About this form
This form must be completed when a person is required to obtain a Clearance for Service as prescribed in the Professional Standards Uniform Regulations or going to undertake pastoral ministry that involves direct, regular and not incidental contact with children. ‘Ministry to children’ and ‘pastoral ministry’ are defined in the Safe Ministry to Children Canon 2017. Pastoral ministry with children includes:
Roles involving pastoral care include Sunday School teacher, holiday program leader, youth leader, camp helper, overnight activity leader, regular creche assistant, music team leader, worship leader.
To the Applicant
Thank you for volunteering for a ministry role within your church or church organisation.
The Anglican Church is committed to doing everything we can to ensure that our churches are safe for all who participate in church activities—including our volunteers. That is why we require everyone who has a ministry role within the church to meet specific standards of personal conduct.
To help us meet our commitment to safe ministry, we ask everyone who wants to be appointed as a voluntary church worker to answer some important questions. That's the purpose of this form.
Some of the questions are personal and sensitive. We are not asking you these questions because we think you’ve done anything wrong. We ask them because they are part of a process that will help ensure our churches are safe.
Completing the form
Submitting the form This form and any other required attachments will be emailed to Kooyoora email@example.com. Alternatively you can download a PDF version of this form and post to Kooyoora Ltd PO Box 329 Canterbury VIC 3126
Thank you for volunteering to be a next generation leader at City on a Hill.
City on a Hill is committed to doing everything we can to ensure that our churches are safe for all who participate in church activities—including our volunteers. That is why we require everyone who has a ministry role within the church to meet specific standards of personal conduct.
This application is confidential and will be retained in a secure place. Except as may be required by law, the information you supply will be used only for screening and church processes involving disciplinary action, or assessment of suitability for ministry. If required by law, the information you supply will be made available to the applicable authority.
If you do not have a working with children check yet, please apply for one and advise us of the details when you receive them at coah.co/wwcc.
Important information for VIT Card HoldersAll teachers and early childhood teachers registered with VIT must notify Working with Children Check Victoria of any child-related work they do outside of their teaching in a school or early childhood service, regardless of whether it is paid or voluntary work. To notify go to service.vic.gov.au/services/teachers-notifications.You will need to use these details:Place name: City on a HillAddress: PO Box 664 Carlton South VIC 3053 Phone: 03 9640 0990Child-related work field: 64 Religious Organisations
The City on a Hill statement of faith can be found at cityonahill.com.au/beliefs.
If you do not have a driver’s licence, please upload a copy of a birth certificate, a current Australian passport, an Australian citizenship document or Australian immigration papers, a current credit card or account card from an Australian financial institution, OR a current student identity card from an educational institution.
Please answer the questions below by clicking in the appropriate box. If you are not sure what is meant by a word or phrase in bold print, please consult the Key Terms in Faithfulness in Service.
A ‘child’ is a person under the age of 18.
‘Child abuse’ means:
In this document child exploitation material means material that describes or depicts a person who is or who appears to be a child –:
Please provide details below of two (2) referees. In this context, a 'referee' is someone over 18 years of age who is able to give a report on your good character and suitability for ministry among children and young people. A referee cannot be a relative or a close friend. We will contact your referees by phone. If you have lived in another state or country within the last three years, please nominate at least one referee from your most recent parish or placement in that state or country.
Authority for information
Release from Liability
I 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.
I understand that any intentional error or omission in the information in this application may prevent me from undertaking voluntary ministry with children in the Church.
I also agree to release the City on a Hill 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.
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.
All people serving in ministry at City on a Hill are called to faithfully obey God and honour Jesus with their lives with conduct that is: above reproach; full of the fruit of the Spirit; and displaying evidence of the work of God in their lives. Godly Christian character is at the heart of what it means to be a Humble, Courageous & Sacrificial Leader. Such character can only happen through a personal and living faith in Jesus Christ.
This code of conduct summarises these requirements and as such is not intended to be exhaustive. However, it does outline some of the areas of essential conduct. These principles are expected to be implemented in all of life (including our online lives) and not just during formal ministry activities.
Serving in ministry in the church comes with varying degrees of actual or perceived authority within the church community. With this comes a responsibility to exercise that authority in a way that honours Jesus and His call to love and serve others. People in positions of authority are to be particularly aware of this when dealing with children and vulnerable people, even if their leadership does not involve direct contact with these groups. Abuse arises from the misuse of authority or power. Any form of abuse is always wrong.
In addition to the general standards of behaviour stated in this document, all people serving in ministry are required to comply with:
All those that hold a leadership position, are involved in ministry to children, or have pastoral responsibility are required to hold a current Working with Children Check in their respective State or Territory.
This code of conduct applies to all people in any ministry position at City on a Hill. Failure to uphold this code of conduct may result in removal from leadership and ministry.
Sections pertaining to appropriate conduct with children applies to all people serving in ministry at City on a Hill, and not just those in ministry roles that directly involve children and vulnerable people.
Key terms appear in bold italics the first time they appear and are defined in the Safe Ministry Terminology document.
In this document a child refers to anyone under the age of 18. A vulnerable person refers to an individual aged 18 years and above who is unable to protect themselves against harm or exploitation by reason of age, illness, trauma, disability, or any other reason.
THE VOLUNTEER CODE OF CONDUCT
At all times, as a person serving in a ministry role within City on a Hill, you must:
REPORTING CONCERNS OR COMPLAINTS
City on a Hill encourages active reporting of any concerns or complaints of misconduct, breaches of codes of conduct or other policies, reports of harm, abuse or any other matter of concern.
To make a complaint or a report please contact us. Full details on how you can make a report can be found at cityonahill.com.au/safe-ministry.
You can also contact our independent professional standards body, Kooyoora, directly by calling 1800 135 246.
Thank you for your commitment and contribution to a culture and practice of safe ministry for all people at City on a Hill. If you have any questions please contact the City on a Hill office at firstname.lastname@example.org or 03 9640 0990.