Calderdale Chaplains Volunteer Sign-Up
Email address *
Your full name:
Home address including postcode:
Telephone:
Date Of Birth:
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Your Church:
Name of Church Leader (for a reference):
E-Mail (or address) of Church Leader:
Phone number of Church Leader:
What interests you in the role of a Chaplain?
What skills do you have that you can bring to the role?
Is there any particular area of interest where you would like to volunteer as a Chaplain?
Please list any major health issues:
Have you ever been convicted of a criminal offence, or are you at present the subject of criminal charges? (NB The disclosure of an offence may be no bar to your appointment)
Clear selection
Has your conduct ever caused or been likely to cause harm to a child or put a child at unnecessary risk, or, to your knowledge, has it ever been alleged that your conduct has resulted in these things
Clear selection
If yes to either of the above please list details below:
Tell us a little about your Christian faith:
What size of hoodie would you require?
Clear selection
By submitting this application form you hereby certify that the information contained in this form is true to the best of my knowledge. You agree to abide by the guidelines of Calderdale Chaplains. You also agree for Calderdale Chaplains to hold this information on record whilst you are a volunteer and for six months following (unless circumstances arise where we have to hold the information for longer).
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