About You













Referee 1

Employers, pastors, friends, neighbours but not family relatives. Both referees need to be over 18 and have known you for a minimum of two years.










Referee 2

Employers, pastors, friends, neighbours but not family relatives. Both referees need to be over 18 and have known you for a minimum of two years.










Volunteer Declaration

I agree that while volunteering with GreenHouse Mentoring, prior to an enhanced level DBS for working with children being arranged, in whatever capacity, I will not allow myself to be left alone with another person under the age of 18 years. (I understand that an adult who has been DBS checked must always be present.)

Data Protection

I give my consent to GreenHouse Mentoring holding personal data about me:

  • I have been advised that GreenHouse Mentoring will hold this information securely and use it only for the purposes of GreenHouse Mentoring work.
  • I understand this information will be kept confidential, and only disclosed, without my consent, in the event that GreenHouse Mentoring is required by law to do so.
  • I understand that I have the right to see this information at any time.

Image Consent

Personal Data/Image - Under the terms of the Data Protection Act 1998, your consent must be obtained before GreenHouse Mentoring can use your personal data or image in our promotional material. You should be aware that this means that information about you could be made available worldwide including in countries where there is no data protection legislation.

I am happy for GHM to use photos of those mentioned above in the way described (If you do not select Yes in the box above then GHM will not use photographs under any circumstances.)
Yes

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