE 2: This person might be an employer or volunteer work supervisor or similar.
For REFEREE 3: This person might be an employer or volunteer work supervisor or similar.

Organisation	Role
Title	Enter preferred title
First Name	Surname
Number, Street	Suburb/Town
Postcode	State
Country	Phone No/s
Email

SECTION 6
STATEMENTS

Authority for information

I hereby authorise:

• The Anglican Diocese of Tasmania and its delegates to contact and exchange information with the employers and organisations in the section Record of Employment and Volunteer Activity.

• Every one of these bodies to provide to the Anglican Diocese of Tasmania and its delegates any information they may have that is relevant to assessing whether I am a suitable person to undertake employment in the Diocese; and

• My referees to provide to the Anglican Diocese of Tasmania and its delegates any information relevant to my application for appointment as a church body employee.

Release from liability

I hereby release from liability any person or organisation that provides information relevant to the assessment of my suitability to undertake employment in the Anglican Diocese of Tasmania.

I also agree to release the Anglican Diocese of Tasmania and its delegates from any and all liability as it relates to any investigation by them regarding the information contained in this application, or any action by them as a result of such investigation

Acknowledgement

I understand that any intentional error or omission in the information in this application may prevent me from undertaking employment in the Anglican Diocese of Tasmania.

Declaration by the applicant

do solemnly and sincerely declare that the information I have provided in this application and the information contained in any documents accompanying this application are true and correct to the best of my knowledge and belief.

Date (dd/mm/yyyy)

Save my progress and resume later | Resume a previously saved form

Confidential Screening Questionnaire

NON-MINISTRY ROLE APPLICANT

Confidential Safe Ministry Check Questionnaire

Ordained Ministry, Application for appointment as a Paid, Licensed or Authorised Church Worker

SECTION 1CONFIDENTIAL SAFE MINISTRY CHECK QUESTIONNAIRE

To you, the Applicant

Completing the Form

Interview

SECTION 1THE SAFE MINISTRY CHECK

To you, the Applicant

About this Form

Completing the Form

Privacy Statement

Privacy Statement

SECTION 2YOUR DETAILS

2.1 Personal details

2.2 Confirming your identity

2.2 Confirming your identity

2.3 Working with Vulnerable People Card Details

2.4 Record of Anglican Ordination/Consecration

2.5 Record of Anglican Bishop's Licences or Authorities

2.6 Record of Christian Church Membership and Christian Ministry

2.7 Record of past employment

SECTION 3SUITABILITY FOR MINISTRY

3.1 Identity

3.2 Health and social issues

3.10 Additional comments

SECTION 4CHARACTER REFERENCES

SECTION 5STATEMENTS

SECTION 6STATUTORY DECLARATION

Declaration by the applicant

SECTION 3SCREENING QUESTIONS

3.2 Criminal and other offences

3.3 Licenses/authorities

3.4 Respectful conduct

3.5 Sexual conduct

3.6 Financial and resource integrity

3.7 Additional comments

SECTION 4RECORD OF EMPLOYMENT AND VOLUNTEER ACTIVITY

Please provide your employment history below, with the most recent first.

SECTION 5CHARACTER REFERENCE

SECTION 6STATEMENTS

Declaration by the applicant

SECTION 1
CONFIDENTIAL SAFE MINISTRY CHECK QUESTIONNAIRE

SECTION 1
THE SAFE MINISTRY CHECK

SECTION 2
YOUR DETAILS

SECTION 3
SUITABILITY FOR MINISTRY

SECTION 4
CHARACTER REFERENCES

SECTION 5
STATEMENTS

SECTION 6
STATUTORY DECLARATION

SECTION 3
SCREENING QUESTIONS

SECTION 4
RECORD OF EMPLOYMENT AND VOLUNTEER ACTIVITY

SECTION 5
CHARACTER REFERENCE

SECTION 6
STATEMENTS