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North Petherton Rugby Football Club

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  • Home
  • The Club
    • Safeguarding
    • Training Sessions
    • About (The Club)
    • Club Officials
    • Contact / Find Us
    • GMS Registration
    • Membership
    • News
    • Policies
    • 100 Club
    • Josh Evans Trust Fund
  • Seniors Rugby
    • Training (Seniors)
    • The Players (Senior)
    • First XV (Senior)
    • Second XV (Senior)
    • Under 18s (Senior)
  • Ladies Rugby
    • Training (Ladies)
    • The Players (Ladies)
    • First XV (Ladies)
  • Youth Rugby
    • Training (Juniors)
    • Training (Girls)
    • Youth Rugby
    • Contact Us (Youth)
    • Mini & Junior Fixtures (Youth)
  • Galleries
    • Season 2024-2025
    • Season 2023-2024
    • Season 2022-2023
    • Season 2021-2022
    • Photo Gallery (2019)
    • Photo Gallery (2018)
    • Photo Gallery (2017)
    • Photo Gallery (2016)
    • Photo Gallery (2015)
    • Photo Gallery (2014)
  • Sponsors
    • Sponsorship
    • Sponsors
  • Club Shop
  • Gym
  • Club Hire
    • Wedding Venue Hire
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Volunteering Declaration


WHO MUST COMPLETE THE FORM?
Any member of the Club/CB or Organisation, who is seeking to work/volunteer in a role where they will have contact with children (persons under 18 years of age) or “Adults at Risk”.*

DO I HAVE TO COMPLETE THIS FORM?
Yes, as it is in line with the safer recruitment processes, as set out in the RFU’s Safeguarding Children Policy, Guidance and Procedures and the Safeguarding Toolkit. Non-completion will be taken into account when making any risk-based decision regarding suitability to be deployed in a role with children or Adults at Risk.

WHAT WILL HAPPEN TO THE FORM ONCE COMPLETED?
The form will be kept and stored securely in accordance with the General Data Protection Regulations (EU 2016) and Data Protection Act 2018. For information on how the club processes personal data, including in relation to its volunteers, please contact safeguarding@north-petherton-rfc.co.uk and/or refer to the club’s privacy policy at https://north-petherton-rfc.co.uk/policies/.The RFU may from time to time access this form, including where any concerns are reported to the RFU Safeguarding Department for investigation. Where necessary, statutory agencies may be contacted and the outcome recorded. For information on how the RFU processes personal data, including in relation to its volunteers, please see the RFU’s Regulatory & Governance Privacy Notice here: https://www.englandrugby.com/about-the-rfu/privacy-policy/

WHO DO I RETURN MY FORM TO?
The completed form must be returned to the club Safeguarding Officer marked ‘Private and Confidential – SDF’. If you are considered to be unsuitable to work with children or Adults at Risk, appropriate action may be taken and the relevant organisation(s) will be informed.

*For a full definition of Adults at Risk see RFU Safeguarding Policy – Adults at Risk in rugby union which may be found here:http://www.englandrugby.com/governance/safeguarding/at-risk-adults

Personal Details

With discretion, may we contact you at work?

Professional Qualifications Relevant To This Role

Membership Of Professional Bodies

Training Courses

Please give details of attendance on training courses that are relevant to this application

Employment Details

Please detail your most recent first. This can include any paid, unpaid or voluntary work that you may have undertaken that you believe is relevant to this post.

References

Please give details of two referees (not relatives) who the club or the RFU may contact to request character references from should it be considered necessary to do so. These should be people who have known you for at least five years and have some professional standing in your community.

Self Declaration

The Rugby Football Union (RFU) and this club aim to promote equality of opportunity for all persons and welcome applications from a wide range of individuals, including those with prior criminal records. The position/role for which you have applied is an exempted occupation for the purpose of the Rehabilitation of Offenders Act 1974 (as amended by the Rehabilitation of Offenders Act 1975). All ‘spent’ and ‘unspent’ convictions must be declared. Having an ‘unspent’ conviction will not necessarily impede your appointment within rugby union, this will depend on the circumstances and background to your offence(s). If you fail to disclose an offence and the RFU or this club is later informed of any previously undisclosed criminal matter, you may be subject to disciplinary action. Any information you provide will be held on a strictly confidential basis and dealt with the utmost discretion.

1. Have you ever received a conviction/caution/reprimand or final warning for any criminal offences?
2.Are you a person known to any Social Services department/statutory agency as being an actual or potential risk to children or adults at risk?
3. Have you ever been the subject of disciplinary sanction (from any sport or other organisation’s governing body) in relation to children.

I understand that it is necessary for me to declare any information requested and that the position/membership for which I have applied may involve access to Children, Young People and/or Adults at Risk. I hereby give my consent to the RFU to conduct a Criminal Record (DBS) check if so required.

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  • North Petherton RFC
    Beggars Brook
    North Petherton
    Somerset
    TA6 6NW
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