Preparing to Serve - Safeguarding

National Spiritual Assembly of the Bahá’ís of the United Kingdom

Tel: 020-7584-2566 Email: nsa@bahai.org.uk
Preparing to Serve (England and Wales)

Please complete the questions below if you are applying for a DBS check
Your Name*

TitleFirst NameLast Name
Name of Person asking you to serve*

TitleFirst NameLast Name
Home Address*

Street Address

Street Address Line 2

CityCounty

Postal / Zip Code
Email*
example@example.com
Mobile Telephone*
Cluster Name *
What is your main service role*
(see definitions at the end of this form if needed)
Please elaborate on your Other role*
Is the criminal records check required for an overnight / residential activity?*

YesNo
If 'Yes' how many nights?
Is the planned activity expected to be regular?*

YesNo
If 'Yes' how frequent?
Is the planned activity taking place in your own home?*

YesNo
Identification

Please indicate what ID documents you are able to present.
You must present any three of the documents in below. After completing your online application form you will be sent an invitation to upload the documents digitally to confirm your identity.

Documents such as passports and driving licences must be current and valid.

All financial documents such as bills and bank statements must be original documents (not printed from the internet) and must be from the past 3 months (or 12 months if indicated).
- Passport - current and valid
- UK biometric residence permit
- UK/EEA photocard driving licence (full or provisional)
You must select and be ready to provide three documents.*

Passport - current and validUK biometric residence permitUK/EEA photocard driving licence (full or provisional)UK birth certificateUK adoption certificateNon-EEA driving licenceMarriage/ civil partnership certificateUK HM forces ID cardUK Firearms licenceUK/EEA mortgage statement (12 months)UK/EEA Bank or building society statementUK letter confirming opening of bank accountUK/EEA credit card statementUK financial statement eg pension or endowment (12 months)UK P45 or P60 (12 months)UK council tax statement (12 months)Utility bill (not mobile phone bill)UK benefits statement (eg child benefit, pension)UK letter from government agency or council giving entitlement, eg DWP, HMRCValid EEA national ID cardIrish passport cardUK card carrying PASS accreditation logoUK Letter from head teacher/ college principle (for 16/17 year olds in FT education ONLY)
Are you already registered with the DBS update service (we will require confirmation of ID and sight of your current original DBS certificate to determine suitability, and will be in touch on next steps)?*

YesNo
Self Declaration
1. Do you have any cautions or convictions (excluding motoring offences dealt with a fixed penalty and not court related)?*

YesNo
If 'Yes', please provide details
2. Have you been formally charged with any other offence in the UK or any other country?*

YesNo
If 'Yes', please provide details
3. Are you currently subject to any criminal investigations and / or prosecutions by the Police in the UK or any other country which might have an impact on your suitability for this role?*

YesNo
If 'Yes', please provide details
4. Have you ever been dismissed for misconduct from any employment, volunteering, office, or other position previously held by you which might have an impact on your suitability for this role?*

YesNo
If 'Yes', please provide details
Request for reference

Please provide the name of a person who knows you well who we can approach for a reference. This person needs to be aged 21 or over and known you for at least 3 years. This personcannot be related to you or just a friend. This could be an employer, colleague, teacher, or someone with whom you have served.
Name of Person*
Their email address*
Their relationship to you*
Their relationship to you
Confirmation

In signing this form, you agree with the following statements:
- I confirm that I have read and understood the above guidance.·
- I consent to a criminal records check (DBS) and approaching a person who knows me well for a reference.·
- I consent to my personal information being processed and stored by the National Spiritual Assembly of the Bahá’ís of the UK.·
- I declare that the information I have provided is true and accurate, and I will inform you of any changes which might impact on my suitability for this role.
Your full name*

TitleFirst NameLast Name
Signature*

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Additional Information:

Service Role Definitions:
- Children's Class Teacher: Fostering the development of spiritual qualities in children aged up to 11 years old, creating a good classroom environment and sharing the development of the children with their parents.
- Junior Youth Group Animator: Spiritually empowering small groups of junior youth aged between 11-14 years, guiding them through materials and accompanying them in acts of service.
- Study Circle Tutor: Helping a group of individuals aged 15+ go through materials of the Ruhi Institute and accompanying them in acts of service to their communities.
- Facilitator: Guiding participants through the study of Bahá'í Writings or prepared materials for reflection.
- Volunteer: Those who give up their time to serve the needs of the participants at various spaces including, but not confined to, children's classes, junior youth groups, study circles or events.
- Other: All other roles including event organisers.
Data Protection Notice:
In compliance with General Data Protection Regulation (GDPR), the personal data relating to your registration, which has been or is in the future obtained by The National Spiritual Assembly of the Bahá’ís of the United Kingdom may be held and processed by the Assembly either by computer or manually for any purpose relating to the administration or management of the group. Your personal details are not shared with any organization outside the Bahá’í institutions.
Should be Empty:

National Spiritual Assembly of the Bahá’ís of the United Kingdom

Preparing to Serve (England and Wales)

Identification

Self Declaration

Request for reference

Confirmation

Additional Information: