Name

Address 1 Phone (Home)

Phone (Work)

Phone (mobile)

E-mail

Date of birth

Scout County Scout County Commissioner

Applicant details

Group Name and number Group Leader’s name

1

Reference 1 (suitable responsible person )

Name

Phone email

Reference 2 (suitable responsible person)

Name

Phone Home email

How do you know this person How do you know this person

2

Gasóga na hÉireann/Scouting IrelandAdult in Scouting Application

SIF 1 ( July 2016)All information on this form is retained in confidence Please read the guidance notes before completing form.

Yes No

Yes No

Yes No

3

Referees

Please use BLOCK capitals

Ref No.

Scouter Rover Scout (18+)

Address 2

Address 3

Address 4

Postcode

Address 1 Address 1

Address 2 Address 2

Address 3 Address 3

Postcode Postcode

Rover Scout + Scouter Associate Member

Previous experience

Were you previously or are you now a youth member of a Scouting or Guiding Association?

Were you previously, or are you now an adult member of a Scouting or Guiding Association?

Were you, or are you, a member of any other Youth Organisation?

Please state any other information that you feel we need to know about which may affect this application.

Why do you want to join Scouting Ireland?

Affix photohere

I am satisfied with their recommendations. I believe the applicant to be a person of good standing and nominate this person for adult membership of Scouting Ireland.

I confirm that the applicant volunteered his/her services on the following dateI have notified the Scout County Commissioner of this application on the following date

Approvals(The person who signs the Approval cannot act as a Referee) See Guidance Notes “Who Signs Approval?"

I confirm that this applicant (where appropriate) has begun the Induction process and has been briefed on his/her role as an Adult in Scouting. I have contacted the Referees noted in Section [2] and the results are as follows:

Reference 1 Date Checked Satisfactory Yes NoReference 2 Date Checked Satisfactory Yes No

Tick as appropriate Group Leader County Commissioner Provincial Commissioner National Team Lead

Signed Date

Note: This form should be returned to National Office within 7 days of completion

Declaration by a person wishing to be an Adult in Scouting1. I confirm that nothing in my background deems me unsuitable to work with young people and that the information contained in this form is correct.2. I have read, understand and will uphold the Code of Good Practice.3. I agree to the Terms & Conditions of membership, to uphold the constitution, rules and policies of Scouting Ireland and I understand that any breach

of these can lead to disciplinary action up to and including membership termination.4. I understand the need for formal checks and references to verify my suitability as an Adult in Scouting.5. I agree that the information supplied may be verified by Scouting Ireland to ensure that it complies with the Constitution & Rules of the Association.6. I authorise vetting checks with the National Vetting Bureau or Access NI and the Departments of Health, Children, Social Services & Public Safety

as appropriate both on application and at any later date as required by the Association as it considers fit. I agree to sign such additional authorisations when required.

7. I accept that as an Adult in Scouting, the Association may decline membership without stating reasons.8. I understand that I must undertake the appropriate training for an Adult in Scouting as required by the policies and standards of Scouting Ireland.

8a. Applicable to those wishing to hold an Appointment (Scouter)

I acknowledge as an 18 – 25 year old that the Rover Scout Programme and opportunities are available to me and that I can partake in these only by being a registered member of a Rover Scout Crew.

I now wish to become a member of Scouting Ireland Signed: ___________________ Date: ___________________

8b. Applicable to those wishing to become a Rover Scout

I now wish to become a member of Scouting Ireland Signed: ___________________ Date: ___________________

8c. Applicable to those wishing to become an Associate Member

dd mm yyyy

dd mm yyyy

Print name

1. I have discussed my role in Scouting with my Group Leader / Commissioner and understand the responsibility and commitment required of an adult in charge of Scouts. (I also understand that I cannot apply for an appointment in Scouting Ireland as an Associate Member)2. I understand that completing the membership application form and a National Vetting Bureau/Access NI check are only one part of the application process. I understand that I must complete the 'This is Scouting' element of the Scouting Ireland training scheme prior to direct work or having access to Youth Members. I understand that I must speak to my Group Leader, County Commissioner or National Team Leader to arrange to take part in this training.3. I accept and will endeavour to uphold the Scout Promise & Law.Tick if age appropriate:

1. I have discussed my role in Scouting with my Group Leader & Rover Crew Advisor and understand the responsibility and commitment required of an adult in Scouting undertaking the Rover Scout Youth Programme.

2. I understand that completing the membership application form and a National Vetting Bureau/Access NI check are only one part of the application process. I understand that I must complete Scouting Ireland's Safeguarding - Foundation eLearning training module prior to taking part in ANY Rover Scout programme.

3. I understand that as a Rover Scout, training as provided by the Association including the Wood Badge training scheme is available for me to pursue if I so wish. I acknowledge that on my 26th birthday that if I wish to continue being an Adult in Scouting (Scouter) I must sign a declaration committing to undertake the appropriate training as required by the policies and standards of Scouting Ireland.

4. I accept and will endeavour to uphold the Scout Promise & Law.

1. I have discussed my role in Scouting with my Group Leader / Commissioner and understand the responsibility and commitment required of an Associate Member of Scouting Ireland.

2. I understand that completing the membership application form and a National Vetting Bureau/Access NI check are only one part of the application process. I understand that I must complete Scouting Ireland's Safeguarding - Foundation eLearning training module prior to taking part in ANY Scouting activity.

3. As an Associate Member, I understand that I cannot apply for an appointment as a Scouter in Scouting Ireland and if I would like to take up an appointment I will need to complete section 8a.I now wish to become an Associate Member of Scouting Ireland Signed: ___________________ Date: ___________________

Explanation of information requestedScouting Ireland seeks your personal information on the appropriate forms, with the express purpose of protecting young people within Scouting.

All information supplied to us is confidential and is kept in confidence. It will be used for no purposes other than determining your suitability to work with young people and for maintaining contact with you regarding scouting matters.

Passport PhotographsOne passport size photograph needs to be included. This will be held on file for reference purposes. Your name is to be put on the reverse and then signed by the Group Leader to verify that you are the person who has made the application

National Vetting Bureau/Access NI ChecksBy law, all applicants must undergo a National Vetting Bureau/Access NI check before commencing working with young people.

Adults who reside in the Republic of Ireland must undergo vetting by the National Vetting Bureau. The National Vetting Bureau eVetting Invitation Form must be submitted with your application.

Adults who reside in Northern Ireland must complete an Access NI Check. You can apply for an Access NI check online using the Scouting Ireland PIN which is available from the person approving your application.

Referees• Two referees are required.

Suitable responsible people might be Teacher, Clergy, Garda/PoliceOfficer, Peace Commissioner, Employer, Scouter.(Applicant should seek their consent before nominating them)

• Only one referee can be a Scouter.

• The person who signs the Approval cannot act as a Referee.

• Members of your family may not act as a Referee

• Each referee should be aware that they are referees and will becontacted in the future.

Instruction to Group Leader, County Commissioners, Provincial Commissioners and National Team Leads

This application form must be fully completed and be accompanied by the following:-

•••

One (1) Passport Photograph (signed by GL on reverse)For those resident in the Republic of Ireland, the fully completed National Vetting Bureau Invitation Form & ID Verification FormFor those resident in Northern Ireland, you must apply for Access NI clearance online using the Scouting Ireland PIN which is available from the person approving your application.

Previous experienceThis section enables us to discover how you have worked with others in the past.

Section 3 Additional information

Sections 3 provide additional information to support your application. Include here any information you feel is relevant.

DeclarationAll applicants are required to sign the relevant declaration and should understand that formal checks will be made and references will be taken up.

ApprovalsIn accordance with the Constitution and Rules of Scouting Ireland the form must be signed by an appropriate person. The table “Who Signs Approval?” sets out who should sign your form.

Who Signs Approval?

Application for membership in a Scout Group Group LeaderApplication for membership in a Scout County County Commissioner Application for membership in a Scout Province Provincial Commissioner Application for membership in a National Team National Team Lead.

Contact DetailsScouting IrelandNational OfficeLarch Hill, Dublin 16

t: 00353 (0)1 495 6300f: 00353 (0)1 495 6301e: questions@scouts.ie

Data Protection

Scouting Ireland is committed to protecting your privacy and security. The Scouting Ireland data protection policy is available on request or can be downloaded from www.scouts.ie and my.scouts.ie

Guidelines for completing Vetting Invitation Form (NVB 1)

Please read the following guidelines before completing this form.

Miscellaneous

The Form must be completed in full using BLOCK CAPITALS and writing must be clear and legible.

The Form should be completed in ball point pen.

Photocopies will not be accepted.

All applicants will be required to provide documents to validate their identity.

If the applicant is under 18 years of age, a completed NVB 3 - Parent\Guardian Consent Form will be required. Please note that where the applicant is under 18 years of age the electronic correspondence will issue to the Parent\Guardian. This being the case, the applicant must provide their Parent\Guardian Email address on the NVB 1 form.

Personal Details

Insert details for each field, allowing one block letter per box.

For Date of Birth field, allow one digit per box.

Please fill in your Email Address, allowing one character/symbol per box. This is required as the invitation to the e-vetting website will be sent to this address.

Please allow one digit per box for your contact number.

The Current Address means the address you are now living at.

The address fields should be completed in full, including Eircode/Postcode. No abbreviations.

Role Being Vetted For

The role being applied for must be clearly stated. Generic terms such as “Volunteer” will not suffice.

Declaration of Application

The applicant must confirm their understanding and acceptance of the two statements by signing the application form at Section 2 and ticking the box provided.

   

Under Sec 26(b) of the National Vetting Bureau (Children and Vulnerable Persons) Acts 2012 to 2016, it is an offence to make a false statement for the purpose of obtaining a vetting disclosure.

 

Scouting Ireland National Office Larch Hill Dublin 16

 

Your Ref:

 

Form NVB 1     Vetting Invitation  

 

Forename(s):

Middle Name:

Surname:

Date Of Birth: D D / M M / Y Y Y Y

Email Address:

Contact Number:

Role Being Vetted For:

Current Address:

Line 1:

Line 2:

Line 3:

Line 4:

Line 5:

Eircode/Postcode:

Name Of Organisation: I have provided documentation to validate my identity as required and I consent to the making of this application and to the disclosure of information by the National Vetting Bureau to the Liaison Person pursuant to Section 13(4)(e) National Vetting Bureau (Children and Vulnerable Persons) Acts 2012 to 2016. Please tick box ☐

Applicant’s

Signature: Date: D D / M M / Y Y Y Y

Note: Please return this form to the above named organisation. An invitation to the e-vetting website will then be sent to your Email address.

Section 1 – Personal Information

Section 2 – Additional Information

This form must be completed by the Scouter approving the Scouting Ireland Adult Membership Application (Group Leader, County Commissioner, Provincial Commissioner, National Team Leader)

Applicants for Vetting by the National Vetting Bureau must have their identity verified by the person approving their membership application. This is done by examining documents from the list overleaf. Each document carries a score and enough documentation must be produced to achieve a total score of 100.

Only the signed ID Verification Form needs to be returned to National Office. Copies of the ID DO NOT need to be returned to National Office.

At least one of these documents should be photographic identification.

ExampleApplication shows the following ID:

Type of ID ScorePassport 80

College ID 25Total Score 105

Type of ID ScoreID card issued by employer (with name and address) 35

College ID 25Total Score 60

Applicant details as they appear on the ID documentation provided:

I confirm I have seen the original ID documentation as indicated on the attached sheet.

Date of ID Check

Signed

Name (Capitals)

Name

Date of Birth

Eircode

Example A This is correct as the ID items total value exceeds 100 score

Example BThis fails as the ID items total value is only 60 and does not exceed the required 100 score

ID VERIFICATION FORM

Identification Score Tick

Irish driving license or learner permit (new credit card format) 80

Irish Public Services Card 80

Passport (from country of citizenship) 70

Irish certificate of naturalisation 50

Birth certificate 50

Garda National Immigration Bureau (GNIB) card 50

National Identity Card for EU/EEA/Swiss citizens 50

Irish driving license or learner permit (old paper format) 40

Employment ID

• ID card issued by employer (with name and address) 35

• ID card issued by employer (name only) 25

Letter from employer (within last two years)

• Confirming name and address 35

P60, P45 or Payslip (with home address) 35

Utility bill e.g. gas, electricity, television, broadband (must not be less than6 months old. Printed online bills are acceptable. Mobile phone bills are not acceptable)

35

Public services card/social services card/medical card 25

• With photograph 40

Bank/Building Society/Credit Union statement 35

Credit/debit cards/passbooks (only one per institution) 25

National age card (issued by An Garda Siochana) 25

Membership card

• Club, union or trade, professional bodies 25

• Educational institution 25

Correspondence

• From an educational institution/SUSI/CAO 20

• From an insurance company regarding an active policy 20

• From a bank/credit union or government body or state agency 20

Recent arrival in Ireland (less than 6 weeks)

• Passport 100

Vetting Subject is unable to achieve 100 points**

• Affidavit witnessed by a Commissioner for Oaths 100

TOTAL