2020 NSWACC Paid SRE Teacher Application Form

NSW ACC Paid SRE Teacher

Application/Renewal
Your Name *

Last Name First Name
Do you hold an ACC/Hillsong Credential. If yes, write in your Credential Number. If no, write 'no'. *

Address *

Street Address
Street Address Line 2
City	State
Postal Code	Country

Phone Number *

+612 Phone Number
Email Address *
Email
I am applying for *

1 year authorisation ($15) 3 year authorisation ($40)
Do you need a lanyard? *

Yes No
I'm seeking to be engaged in these schools *
Full name including High, Middle or Primary
The Curriculum I use is *
My Employer is *
My Employer's phone number is *
My Employer's email is *
My SRE Coordinator is *
This is the person who liaises with the school on your behalf.
SRE Coordinator's Denomination *
SRE Coordinator's email *
SRE Coordinator's Phone Number *
Your Pastor's name *
Denomination *
Name of your church *
Suburb/Town of your church *
Your Pastor's email *
Attach Pastor's Reference (Download from NSWACC website) *

Upload a File
Max Total Upload Size: 500MB Cancel of
A copy of my church's Volunteer Workers Compensation Insurance is held by NSWACC SRE. If no, please email a copy to: sre@nswacc.org.au *

Yes No
Your Date of Birth *
Working With Children Check Number *
Working With Children Check Expiry *
Attach Safer Churches Certificate. Must be dated within the past 3 years. *

Browse Files

Cancel of
Safer Churches expiry *
3 years after date on certificate
Attach SRE Teacher Training Certificate. Must be dated within past 3 years. *

Browse Files

Cancel of
SRE Teacher Training Expiry *
3 years after date on certificate
I have read the NSW ACC SRE Handbook. https://www.nswacc.org.au/wp-content/uploads/2020/01/ACC-NSW-SRE-Handbook-2020.pdf *

Yes No
I have read and agree to uphold the ACC Minister's Code of Conduct. For a copy, please email sre@nswacc.org.au *

Yes No
I declare I do not have any criminal conviction that involves: a crime against a minor, or violence, or sexual assault or provision of prohibited drugs. *

I have not been convicted of these. I have been convicted of one of these.
I understand that if I am charged with a crime against a minor, or violence, or sexual assault or provision of prohibited drugs I will IMMEDIATELY inform sre@nswacc.org.au *

I will. I will not.
Payment can be made via bank transfer.

Account Name: ACC NSW

Reference: SRE 'surname' 'first initial' (eg. SRE Jones B)

Bank: Commonwealth Bank

BSB: 062 000

Account Number: 15234519
Date payment was made *
Amount Paid *

$15 $40
Should be Empty:

NSW ACC Paid SRE Teacher