Plan to Protect Completion

Checklist and Signature

First and Last Name

This address will receive a confirmation email

I have completed the following:

Volunteer application form completed and submitted Requested interview from ministry lead Criminal Record Check submitted and forwarded to purdy@udac.ca Intervention Record Check submitted and forwarded to purdy@udac.ca Watched the Plan to Protect Adult Basic or Jr Basic Training video Watched the Plan to Protect KidZone or ISC Youth Training video

Declaration of completion:

I hereby give University Drive Alliance Church consent to verify the information provided herein.

By typing my name below, I hereby acknowledge that, to the best of my knowledge, the information contained in this form is true and correct and that I have completed the Plan to Protect screening process.

Applicant signature

Parent signature (if applicable)

Signed on:

Description

All volunteers in Nursery, KidZone and Day Camp are screened through Plan to Protect before they can start volunteering.
Please fill out this checklist and click submit.

Information received is confidential and is being gathered for the purposes of screening ministry personnel and placing them into ministry with children or youth. The information gathered here will be used for the purposes of supporting the ministries at University Drive Alliance Church.

Plan to Protect Completion

Description

Please Fix the Following