Step 1: Fill in your personal details


*
*
*
*
*
*
*

Have you had an Access NI check carried out through either your employment and/or church?
Yes No *
Yes No *

(One of the referees given below should be someone who can confirm that the appropriate checks have been carried out)

Have you ever been convicted of a criminal offence or are you at present the subject of criminal charges?
Yes No *
(Please note: the disclosure of an offence may be no bar to your being accepted)

Please provide the names of two referees, one of whom should be your minister / pastor (family members are not acceptable as referees)
*
*
*
*
*
*
*
*

Do you have any health problems, including disabilities, treatments, allergies etc?
Yes No *

Next of Kin:
*
*
*

Step 2: Tick as appropriate

Step 3: Click the button below to sign up!