Living by God’s design
Department of Children, Youth & Family Ministry
Lutheran Church South Australia/Northern Territory District
Leadership Application Process
Camping & Event Ministries
Thank you for considering volunteering for Blueprint Ministries.
We value the incredible contribution that volunteer leaders make to our shared ministry to young people. In fact the
ministry of Blueprint Ministries is only possible because of the dedication of our volunteer leaders.
If you would like to join our strong team of volunteer leaders then we encourage you to complete the leadership
application process outlined below. This process is an important component of our safety strategy and helps to
ensure that our events are safe for all. Please note that elements of the application process may take weeks to
complete.
If you have any questions regarding the leadership application process or would like to talk with us about being a
leader on one of our events please contact Rebecca on 08 8267 5211or rebecca.cronau@sa.lca.org.au
Leadership Application Process:
1. All volunteer leaders must complete the ChildSafe Team Member training. The LCASA/NT District Office
facilitate regular training events. To find out more or to register for an upcoming training workshop please
email helen.williams@sa.lca.org
2. All volunteer leaders must submit a completed Leadership Application Form, accompanied by two written
references.
3. All volunteer leaders are expected to attend leadership training associated with the camp/event they are
applying to lead on.
Event Leadership Team Selection:
Only volunteer leaders who successfully complete the Leadership Application Process outlined above are considered
for leadership on Blueprint Ministries events. A number of factors are considered when selecting event leadership
teams. These factors include, but are not limited to, the gender balance of the leadership team, the balance of
leadership experience and camper: leader ratios.
Please note that in some cases leaders will be expected to attend event specific training.
Please complete the attached forms on your computer
before printing, signing and posting to:
LCA SA/NT Blueprint Ministries
137 Archer Street, North Adelaide 5006
May our Lord Jesus richly bless you in your serving,
“
In him we were also chosen, having been
predestined according to the plan of him who
works out everything in conformity with the
purpose of his will, in order that we, who were
the first to put our hope in Christ, might be for
the praise of his glory.
Ephesians 1:11-12
Rebecca Cronau
Ministry Program Coordinator
www.blueprintministries.org.au
137 Archer Street | North Adelaide 5006 | South Australia
P 08 8267 5211 | F 08 8239 1838|
VOLUNTEER CODE OF CONDUCT AND DECLARATION
As a volunteer for BLUEPRINT MINISTRIES, I (name) __
_______
1. Will read any training and legal documentation given to me, which may include:
a. BLUEPRINT MINISTRIES Leadership Material,
b. Child Safe Handbook,
c. LCA Sexual Abuse Policy information,
d. Any legal requirements involving safety & insurance;
2. Will attend full training events in preparation for my attendance at any BLUEPRINT
MINISTRIES camps or events;
3. Accept and agree to work in accordance with BLUEPRINT MINISTRIES’s values, beliefs &
working principles as outlined in BLUEPRINT MINISTRIES leadership and training
material;
4. Will treat all people with respect and dignity regardless of age, gender, religious/cultural
denomination or personal circumstances;
5. Accept and agree to work in accordance with BLUEPRINT MINISTRIES’s Safety and Care
policies including OH&S;
6. Accept responsibility for duty of care for participants in the program;
7. Understand that any perpetration of physical, verbal, emotional, sexual or spiritual
abuse or harassment is unacceptable and will be treated seriously and sensitively;
8. Will act with courtesy, consideration and good judgment in all interpersonal
relationships;
9. Will not use BLUEPRINT MINISTRIES camps or events to promote my own, or a
particular denominational or religious belief, behaviour or practice where these are not
the practicing ethos of BLUEPRINT MINISTRIES or the Lutheran Church of Australia;
10. Will contribute to the cost of my time on camp (including (but not exclusive to): meals,
accommodation, programming costs, etc.), with the price being determined by BLUEPRINT
MINISTRIES
11. Will not engage in any illegal activity or assist persons engaged in illegal activities;
12. Will respect the authority of leaders over me and act in accordance with their directions;
13. Will notify BLUEPRINT MINISTRIES immediately if there is any change to my ability to
lead on a camp or event.
I agree to abide by the above code of conduct and declaration. I understand that failure to comply
with these conditions will result in disciplinary action which may include termination of voluntary
employment.
Signature:
Date:
/
/20
Leadership Application FORM
CONFIDENTIAL
This form is to be completed by any person wishing
to be a BLUEPRINT MINISTRIES volunteer.
Once your application is completed please forward
to:
Blueprint Ministries
137 Archer Street
North Adelaide SA 5006
Once your application has been approved it will be
valid for 3 years.
All applications will be treated in the strictest of
confidence.
BLUEPRINT MINISTRIES agrees to support its volunteer leaders for its events &
camping ministries.
BLUEPRINT MINISTRIES will educate and train their volunteers in their duties,
in the area of responsibilities, safety & care, & sexual abuse policies to the
best of its ability.
www.blueprintministries.org.au
137 Archer Street | North Adelaide 5006 | South Australia
P 08 8267 5211 | F 08 8239 1838|
Personal Details: (Please complete every space)
Full Name:
Address:
Phone:
Email:
Date of Birth:
Two reference forms must accompany your BLUEPRINT MINISTRIES Volunteer Application Form
for your application to be considered.
 At least one referee must be your congregational Pastor or Youth Leader/Worker or
Deacon/Elder.
 No referees can be a member of your family
Please indicate below who you have asked to be your referees:
1.
2.
Post Code:
Home:
/
Mobile:
/
Gender:
Male
Female
Marital
Status:
Single
Married
Occupation:
Congregation:
BLUEPRINT MINISTRIES encourages all leaders to be regularly worshipping within a Christian
community.
Ministry/Leadership Experience:
Briefly outline any previous experience with BLUEPRINT MINISTRIES, congregation or other
significant youth camping and/or events, including leadership experience:
BLUEPRINT MINISTRIES encourages all leaders to have people praying for them while in their leadership
positions at an event.
Do you have any mental or physical health issues that BLUEPRINT MINISTRIES should be made
aware of?
Yes
No
If ‘Yes’, please provide details:
_______________________________________________________________
What motivates you to work with and alongside young people?
__
South Australian Government Requirements:
All volunteers with BLUEPRINT MINISTRIES MUST have a CURRENT National Police Certificate
(valid for 3 years from issue date);
Are you in possession of a current ‘National Police Certificate’?
Yes
No
Please note: BLUEPRINT MINISTRIES will not accept any volunteer who does not meet SA
legislation requirements in relation to ‘National Police Certificates’
 If you answered ‘Yes’, please provide your ‘National Police Certificate’ number and issue date:
Certificate Number:
Issue Date:
/
/
 If you answered ‘No’ please indicate which of the following options applies to you:
I am currently applying for a ‘National Police Certificate’ I submitted my application on
(date):
/
/
I am exempt from a ‘National Police Certificate’ because I am under 18
I am exempt from a ‘National Police Certificate’ (please list reason below)
What do you consider to be your personal strengths, gifts and skills?
Training Information:
Have you attended ChildSafe training?
Yes
No
If ‘Yes’ (date):
/
/
Level:
Team Member
Team Leader
Coordinator
Do you currently hold a Senior First Aid Certificate?
Yes
No
If ‘Yes’, date of training:
/
/
Do you hold a ‘Follow Work Hygiene Procedures’ or ‘Food Handling Certificate’?
Yes
No
If ‘Yes’, date of training:
/
/
Have you undertaken any other safety training?
Yes
No
(ie. Surf Life Saving, Bronze Medallion, Occupational Workplace Health and Safety, etc.)
Reason:
National Police Certificate Application Form Link:
http://www.sapolice.sa.gov.au/sapol/services/information_requests/police_checks.jsp
If ‘Yes’, please give details:
Date of training:
/
/
/
/
/
/
/
/
Reference Form for BLUEPRINT MINISTRIES Volunteer:
The applicant below has applied to be a volunteer leader on a Blueprint
Ministries Camp (e.g. CLW) or event.
4. In your view, what are the applicant’s:
a) Strengths?
b) Weaknesses?
Please answer the questions below using extra paper if necessary.
Thank you for assisting us by providing this important information.
Applicant Name:
Referee Name:
Phone:
(
)
Mobile:
Relationship to Applicant:
A referee cannot be a family member of the applicant
1. How long have you known the applicant?
2. Please comment on the applicant’s gifts and skills that would make them
suitable to lead/or care and take responsibility for the safety of children and
young people?
5. How do you think the applicant would respond to working:
a) Under a team leader?
b) As a member of a team?
c)
With members of the opposite sex?
6. How strongly would you recommend this applicant to assist/lead in our
camping/event ministry?
Not at all
Recommend
With reservations
Strongly recommend
Don’t know / Can’t say
7. To the best of your knowledge, is there any reason the applicant would be
considered unsuitable to work with children and young people?
8. Any other comments that may assist us in determining the applicant’s suitability?
3. Please give a brief description of the applicant’s personality and character?
Referee’s Signature:
Please send the completed form to:
Date:
/
/
LCA SA/NT Blueprint Ministries
137 Archer Street, North Adelaide 5006
(Or return to the applicant for them to return with their application form)
Reference Form for BLUEPRINT MINISTRIES Volunteer:
The applicant below has applied to be a volunteer leader on a Blueprint
Ministries Camp (e.g. CLW) or event.
4. In your view, what are the applicant’s:
c) Strengths?
d) Weaknesses?
Please answer the questions below using extra paper if necessary.
Thank you for assisting us by providing this important information.
Applicant Name:
Referee Name:
Phone:
(
)
Mobile:
Relationship to Applicant:
A referee cannot be a family member of the applicant
1. How long have you known the applicant?
2. Please comment on the applicant’s gifts and skills that would make them
suitable to lead/or care and take responsibility for the safety of children and
young people?
5. How do you think the applicant would respond to working:
d) Under a team leader?
e)
As a member of a team?
f)
With members of the opposite sex?
6. How strongly would you recommend this applicant to assist/lead in our
camping/event ministry?
Not at all
Recommend
With reservations
Strongly recommend
Don’t know / Can’t say
7. To the best of your knowledge, is there any reason the applicant would be
considered unsuitable to work with children and young people?
8. Any other comments that may assist us in determining the applicant’s suitability?
3. Please give a brief description of the applicant’s personality and character?
Referee’s Signature:
Please send the completed form to:
Date:
/
/
LCA SA/NT Blueprint Ministries
137 Archer Street, North Adelaide 5006
(Or return to the applicant for them to return with their application form)