You are here:HomeSafeguardingSafeguarding in the Chancery and ParishesVisiting Clergy In order to carry out a public ministry in the Diocese of Broken Bay, visiting clergy or religious to the diocese are required to be compliant with both Civil Law and Church requirements. Please complete the online form below. INDIVIDUAL SAFEGUARDING DECLARATION Title* - required Please select Cardinal Archbishop Bishop Monsignor Father Deacon Br Sr Mr Full Name* - required Diocese/Order Name* - required Full Residential Address Email Address* - required Phone* - required Date of Birth* - required APPLICANTS DECLARATIONPlease mark those statements that you are currently able to affirm unconditionally: Please mark if applicable There are not currently any complaints of abuse against me I am not subject to any past substantiated complaint of abuse There are no circumstances that could lead to a complaint of abuse against me There are no other circumstances that may lead to a conclusion that I pose a risk to children, young people or adults at risk Applicant’s Disclosure – If you are unable to affirm at least one of the above statements, briefly explain why and provide any other relevant information or comment. Further and relevant documentation from you and your Church Authority may be attached along with this form. SIGNING DECLARATIONI understand that the receiving Church Authority will use this declaration and disclosure, along with the statement of my Church Authority, as the beginning point for assessing my suitability to publicly minister. I will assist with any further enquiries and risk assessments as well as legal and other background checks/screening requirements prior to a grant of short-term faculties being made. Confirm this declaration by ticking the box* - required VISIT DETAILS Date(s) of Planned Active Ministry for this visit: Start Date* - required End Date* - required Purpose of Visit* - required Mass Centre* - required Please select a Mass Centre Allambie Heights - Scalibrini Village Chapel Arcadia - St Benedict's Arcadia - St Benedicts Monastery Chapel Asquith - St Patrick's Avalon - Maria Regina Balgowlah - St Cecilia's Bateau Bay - Reynolds Court Chapel Berowra Heights - St Bernard's Brookvale - Monica Chapel, St Augustine's College Carlingford - St Gerard Majella Chatswood - Mercy Catholic College Chapel Chatswood - Our Lady of Dolours Chatswood - St Pius X College Chapel Collaroy Plateau - St Rose of Lima Davidson - St martin de Porres Dee Why - St Kevin's Dural - Redfield College Chapel Epping - Our Lady Help of Christians Forestville - Our Lady of Good Counsel Freshwater - St John the Baptist Gosford - St Patrick's Killara - Immaculate Heart of Mary Killara - Lourdes Chapel Kincumber - Holy Spirit Lake Munmorah - St Brendan's Lindfield - Holy Family Manly - St Mary's Manly - Stella Maris College Chapel Manly Vale - St Kieren's Mona Vale - Sacred Heart Naremburn - St Leonard's Narrabeen - St Joseph's Narrabeen - War Vets Chapel Narraweena - St John Apostle and Evangelist Noraville - St Mary's Normanhurst - Loreto Chapel Normanhurst - Queen of Peace North Turramurra - South Cross Homes Chapel Northbridge - St Paul's Aged Care Chapel Northbridge - St Philip Neri Pennant Hills - Caroline Chisholm Centre Chapel Pennant Hills - Mt St Benedict's Centre Chapel and Oratory Pennant Hills - Mt St Benedict's College Pennant Hills - St Agatha's Pymble - Canisius Centre for Ignatian Spirituality Pymble - Sacred Heart Somersby - Divine Retreat Centre South Kincumber - Holy Cross South Kincumber - St Joseph's Spiriutality and Education Centre Spencer - Holy Trinity St Ives - Brigidine College Chapel St Ives - Canisius College Chapel St Ives - Corpus Christi Terigal - Our Lady Star of the Sea Terrey Hills - Anthony in the Fields The Entrance - Our Lady of the Rosary Tumbi Umbi - St John Fisher Wahroonga - Holy Name Wahroonga - St Leo's Catholic College Chapel Waitara - McQuoin Park Chapel Waitara- Our Lady of the Rosary Cathedral Warnervale - St Mary of the Cross Mackillop Warriewood - Mater Maria Catholic College Chapel West Pymble - Our Lady of Perpetual Succour Willoughby - St Thomas' Woy Woy - St John the Baptist Wyoming - Our Lady of the Rosary Wyong - St Cecilia's If you are visiting more than one mass centre please include details in the comments box below. Comments REQUESTING A FACULTY FOR MARRIAGEIf the purpose of the visit is to be the presiding celebrant at a Marriage, a Faculty to assist at Marriage is required. To obtain this Faculty, you will need to email Fr David Ranson, Vicar General of the Diocese of Broken Bay directly at vg@bbcatholic.org.au. In the email please provide the couples name and religion, date of marriage, place of marriage and the request for the Faculty of Marriage. CHURCH AUTHORITY SAFEGUARDING STATEMENTPlease provide either a Celebret (International Visitor) OR a completed Church Authority Safeguarding Statement (available here), documentation must be signed by your Church Authority OR ACMR Number. Upload Celebret OR Upload Church Authority Safeguarding Statement ACMR Number Alternatively you can email documentation to clergy.safeguarding@bbcatholic.org.au. WORKING WITH CHILDREN CHECK (WWCC) Those visiting Clergy who hold a NSW Working With Children Check number, please provide the WWCC number below. A WWCC is a requirement for all clergy who minister for more than 5 days in a calendar year in NSW, Australia. WWC Number For those Clergy who DO NOT hold a NSW Working With Children Check, please complete all the required information in this section. Number of days of past ministry in NSW in the last 12 month period? Past Days Number of days of ministry in NSW for this visit? Future Days Note: The period of 5 days refers to the actual days spent providing religious services. e.g. Celebrating Mass, hearing confession, etc. [If you are visiting for the purpose of a religious event or tour that is less than 30 days please email event details to clergy.safeguarding@bbcatholic.org.au] If you have entered a total of 30 + days a NSW WWCC number or NSW WWCC application is required. Please refer to the Office of the Children's Guardian webpage for further details on applying for a NSW WWCC. Email clergy.safeguarding@bbcatholic.org.au on receiving Working With Children application number. If you are a holder of an interstate Working With Children card please upload a copy below. Upload Copy Mandatory field(s) marked with *