Visiting Religious & Lay Minister

The Diocese of Broken Bay is committed to fostering communities of safety and care for all people, especially for children and others in the community who are vulnerable. Therefore as part of our safe practices framework we request that all Visiting Religious & Lay Ministers performing a public ministry in the Diocese provide details of the ministry prior to their visit. Please complete the online form below.

PERSONAL DETAILS

Title* - required

Legal Full Name* - required

Religious Institute (if applicable)

Current Organisation* - required

(ie the organisation to which you belong or represent)

Date of Birth* - required

Mobile Phone* - required

Email Address* - required

Postal Address* - required

DETAILS OF VISIT

Start Date of Visit* - required

End Date of Visit* - required

Visiting Parish* - required

Purpose of Visit* - required

(e.g. presenting workshop/keynote speaker).

Please provide a Working with Children Check Number (WWCC) as required under Child Protection (Working with Children Check) 2012 Legislation.

WWCC#* - required

If an Interstate WWCC Holder, please provide a copy of your WWCC card.

STATEMENT OF CONDUCT

I, Full Name* - required

agree to; (Please tick)

act honestly and with integrity in the course of any duties conducted within the Diocese of Broken Bay* - required

act with duty and care* - required

treat everyone with respect and courtesy, without harassment of any kind* - required

comply with the requirements of all policies and procedures which contribute to and ensure a respectful and safe environment for all people* - required

act in a manner that will not discredit the Diocese or individuals within the Diocese by refraining from making negative or inappropriate comments or by inappropriate behaviour* - required

comply with the Work Health and Safety requirements and policies and procedures of the Diocese* - required

comply with any lawful and reasonable direction given by a person who has the authority to give such direction* - required

be familiar with and comply with the Diocesan Commitment Statement to Safeguarding* - required

Read the Diocesan Commitment Statement to Safeguarding here

create a safe environment which values, supports and nurtures the wellbeing of all children and young people as outlined in the Best Practice Guideline for Expectations of Attitudes and Behaviours when engaging with children and young people in your role* - required

Read the Best Practice Guideline for Expectations of Attitudes and Behaviours when engaging with children and young people in your role here

comply with legislative requirements to respond to concerns or allegations of suspected child abuse and neglect and notify either the Office for Safeguarding (Chancery) or New South Wales Police* - required

Date of Submission* - required

Mandatory field(s) marked with *

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