Clone of ACC APPLICATION FORM to teach SRE

Before proceeding, please make sure you have downloaded the correct documents from the NSWACT SRE website and that all your documents are ready to upload.

NB. If you are NOT from an ACC church please contact sre@nswacc.org.au to find out further requirements.

All forms and references can be downloaded from this page.

If you don't complete your application form today, you can scroll to the bottom and click 'Save and Continue Later.'

These are the forms/information you need to renew:

WWCC Number and Expiry Date
Child Protection Certificate (or Safer Churches) if recently completed
Pastors Reference
Refresher Certificate

Today's Date*

Date

I am applying for*

1 year authorisation ($20)3 year authorisation ($45)

Your Name*

Given NameSurname

Gender*

Email Address*

Email

Your Best Contact Phone Number*

Address*

Street Address

Street Address Line 2

CityState

Postal Code

If you are an ACC Pastor, select the credential you hold.

Your Date of Birth*

Working With Children Check Number*

Working With Children Check Expiry*

If you have just renewed your Safer Churches (Child Protection) Certificate, upload it here. Otherwise, move to the next question.

Attach your Refresher certificate here.*

Name of your church*

Denomination*

If you chose 'other', please write your denomination or church name here.

Suburb/Town of your church*

Your Pastor's name. i.e. the name of the pastor who signed your Reference If you are the only pastor at your church, your Regional Leader or supervisor's name. NB Spouses and family cannot be a referee. *

Your Pastor's email *

Your Pastor's phone number*

Download the Pastor's Reference from the website and ask your pastor to put it on your church's letterhead before signing it. If you are a pastor, email sre@nswacc.org.au for the special reference for pastors. *

Max Total Upload Size: 500MB

I will be teaching:*

I will be*

volunteering to teach SRE.paid to teach SRE.

If you are paid to teach SRE, who is your employer?

If you are paid to teach SRE, what is the name of your Board?

I'm seeking to be engaged in these schools*

Full name including High, Middle or Primary

The Curriculum I use/will use is*

My SRE Coordinator is*

This is the person who liaises with the school on your behalf and signs the Authorisation Letter. This could a Board Member or locally appointed coordinator. If you are the only person in your school, this is you.

SRE Coordinator's Provider/Denomination*

SRE Coordinator's email*

SRE Coordinator's Phone Number*

Read the ACC NSW SRE Complaints Process.

I have read and understand the NSW ACC Complaints Process.*

YesNo

Read these Codes of Conduct

NSW Department of Education Code of Ethics and Conduct

ACC Volunteer Code of Conduct

Download (link above), read, sign and agree to uphold the ACC Volunteer Code of Conduct. Upload your signed copy here.

Have you had any criminal convictions since you signed the Criminal Declaration?*

YesNo

If you answered YES to having had a criminal conviction, please contact sre@nswacc.org.au before continuing with your application.

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 willI 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*

Today

Amount Paid*

$20 one year authorisation$45 three year authorisation

Please upload confirmation of payment*

NSW ACC SRE Teacher