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Working with Children

Thank you for expressing an interest to work with children.

The purpose of this form is to reduce the risk of harm to children by requiring people engaged in work that involves regular or overnight contact with children to be safety checked. This is a requirement of the Children’s Act 2014 (previously known as The Vulnerable Children Act 2014 (VCA)).

First Name

Last Name

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Identification & Security

Primary Identification Document (Passport, Birth Certificate, Citizenship Certificate)

Secondary Identification Document (Driver's License, Community Services card, Inland Revenue number)

I am giving authority for Oranga Tamariki to search any relevant database and provide applicable information about me to SVA.

I provide consent for SVA to request information from the Police Vetting Service about previous criminal convictions (if any).

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Previous Experience

Please give a brief summary of your working history over the last 5 years

Please provide a summary and identification details for any Professional Registrations you have that may be relevant

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Addtional Reference

Additional Reference (from work history)

Additional Reference Number

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Submit