CYC Volunteer Ministry Staff Application

CYC Waihola Ministry Staff Application

Thank you for being willing to volunteer at CYC and serve Christ through camping ministry! As per our Ministry Policy, we need to have the following information on record for all of our awesome volunteers. It will be valid for 3 years, then we will just need a refresh of your contact details.
Step 1: Contact Details
Your Legal Name:

First NameMiddle NameLast Name
Preferred name (if different from above):

First NameLast Name
Gender:
Birthdate:

MonthDayYear
Date
Phone Number:

Code (eg. 027)Phone Number (eg. 123 4567)
Secondary Phone Number (if applicable):

Code (eg. 027)Phone Number (eg. 123 4567)
Email:
This is how we will contact you (e.g. example@example.com)
Address:

Street Address

Street Address Line 2

CityRegion

Postal / Zip Code

Step 2: Emergency Contacts

If you have an emergency at camp, we will contact the following people. Please make sure they are willing to be contacted before using their details.
Emergency Contact 1:

First NameLast Name
Their relationship to you:
E.g. Husband, mother, sister, friend.
Primary Phone Number:

Code (eg. 027)Phone Number (eg. 123 4567)
Secondary Phone Number (if applicable)

Code (eg. 027)Phone Number (eg. 123 4567)
Emergency Contact 2:

First NameLast Name
Their relationship to you:
E.g. Husband, mother, sister, friend.
Primary Phone Number:

Code (eg. 027)Phone Number (eg. 123 4567)
Secondary Phone Number (if applicable)

Code (eg. 027)Phone Number (eg. 123 4567)
Step 3: Health Info

We need to be aware of any health issues in case something goes wrong at camp - including medical conditions, allergies or any other health issue that could present itself at camp.

Common examples: Migraines, anxiety, occasional seizures etc.

This information is kept confidential and is part of our duty of care to you.
Registered Medical Centre (if applicable):
Medical Centre Phone Number:
Health information and medical details we may need to know:
Special Diets:

It is important that our cooks know of any special meals that they might have to prepare, so please let us know about any dietary requirements you may have (e.g. vegetarian, gluten free).

Please specify allergy vs. preference (e.g. "severe allergy to peanuts" vs. "do not like spice")
Dietary requirements:

Step 4: Your Christian Faith

It is important that we have a background of your faith as a volunteer at CYC! Your answers can be as brief or long as you see fit for an understanding of where you are at in your personal walk with Christ.
Who is Jesus to you?
Please give detail in your answer
When did you become a Christian?
What church do you attend?
How long have you attended?
e.g. "since 2020"
In your daily life, what helps you walk closely with Jesus and abide in Him?
Please give detail in your answer
Why do you want to be a leader at CYC?
Qualifications / Experience
- On the last page of this form, you can upload any qualifications you have for us to load into your staff file.
- Please note any qualifications or experience you may have. This includes (but is not limited to): full NZ driver's license, first aid training, previous Christian camps attended, outdoor education etc.)
Extra Qualifications / Experience:
Your Current Occupation:
Briefly outline your work history for the past 5 years (if applicable)
Your swimming ability:

Step 5: Your Suitability as a Leader
Have you ever been accused or convicted of any crime?
References

We require two referees to be provided for all applications - we will contact these referees to provide references for your application.

One of these referees must be people who know you in Christian service (i.e. church pastors, youth group leaders, small group leaders, etc.). One of them can be a CYC Waihola paid employee or board member, if they know you well.

Your referee cannot be yourself OR an immediate family member (i.e. parent, sibling, child, spouse, etc.)
Verbal Referee 1 Name:

First NameLast Name
Verbal Referee 1 Relationship to You:
Verbal Referee 1 Phone Number:

e.g. 027e.g. 123 4567
Verbal Referee 1 Email Address:
example@example.com
Verbal Referee 2 Name:

First NameLast Name
Verbal Referee 2 Relationship to You:
Verbal Referee 2 Phone Number:

e.g. 027e.g. 123 4567
Verbal Referee 2 Email Address:
example@example.com
In what areas would you be open to serving at CYC? (Feel free to make a suggestion)

Other

Volunteer Agreement for CYC Waihola

By submitting this volunteer application, you are showing an agreement with the following statements. We do understand that faith in Jesus is a journey and many of us are at different points of this journey, so we do ask that if you are unable to agree with the following (or anything in our Statement of Faith) then you'll let us know.
1. I have a living faith in Jesus Christ as Saviour and Lord, a love and devotion to serve Him.
2. I have prayerfully considered being part of the ministry of Christian Youth Camps (Waihola) Inc.
3. I am in full accordance with the Christian Youth Camps (Waihola) Inc. Statement of Faith. This document can be found here.
4. I acknowledge that Christian Youth Camps (Waihola) Inc. is interdenominational, and I will make no attempt to influence children or other workers to accept doctrines peculiar to my own denomination.
5. I agree to completing a police vetting form and undergoing online training before camp begins.
6. I agree that CYC Waihola is not liable for any type of personal injury that could occur on a camp or programme run by the society.
7. I agree to the camp staff seeking urgent medical treatment for myself at my cost should the need arise.
8. I agree all application information is correct to the best of my knowledge and the information supplied on this form is to be used for the safe and effective operation of camp. I also agree to the use of any photos/video of me for publicity purposes without any remuneration.
9. I understand that I will be required to complete a details review in 2 years, and to undergo police vetting again in 3 years.
Do you agree to the above statements?
Is the information you have provided correct?

Step 6: Police Vetting Form
2.1 Information about your consent
- The purpose of this form is to allow the New Zealand Police Vetting Service to confirm who you are using Police records, carry out a Police vet, and obtain your consent to share any relevant information with the agency that requested the vet.
- What you are consenting to. You are agreeing that the Police Vetting Service can share relevant information they hold about you (if any) with the requesting agency. This information will be used to help the agency decide whether you are suitable for the role they are considering you for or that you are engaged in.
- The information that may be shared is outlined in section 2.2 of this form. For further details, you should refer to the Vetting Bill or visit the Police vetting website.
- Who collects your consent. The agency requesting the Police vet will collect your signed consent.
- The law that applies. Your consent is required by law. We are asking for your consent under the Vetting Bill.
- Your rights under the Privacy Act 2020 include: you may request a copy of the Police vet report provided to the agency by contacting the agency. You can withdraw your consent to a Police vet at any time before the vetting process is complete by contacting the agency. The agency may keep the Police vet only for as long as required for vetting purposes.
- You may request correction of your personal information at any time at police.govt.nz → requesting information.
- How long the information is valid for. The information in the Police vet is correct only at the time it is shared. It is up to the agency to decide how often they ask for updated vetting.
2.2 Information about you that may be shared
1. A Police vet will include the following information, if held by New Zealand Police. Please refer to the Police vetting website for more information regarding the Clean Slate Scheme, what may be released, and the vetting process.
  
  Either:
  1. A result indicating that no information is held or relevant to the purpose of the vetting request,
  Or, one or both of:
  1. The vetting subject’s criminal record (if any), unless the Clean Slate Scheme applies.
  2. A summary of other information that is readily retrievable, relevant to the purpose of the vetting request, and deemed accurate.
  This may include pending charges, charges without conviction, youth court charges, infringement offences, demerit points, arrest warrants, involvement in family violence, overseas convictions, police investigations without charges, interactions with Police, and other information held by Police.
  
  Information may also be released where it is subject to a suppression order or statutory prohibition, involves offences by individuals under 18, or relates to mental health or substance abuse issues.
2. If you are vetted as a Children’s Worker, and you continue to hold that role, the Police Vetting Service may release any newly obtained relevant information to the requesting agency at any time.
  
  The Police Vetting Service will take reasonable steps to:
  1. confirm that the purpose of the Police vet remains valid – for example, that you are still employed or engaged as a Children’s Worker, and
  2. notify you before any information is disclosed.
3. Information provided in this consent form may be used to update New Zealand Police records.
Your Last Name
E.g. Smith
Your First Name/s
E.g. John Mark
Gender:
Birthdate:

DayMonthYear
Place of Birth (Town/City/State)
Country of Birth
NZ Driver License Number (if applicable)
Name of Parent or Guardian (if you are 14 or 15)
Other Names you have been known by (e.g. maiden names, aliases)

First NameMiddle NameLast Name
Permanent Residential Address:

Street Address

Suburb / Line 2

CityRegion

Postal / Zip Code
We need 2 forms of identification (front AND back) to Police Vet you (this could be drivers license, passport, firearms license, birth certificate, marriage certificate etc.) You may either take a photo using the button below, or upload your files using the buttons below. One form MUST be photographic, the second one being photographic is optional.
ID 1
OR upload file here

Cancelof
ID 2
OR upload file here

Cancelof
By signing below, you confirm that the information you have provided is correct; you have read and understood the information above; and you authorise NZ Police to disclose any personal information relevant to this application (as described above) to CYC Waihola
If you are 14 or 15 years of age (as at the date of the application) please provide consent from a parent or guardian
If 14 or 15: Name of Parent/Guardian giving consent

First NameLast Name
Should be Empty:

CYC Waihola Ministry Staff Application

Step 1: Contact Details

Step 2: Emergency Contacts

Step 3: Health Info

Special Diets:

Step 4: Your Christian Faith

Qualifications / Experience

Step 5: Your Suitability as a Leader

References

Volunteer Agreement for CYC Waihola

Step 6: Police Vetting Form

2.1 Information about your consent

2.2 Information about you that may be shared