Proposed Trainer Details

First Name

Last Name

Gender
MaleFemale

Date of Birth (DD/MM/YYYY)

Address
Street

Suburb

State

Postcode

Home Phone

Mobile Phone

Email

Proposed Trainee Details

First Name

Last Name

Is the proposed trainee a Communicant member of the church?
YesNo

Safe Church Requirements

Have you ever had a finding of guilt or been convicted of abuse or neglect of a child under 18 years?
YesNo

Have you ever had any allegations or complaints made against you involving misconduct with children under the age of 18 years?
YesNo

Is there anything in your past that would call into question your suitability to be trusted with the care of children under 18 years?
YesNo

Please provide your Working With Children Check Number

Expires (DD-MM-YYYY)

All trainers must complete the PCV Volunteer Approval Process (VAP) in their local church as a part of the application process. Have you completed the VAP?
YesNoUnsure

It is a requirement that all trainers complete Safe Church Basic Training within one year of their VAP approval (if they haven’t already). Please circle one of the following:
I have already completed Safe Church trainingI will complete Safe Church training within one year of VAP approval

Have you read PCV’s “Safe Church” Policy in relation to working with children?
YesNo
(An electronic copy is available on the METRO website (http://www.safechurchpcv.org.au/resources/)

Your Church

Name of Church

Website

Name of Minister (if not you)

Name of Session Clerk

Are you a Communicant member of this church?
YesNo

How long have you been a Communicant member?

Please list names and suburb of any other churches you have attended regularly during the past five years.

Please detail your historical and current involvement at your church.

About You

Tell us how you became a Christian?

About YouthMETRO

Finish this sentence, “I want to be involved in YouthMETRO because…”

What do you think is required of you as a trainer in YouthMETRO? How many hours in a week do you estimate you would need to prioritise in order to equip your trainee?

ABOUT YOUR TRAINEE

Describe your present relationship with your proposed trainee. Please give some detail.

What do you think are your proposed trainee’s strengths?

What do you think are your proposed trainee’s weaknesses?

APPLICANT'S STATEMENT

The information contained in this application is correct to the best of my knowledge.

I authorise any churches listed in this application to give you any information they may have regarding my character and fitness for YouthMETRO.

I release all such references from liability for any damage that may result from furnishing such evaluations to you, and I waive any right that I may have to inspect references provided on my behalf.

Should my application be accepted, I agree to be bound by the PCV’s “Safe Church” Policy, my signed contract, and the policies and decisions of the METRO Committee, and to refrain from unscriptural conduct in the performance of my services on behalf of YouthMETRO.

By checking this box I agree to the Applicant's Statement (required)