member — HOME CHURCH

Is this your first time completing this form?

Yes — completing for the first time No — annual renewal

Personal details

First name *

Last name *

Date of birth *

Email *

Mobile *

Home address

Suburb

Postcode

Your details

First name *

Last name *

Changes since last year

Have any of your details changed?

No — same as last year Yes — I need to update some details

Please describe what has changed.

Working With Children Check

A current, valid WWCC is required for all HOME Church members. This form cannot be submitted with an expired WWCC.

WWCC status *

My WWCC is current and valid My WWCC has expired I am unable to obtain a WWCC — I have spoken with a church leader

My WWCC is current and valid — no change My WWCC has recently been renewed My WWCC has expired I am unable to obtain a WWCC — I have spoken with a church leader

Registration cannot be completed

Please renew your WWCC via the NSW Service website and return once renewed.

WWCC details

Full name on WWCC card *

WWCC number *

Check type *

Expiry date *

Your WWCC will be verified through the NSW Office of the Children's Guardian.

Members unable to obtain a WWCC may not serve in any role involving children.

Name of church leader spoken to *

Brief note (optional)

Declaration

Please confirm you have read the following HOME Church Safe Church documents, available from the Oversight Committee or via the Safe Church page.

→ Safe Church Policy
→ Volunteer Code of Conduct
→ Procedure for Staff & Volunteers
→ Procedure for Responding to Child Protection Concerns

I have read and agree to abide by the HOME Church Safe Church Policy * I have read and signed the HOME Church Volunteer Code of Conduct * I have read and understood the Procedure for Staff & Volunteers * I have read and understood the Procedure for Responding to Child Protection Concerns * I will report any safety concerns immediately to a Safe Church Contact or Oversight Committee member * I am willing to serve in ministry at HOME Church in accordance with these standards * I will notify the Oversight Committee immediately if my WWCC status changes * I confirm the information provided is accurate and will be stored securely for Safe Church compliance purposes *

Something went wrong. Please email us at myhomesyd@gmail.com

Annual Member Attestation

Thank you — your registration has been received.

Registration cannot be completed