Bush Mission 09 APPLICATION FORMS NOW. from your Corps Officer or at Apply Now! AVAILABLE!

Transcription

1 Bush Mission 09 APPLICATION FORMS NOW AVAILABLE! from your Corps Officer or at Apply Now!

2 BUSH MISSION 2009 APPLICATION FORM Please print clearly and answer ALL questions. All information is Kept Confidential GENERAL INFORMATION Full Name: Preferred Name: Home Address: City / Suburb: State: Postcode: Home Phone: ( ) Mobile Phone: Mobile Phone 2: Gender: Male / Female Date of Birth: / / Age: Do you have a Caravan. Tent. Campervan. 4X4 other My Polo shirt size is: Colour? Navy Royal Blue. How many? (see below) BM08 Baseball Caps (one size fits all) Please send me caps. (see below for details) EMERGENCY CONTACT INFORMATION: Name: Relationship: Home Phone: Work / Mobile Phone: MINISTRY HISTORY & INFORMATION Have you ever participated in a mission event? If yes, please give details of your involvement: Why are you applying to be involved in the Bush Mission 09 Trip? I believe my spiritual gifts are: 1/3

3 Talents & Gifting: (Please circle) Drama; Puppets; Sports (please list); Dance; Mime; Music; Worship; Performance; Band / Ensemble; Soloist; Hospitality, Service, Evangelism; Art & Craft What Instruments do you play: PRAYER SUPPORT List two intercessors that you will have in prayer for you before, and during and after the trip. Name: Phone: Address: Name: Phone: Address: PERSONAL TESTIMONY (optional) On a separate piece of paper, please share your testimony and answer the following questions. Please type if possible and attach to your application form. 1. Describe how you became a Christian. 2. Describe your present spiritual relationship with Jesus. 3. In what ways do you maintain a personal and vital relationship with the Lord? 4. Are you actively involved in your church? How? REFEREES Please indicate the details of your Corps Officer or Pastor. Your Corps Officer / Pastor / Church Leader Name: Address: Phone: I declare that the information supplied in this application is correct. Applicant s Signature: Date: Please return your application for the BM09 to: Heather & Errol Grice. 38 Turon Pde, Woolgoolga 2456 Or to bearey@viginbroadband.com.au or phone TO DISCUSS YOUR APPLICATION WITH US PLEASE CONTACT US: Peter & Jean Ridley or Lloyd and Vicki Graham or Heather & Errol Grice or /3

4 Accommodation, food, water, travel and all personal expenses will be your own responsibility. Polo Sizes (Modern Fit) Bush Mission 08 Men s S M l XL 2XL 3XL 5XL Chest sizes (CM) Women s Chest sizes (CM) Colours Navy Royal Blue!!!!!! Please quote the sizes in blue NOT the chest size!!!!! DRAFT Schedule 4 th 14 th December 2009 Friday 4th - Saturday 5th - Sunday 6th - Monday 7th - Tuesday 8th - Arrive Bourke - BBQ get-together. (BBQ supplied by local arrangement) AM Heritage Concert at Back O Bourke Centre TBC PM 2 teams travel to: Louth - participate in towns "Christmas Tree" CONFIRMED com meal Wanaaring - Carols CONFIRMED - there will be a meal - working on it AM Church Services - no arrangements as yet. 2 PM - Pleasant Sunday Afternoon Concert Bourke TBC AM Farm Visits PM Carols at Enngonia CONFIRMED - there will be a meal AM Farm Visits PM Carols at Byrock TBC - there will be a meal Wednesday 9th - Short visit to schools at Brewarrina as travel from Bourke to Walgett TBC Thursday 10 AM. Visit local farmers 7pm Carols Lightning Ridge Friday 11 AM. Visit local farmers 7pm Cumborah Saturday 12 AM. Visit local farmers 6pm Carols Cryon Sunday 13 10am Services in Walgett 6pm Carols Monday 14 8am Breakfast, farewell & devotions & Depart 3/3

5 HELPFUL INFORMATION (use as a guide only) The Christmas Bush Mission is about bringing Hope to the bush through the gospel of our Lord Jesus, both through music and word. It is about being Jesus in their midst. We will be befriending those in the bush and sharing with them in a simple, no fuss way, our faith in the living God. TRANSPORTATION: While much of our travelling will be on sealed roads the trip from Bourke Fords Bridge Hungerford- Wanaaring is on gravel roads and during the wet can be dangerous and you will need a 4X4. It may be possible for some folks to travel with others who have 4x4 vehicles where space is available, but it cannot be guaranteed. THE WEATHER WILL DETERMINE WHAT FUNCTIONS WE ATTEND. MUSICIANS: Please let us know what you play so that we can better prepare; and don t forget to bring your music and everything that you will need to accompany the singing or to perform. APPLICATION FORMS These must be completed and lodged along with a children s first form. BYO EVERYTHING: Food, accommodation (tent/caravan swag etc) and water for drinking & cooking. WATER. Water is a critical issue in the bush. Please ensure you have all the water you will need. CHURCH SERVICES At this time these will be held at Bourke and Walgett for those farmers and friends interested. SHOPPING FACILITIES. Pilliga, Burren Junction, Fords Bridge and Hungerford are very small and have no supermarket, but have small shops where some goods and take-away-food can be purchased. We encourage you to support, where possible these small shops. Walgett, Wee Waa, Lightning Ridge and Bourke have very good IGA supermarkets. BUSH MISSION WEAR. Polo shirts will be available for purchase $ each Bush Mission Caps $ each SUGGESTED ATTIRE WHILE ON THE MISSION. It is critical for your safety that you always(!) wear sturdy shoes or boots, please no thongs or sandals except when heading for a dip in the bore! It is suggested that you wear dark blue jeans or sturdy work wear type trousers with your BM08 polo or 'Army' polo. Be aware too that the nights could be cool to cold. 4/3

6 The NSW Working With Children Check The Salvation Army July 2008 PROHIBITED EMPLOYMENT DECLARATION The Commission for Children and Young People Act 1998 makes it an offence for a prohibited person (a person convicted of a serious sex offence, the murder of a child or a child-related personal violence offence, as well as a Registrable person under the Child Protection (Offenders Registration) Act 2000) to apply for or otherwise attempt to obtain, undertake or remain in, child-related employment. It does not apply if an order from the Industrial Relations Commission, Administrative Decisions Tribunal or Commission for Children and Young People, declares that the Act does not apply to a person in respect of a specific offence. For further information on what is child-related employment see the Working With Children Employer Guidelines. Section 33B of the Commission for Children and Young People Act 1998 defines a serious sex offence as: an offence, involving sexual activity or acts of indecency, committed in New South Wales and that was punishable by penal servitude or imprisonment for 12 months or more; or an offence, involving sexual activity or acts of indecency, committed elsewhere and that would have been an offence punishable by penal servitude or imprisonment for 12 months or more, if it had been committed in New South Wales; or an offence under section 80D or 80E (sexual servitude) of the Crimes Act 1900, committed against a child; or an offence under Sections 91D-91G (child prostitution, other than if committed by a child prostitute) of the Crimes Act 1900 or a similar offence under a law other than a law of New South Wales; or an offence under Section 91H, 578B or 578C (2A) (child pornography) of the Crimes Act 1900 or a similar offence under a law other than a law of New South Wales; or an offence of attempting, or of conspiracy or incitement, to commit an offence referred to in the preceding paragraphs; or any other offence, whether under the law of New South Wales or elsewhere, prescribed by the regulations. NOTE: A conviction for carnal knowledge is classified as a serious sex office under this legislation. Section 33B of the Commission for Children and Young People Act 1998 defines a childrelated personal violence offence as an offence committed by an adult: involving intentionally wounding or causing grievous bodily harm to a child; or of attempting, or of conspiracy or incitement, to commit such an offence. Under the Commission for Children and Young People Act 1998: it is an offence for a prohibited person to apply for or otherwise attempt to obtain, undertake or remain in child related employment; employers must ask existing employees, both paid and unpaid, and preferred applicants for child-related employment to declare if they are a prohibited person or not; all people in child-related employment must inform their employers if they are a prohibited person or remove themselves from child-related employment; and penalties are imposed for non compliance

7 (CONTINUED) The NSW Working With Children Check The Salvation Army July 2008 I am aware that I am ineligible to apply for or otherwise attempt to obtain, undertake or remain in, child-related employment if I have been convicted of a serious sex offence or child-related personal violence offence as defined in the Commission for Children and Young People Act 1998, or if I am a Registrable Person under the Child Protection (Offenders Registration) Act I have read and understood the above information in relation to the Commission for Children and Young People Act I am aware that it is an offence to make a false statement on this form. I consent to a check of my relevant criminal records, to verify the statements I have made here, being undertaken by the NSW Commission for Children and Young People for monitoring and auditing purposes in accordance with Section 36 (1)(f) of the Commission for Children and Young People Act I declare that I am not a person prohibited by the Act from seeking, obtaining, undertaking or remaining in child related employment. I understand that this information may be referred to the Commission for Children and Young People and/or to NSW Police for law enforcement purposes and for monitoring and auditing compliance with the procedures and standards for the Working With Children Check in accordance with Section 36 (1)(f) of the Commission for Children and Young People Act All fields must be completed. Please use block letters. Name: Aliases (previous/other names): Date of birth: Signature: Date: Contact telephone number: Contact Centre/Corps: NOTE: Seek legal advice if you are unsure of your status as a prohibited person. THIS FORM IS TO BE RETURNED TO YOUR EMPLOYER - 2 -

8 THE SALVATION ARMY AUSTRALIA EASTERN TERRITORY SOCIAL WORK ABN THE SALVATION ARMY AUSTRALIA EASTERN TERRITORY GENERAL WORK ABN NATIONAL CRIMINAL HISTORY RECORD CHECK CONSENT TO OBTAIN PERSONAL INFORMATION Attachment C GENERAL INFORMATION This Form is used by The Salvation Army as part of the assessment process to determine whether a person is suitable for employment or other engagement for work with The Salvation Army. Unless statutory obligations require otherwise, the information provided on this Form will not be used without your prior consent for any purpose other than in relation to the assessment of your suitability. You may be required to complete another consent form in the future in relation to employment in other positions within The Salvation Army. CRIMINAL HISTORY RECORD CHECK Criminal history record checks are an integral part of the assessment of your suitability. On this Form you are asked to disclose whether you are the subject of any criminal charge(s) still pending before a Court, or whether you have been the subject of any conviction(s) or finding(s) of guilt before a Court. Information extracted from the Form will be forwarded to the CrimTrac Agency, other Australian police services or other law enforcement agencies for checking action. By signing the Form you are providing your consent to these agencies: a) disclosing criminal history information that pertains to you from their own records to The Salvation Army; and/or b) accessing their records to obtain criminal history information that in turn will be disclosed to The Salvation Army. Such criminal history information may include outstanding charges, and criminal convictions/findings of guilt recorded against you that may be disclosed according to the laws of the relevant jurisdiction and, in the absence of any laws governing the release of that information, according to the relevant jurisdiction's information release policy. It is usual practice for an applicant s personal information to be disclosed to Australian police services for them to use for their respective law enforcement purposes including the investigation of any outstanding criminal offences. SPENT CONVICTIONS SCHEMES New South Wales In New South Wales the Criminal Records Act 1991 (NSW) governs the effect of a person s conviction for a relatively minor offence if the person completes a period of crime-free behaviour, and makes provision with respect to quashed convictions and pardons. A quashed conviction is a conviction that has been set aside by the Court. A pardon means a free and absolute pardon that has been granted to a person because he/she was wrongly convicted of a Commonwealth, Territory, State or foreign offence. In relation to NSW convictions, a conviction generally becomes a spent conviction if a person has had a ten year crime-free period from the date of the conviction. However, certain convictions may not become spent convictions, and therefore need to be disclosed in the attached form. These include: where a prison sentence of more than 6 months has been imposed (periodic or home detention is not considered a prison sentence); convictions against companies and other corporate bodies; sexual offences pursuant to the Criminal Records Act 1991; and convictions prescribed by the regulations. For more information on spent convictions in NSW contact NSW Privacy on phone (02) Other Australian Police Services Where a criminal history record with another Australian police service has been obtained, any relevant legislation (and/or release policy) affecting that police service will be applied before that record is released. Under various pieces of Commonwealth, State and Territory legislation a person has the right, in particular circumstances or for a particular purpose, to not disclose certain convictions/findings of guilt over a certain age. Such convictions (widely referred to as spent or rehabilitated convictions) will not be released unless the records check is for the applicant s personal information only and provided that this is in accordance with relevant legislation (and/or release policy). Please contact individual police services directly for further information about their release policies and any legislation that affects them. PROVISION OF FALSE OR MISLEADING INFORMATION You are asked to certify that the personal information you have provided on this form is correct. If it is subsequently discovered, for example as a result of a check of police records, that you have provided false or misleading information, you may be assessed as unsuitable. You should note that the existence of a record does not mean that you will be assessed automatically as being unsuitable. Each case will be assessed on its merit, so it is in your interests to provide full and frank details in the form.

9 PLEASE COMPLETE IN BLOCK LETTERS. CRIMINAL HISTORY RECORD CHECK CONSENT FORM I hereby: Family Name (Current) Given Names (Current) 1. acknowledge that I have read the Information sheet provided with this Form and understand that the position for which I am being considered is in a category for which NO exclusion has been granted from the application of the Spent Convictions Scheme, as described under the heading Spent Convictions Schemes in the Information sheet. 2. certify that the personal information I have provided on this Form relates to me and is correct; 3. acknowledge that any information provided by me on this Form or by Australian police services as a result of the records check may be taken into account by The Salvation Army in assessing my suitability; 4. specify position: 5. consent to The Salvation Army forwarding details obtained from this Form to the CrimTrac Agency and/or to Australian police services or other relevant law enforcement agencies; 6. consent to: THE SALVATION ARMY AUSTRALIA EASTERN TERRITORY SOCIAL WORK ABN THE SALVATION ARMY AUSTRALIA EASTERN TERRITORY GENERAL WORK ABN Site: Employee Officer Volunteer Cost Centre: (i) (ii) the CrimTrac Agency making enquiries to Australian police services; Australian police services obtaining and disclosing from their records personal information about me, including any outstanding charges, criminal convictions and findings of guilt recorded against me for any offences in any jurisdiction, that may be disclosed according to the laws of the jurisdiction and, in the absence of any laws governing the release of that information, according to the jurisdiction's information release policy, and forwarding relevant information to the CrimTrac Agency; and (iii) the CrimTrac Agency providing relevant information to The Salvation Army for the purposes of allowing The Salvation Army to assess my suitability in relation to my employment. Note: The information you provide on this Form, and which the CrimTrac Agency provide to The Salvation Army on receipt of the Form, will be used only for the purpose stated above unless statutory obligations require otherwise. PERSONAL INFORMATION NAMES BY WHICH I AM, OR EVER HAVE BEEN, KNOWN (including changes by Deed Poll.) 1. Surname 2. Surname Given Names Given Names SEX: M F (Please Circle) DATE OF BIRTH: / / Day Month Year PLACE OF BIRTH: PHONE NUMBER: PASSPORT NUMBER: PASSPORT COUNTRY: DRIVER S LICENCE NUMBER: STATE/TERRITORY: Permanent Residential Address over Last Five Years Attach list if insufficient room. Current Details of year of residence will suffice Period of residence / to / / / / to / / Criminal charges, convictions or pecuniary penalties (i) Are you the subject of any traffic violations, criminal or traffic charges (not including parking infringements) still pending before a court? YES NO If Yes, provide details (ii) Do you have any adult convictions or findings of guilt which are LESS THAN 10 years old or any juvenile convictions or findings of guilt which are LESS THAN 3 years old? YES NO If Yes, provide details (iii) Do you have any adult convictions or findings of guilt which are OVER 10 years old (or 3 years for juvenile convictions or findings of guilt) where the sentence imposed was imprisonment for a period GREATER THAN 6 months? YES NO If Yes, provide details Signature Date / /

10 100 Point Check Validation Check List 1. Primary Documents (Only one form of identification accepted from this category Birth Certificate International Travel Document Available Points per Item 70 A Current Passport Expired Passport which has not been cancelled and was current within the preceding 2 years Citizenship Certificate 2. Secondary Documents Available Points per Item 40 Australian Driver s Licence / Permit Public Service ID Card Tertiary Student ID Card Social Security Benefits Card 3. Tertiary Documents Available Points per Item 35 Reference from current employer, or previous employer within the last 2 years A Rating Authority (e.g. Land / Water / Service Rates) 4. Supplementary Documents Available Points per Item 25 Advice from Telecommunications Provider (eg.telephone Account / Number Listing) Credit Card / Medicare Card / Health Care Provider Card Records of a Primary / Secondary / Tertiary educational institution attended within last 10 years Records of professional or trade association membership 5. Total Points Points must equal or exceed a total of 100 points 6. OR Recent Arrival in Australia A Current Passport Sighted Immediately before the person most recently arrived in Australia, the person was not ordinarily resident in Australia and, the signatory has been in Australia for less than 6 weeks. 7. Manager Declaration I declare that I have completed the 100 Point Check Validation Checklist as appropriate of the relevant documents. Points Scored Points Scored Points Scored Points Scored Total Points Scored <Signature of Manager> <Date>

11 You re Invited You re Invited Bush Mission 09 Bush Mission 09 Bringing Hope to the bush! Bringing Hope to the bush! PO Box 1206 Moree 2400 BUSH MISSION 09 4th-14th December. PO Box 1206 Moree 2400 BUSH MISSION 09 4th-14th December. Phone: Fax: For information phone Heather or Errol: Lloyd or Vicki: Peter or Jean: APPLICATIONS & INFORMATION NOW AVAILABLE! # Corps Officer # # Heather # bearey@viginbroadband.com.au Phone: Fax: peter.ridley@aue.salvationarmy.org For information phone Heather or Errol: Lloyd or Vicki: Peter or Jean: APPLICATIONS & INFORMATION NOW AVAILABLE! # Corps Officer # # Heather # bearey@viginbroadband.com.au