Westliff RFC RFC Volunteer Application & Self Declaration Form


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 current Data Protection regulations and with the Clubs Data Protection Policy. Any concerns will be reported to the RFU Safeguarding Department for investigation. Where necessary, statutory agencies maybe contacted and the outcome recorded.

WHAT HAPPENS NEXT? After you have completed and submitted the online form it will be sent directly to Club Safeguarding Officer (CSO) and if your role is classed as Regulated Activity you will be required to complete an Online Safegarding Awareness Course and undergo the RFU enhanced  DBS disclosure process. The CSO may request further information or clarification from you.  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

Applicants Personal details


Please give details of two referees (not relatives) who the Club or the RFU may contact to request character references from should it be necessary to do so. these should be people who you have known for at lease 5 years and have some professional standing in the 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.
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. I hereby confirm that I will comply to the requirements set out within RFU and Club Policies and Procedures.
Clear Signature