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Working with Children Check

Do you have a current Working with Children Check?

Yes
No

Working with Children Check*

Please provide your current Working with Children Check number. Note: The WWCC status will be verified by Scouts NSW.

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Expiry Date

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All Adult Members and Adult Helpers must have a cleared and current Working With Children Check Number as per the Scouts NSW Working With Children Check Procedure.

Click here to apply for a Working With Children Check through Service NSW. Once you have received your WWCC number you will be able to proceed with your application.

Desired Appointment

Group*

Appointment*

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ChildProtection-1

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GroupEmail

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RegionOfficeEmail

Personal Details

Title*

FirstName*

SurName*

Date of Birth*

Place of Birth*

Preferred Name (if different to first or middle name)

Maiden or Former Names (if any)

Gender*

Female
Male

Contact Details

Home Address*

Home Address

Suburb*

Postcode*

State*

Postal Address

Same as above

Postal Address*

Postal Address

Suburb*

Postcode*

State*

Email*

Enter Email Confirm Email

Mobile Phone*

Phone

Other Details

Religion

Nationality

Marital Status

Partner's Name (optional)

Occupation

Skills/Hobbies

Current or Previous Scouting

Are you a current or previous member of the Scout Movement?*

This includes involvement with Scouts Australia NSW, interstate service and/or overseas service.

Yes
No

Membership Number (if known)

Past member details

Please include any Youth or Adult appointments and attach a copy of your interstate or overseas service and training history.

State / Country	Section or Appointment	Formation	Dates (From - To)

Declaration by Applicant

Past Service: I have listed all my previous service as a Member of the Scout Movement as required earlier on this form.*

Yes
No

Consent for Referees Check: I authorise the Scout Association to make any enquiries it sees fit as to my character, background, and suitability.*

Yes
No

Names and addresses of two responsible citizens, other than relatives or members of the Scout Association, to whom I am personally known, and of whom enquiries may be made are:

Referee 1: Name*

Referee 1: Address*

Referee 1: Phone Number*

Referee 2: Name*

Referee 2: Address*

Referee 2: Phone Number*

Do you have a current National Police Check

Yes
No

Upload valid police records check*

Maximum upload allowed 20MB

Accepted file types: pdf, jpg, Max. file size: 20 MB.

Consent for Police Records Check: I authorise the Scout Association to undertake a check of National Police records every three years for purpose of disclosure of any conviction that may be recorded against me by a Court of Law. Also, for the furnishing of details concerning any matter that may be before such a Court but not yet finalised. The purpose for which such authorisation is given relates to my membership of The Scout Association of Australia, New South Wales Branch. I understand that an additional link will be sent to me from the NSW Police Document Verification Service (DSV) and that it is my responsibility to complete the DSV within 7 days and prior to engaging in Scouting activities.*

Yes
No

Privacy Consent: I have received a copy of, or am aware of, the Scouts NSW Privacy Policy which also contains its Photographic and Images policy, and I consent to the information collected on this form and through Scouting activities to be used in accordance with the rights and obligations set out in that policy. I also acknowledge that any third party, about whom information on this form has been provided by me, has been informed of the Association’s collection of their information and that they are aware of the Scouts NSW Privacy Policy.*

Scouts NSW Privacy Policy: Click here to view

Yes
No

Electronic Signatures: I accept that Scouts NSW may use electronic signatures as part of their processes.*

Scouts NSW Electronic Signature Policy: Click here to view

Yes
No

Undertaking: I understand and accept the Scouts Promise and Law - as my personal undertaking and as the foundation of Scouting.*

Scouts Australia Promise and Law: Click here to view

Yes
No

I agree and undertake that if directed by the appropriate Commissioner at any time, to cease activities with the Association I will immediately comply with such direction without question.*

Yes
No

I agree that if at any time I cease to hold a Working With Children Check clearance, my appointment will be immediately suspended.*

Yes
No

I agree to return funds, property and records belonging to any part of the Scout Association, when I cease to perform the functions for which I was appointed, or when called upon to do so by my Commissioner, Region Association or by State Office.*

Yes
No

I further agree to abide by the Policies, Rules and Regulations now in force, or which may be issued by the authority of The Scout Association of Australia, New South Wales.*

Scouts NSW Policies: Click here to view

Yes
No

I have reviewed this document in detail, as well as the policies referred to in it, and am satisfied that I understand them. I accept the Code of Conduct as outlined.*

Yes
No

Matters which may adversely affect my character or the reputation of Scouts

I have reviewed this application in detail, as well as the policies referred to in it, and am satisfied that I understand them. I accept the Code of Ethics, Code of Conduct and Expectation Agreement as outlined. In addition, I make the following declarations in support of my application.

Have you ever been found guilty of an offence of any sexual nature committed in Australia or another country?*

Yes
No

Have you ever been charged, reported, or defended in a court of law any allegation of sexual abuse, assault or a sexual offence of any kind in Australia or in another country?*

Yes
No

Have you ever been (or are you currently) subject to any restrictions regarding your contact with children in any employment, volunteer or personal capacity?*

Yes
No

Have you ever been dismissed or resigned as a volunteer or employee (or reported by any authority) for improper conduct relating to children in any jurisdiction?*

Yes
No

Have you been named as the defendant in an Intervention Order, Apprehended Violence Order or Domestic Violence Restraining Order, or equivalent, in any jurisdiction?*

Yes
No

Attach submission(s)*

If you answered “yes” to any of the questions above, please submit a detailed summary of the circumstances surrounding the situation with your application. This should include dates and, where applicable, the reasons for the decision, conditions of employment, offence type and date, the court in which the matter was heard, and the status of any proceedings.

Drop files here or

Accepted file types: jpg, gif, pdf, png, Max. file size: 10 MB.

I commit to advise Scouts Australia NSW within 72 hours if I am ever approached by the authorities in relation to any allegation made against me of improper conduct relating to children, assault, or any sexual offence by me or if I am required to attend Court in respect of allegations that I have committed any other offence, whilst I am a member.*

Yes
No

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Scouts NSW review

I have reviewed this application and found that:

This application CAN progress to Group Leader endorsement
This application CANNOT progress to Group Leader endorsement

Code of Conduct and Code of Ethics

I have read, understood and will abide by the Code of Conduct and Code of Ethics.*

Download and read the Code of Conduct and Code of Ethics here.

Yes
No

Signature of Applicant

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Signature*

Please draw your signature in the box below.

Adult Helper Application (A2)

Working with Children Check

Desired Appointment

Personal Details

Contact Details

Other Details

Current or Previous Scouting

Declaration by Applicant

Matters which may adversely affect my character or the reputation of Scouts

Code of Conduct and Code of Ethics

Signature of Applicant

Member News

Scouts News

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Donate to Scouts

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