Life Group Host - Start Up Form • Berwick Church of Christ Inc.

Yes, I'm interested in hosting a Life Group.

As safety is of a high priority at Berwick Church of Christ, we require you to complete the following details.

This Form will be kept indefinitely with the confidential Safe Ministry Records which are maintained by the Safety Contact Person.

Personal Details

First Name *

Last Name *

Gender *

Date of Birth *

Mobile Number *

Email Address *

Home Address *

Home Suburb *

Home Postcode *

Life Group Details

Please select which day you are available to Host a Life Group. *

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Saturdays

Sundays

Please select what time(s) you are available to Host a Life Group *

Daytime

Evening

Please choose whether you can Host a Life Group weekly or fortnightly. *

Weekly

Fortnightly

What type of group are you starting? *

Singles

Couples

Families

Women only

Men only

Other (please give details)

Please provide details *

Where will you host this group? *

Do you have any people interested in joining your Life Group? Please provide their names. *

Tip: Please ensure those who want to join your Life Group complete the Life Group Participants - Sign Up Form, located on our website - http://www.berwickchurch.org.au/church-community/life-groups

Volunteer Requirements

Anyone desiring to be a Life Group Host must be known by an Elder, Ministry Leader or member of Staff for at least six (6) months and have been in regular attendance at the Church for at least six (6) months, as detailed in our Volunteer Recruitment Policy. Alternatively, the volunteer must provide contact details of a Pastor who has known them for at least six months.

Please provide the name of a Pastor, Elder or Ministry Leader at Berwick Church of Christ that has known you for at least 6 months. *

Working With Children Check Requirement

All volunteers are required to hold a current Working With Children Check (if aged 18 years and over) nominating the church as an organisation they volunteer with, whether working directly with children or not.

Do you have a current Working With Children Check (WWCC)? *

Yes

No, I am a Teacher

WWCC Card No. *

WWCC Expiry Date *

It is important that you add the Church as an organisation you volunteer with to your Working With Children Check details online - please click here (which opens in a new tab) to update your details with the following details.

Name: Berwick Church of Christ
Address: PO Box 75, Berwick 3806

NOTE: A confirmation letter/email will be sent to the Church verifying that this has been completed, this must be received prior to commencing in your role.

Have you added the Church to your WWCC details online? This must be done prior to commencing as a Life Group Leader. *

Yes, I have updated my WWCC

No, but will complete it soon

We require you to obtain a WWCC before you can commence as a Life Group Host.

Simply - click here - (which opens in a new tab) and complete the online application form.

Please use the Church details below:

Name: Berwick Church of Christ
Address: PO Box 75, Berwick 3806

NOTE: A confirmation letter/email will be sent to the Church verifying that this has been completed, this must be received prior to commencing in your role.

Have you applied for a Working With Children Check (WWCC)? *

Yes

No, but will apply for one soon

I am unable to obtain a WWCC

Please provide details as to why you cannot obtain a WWCC. *

TEACHERS MUST COMPLETE THIS:
All registered teachers who volunteer at Berwick Church of Christ, must notify Working With Children Check Victoria (WWCCV) of this volunteer work. Please note, if you do child-related work outside your teaching role without notifying WWCCV, it's an offence carrying penalties.

To notify WWCCV simply - click here - (which opens in a new tab) and complete the online form, it only takes 5 minutes to complete, using the details below:

Organisation Name is Berwick Church of Christ
Organisation Contact Person is Karen Fletcher
Organisation Email is karenf@bcoc.com.au
Contact Number is 0438886337

NOTE: Once this has been done, an email confirmation will be sent to the Church. This confirmation email must be received prior to commencing in the role.

Have you notified WWCCV? *

Yes

No, but will appy for one soon

Caregiving Policy (read and sign)

Please read our Caregiving Policy - click here to view it - it will open up in a new window.

I declare that I have read and understand the Caregiving Policy and I agree that in the course of my acting as a Caregiver, in any setting representing the Church, that I will undertake to conduct myself in accordance with the Policy. I also understand that there may be disciplinary measure and/or legal consequences if I am found to be in breach of the Caregiving Policy.

Electronic Signature - Caregiving Policy *

I agree that by checking this box, I am electronically signing the declaration in relation to the Caregiving Policy.

Code of Conduct (read and sign)

Please read our Code of Conduct - click here to view it - it will open up in a new window.

I declare that I have read and understand the Code of Conduct, and I agree that in the course of my association with the Berwick Church of Christ that I will undertake to conduct myself in accordance with the principles of this Code of Conduct and I agree to surrender my leadership if I am unable to fulfil my responsibilities. I also understand that disciplinary measures and/or legal steps may be taken if I am found to be in breach of the Code of Conduct, and I agree to resign from my role/position whether it is a voluntary or paid staff role/position if requested.

Electronic Signature - Code of Conduct *

I agree that by checking this box, I am electronically signing the declaration in relation to the Code of Conduct..