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Gaisce PAL Online Registration Form
YOUR PERSONAL DETAILS
Personal Details
First Name
Last Name
Email
Confirm Email Address
Test
Address
County
Eircode
Phone
Mobile Phone
Date of Birth
Date of Application
An approved 4-hour Children First Safeguarding training or the 90 minute online TUSLA Safeguarding training is one of the mandatory requirements to become a PAL.
If you have yet to achieve this certificate or training, please see
https://www.tusla.ie/children-first/children-first-e-learning-programme
Tick here to confirm you have completed this training
If yes, please attach a copy of the certificate
I have attached the certificate to this application
Upload your certificate here
Have you ever been convicted of a Criminal Offence or been the subject of a Caution or of a Bound Over Order?
Please tick here if this applies
How did you hear about us?
Please select...
Gaisce already or previously operated in school/org I work with
Direct Contact from Gaisce Staff
Gaisce Website
Social Media
Local Volunteer Centre / Volunteer Ireland
Other - Please Specify
I am a Gaisce Awardee
If other - please tell us more
Have you ever volunteered before?
If yes, list the organisations
Please upload proof of your address (a utility bill
or official communication dated within the past 6 months showing your name and address
within last 6 months)
Please upload your photo id (eg copy of your driving licence or passport.
Selfies are not an acceptable form of ID
)
GAISCE AWARD PARTNER INFORMATION (GAP)
Information about the Organisation through which you wish to offer Gaisce
Gaisce Award Partner
Address
Phone
If your Organisation is a new Gaisce Award Partner, please tick here.
Contact Details for the Head of this Gaisce Award Partner
Are you the Head of the Gaisce Award Partner?
Please select...
Yes, I am the head of the Gaisce Award Partner
No, I am not the head of the Gaisce Award Partner
Name of Head
Title of Head
Work Email Address of Head
Work Phone Number of Head
REFERENCE CHECKING
Please supply the details of two people (non-relatives), who know you well and know you more than 6 months and who can provide us with a reference one
at least is your immediate line manager/supervisor or equivalent.
A written and verbal reference will be required for each of your referees.
Details of First Referee
First Referee's Name
First Referee's Role/Position
First Referee's Email
Confirm First Referee's Email
First Referee's Mobile
Details of Second Referee
Second Referee's Name
Second Referee's Role/Position
Second Referee's Email
Confirm Second Referee's Email
Edit this text
Second Referee's Mobile
NB:
to avoid any delays to your application, It is very important that your referees are informed that you have nominated them and to expect a request from Gaisce for an online reference and a phone call (business hours) for a verbal reference.
DECLARATION
Confidential
I declare that the information in this application is true
Please tick this box
I confirm that nothing within my personal or professional background deems me unsuitable for a post which involves working with young people
Please tick this box
I have read and agreed to implement
Gaisce's Safeguarding Policy
. I will take all reasonable steps to draw these policies to the
attention of other adults that I involve in the programme
Please tick this box
I commit to uphold the standards of the Award and do everything in my power to ensure that each young person achieving an Award under my guidance will have earned that Award
Please tick this box
President's Award Leaders come into the possession of Personal Data (as defined by the Data Protection Act) of their participants. I confirm that I will only use this data to fulfil my obligations as a PAL.
Please tick this box
I endeavour to ensure my application is approved within 3 months by supplying all the necessary supporting information included in the application form.
Please tick this box
I will contact Gaisce should my circumstances change and no longer wish to be a PAL, at which time my personal data on file will be confidentially destroyed.
Please tick this box
I agree to being Garda vetted after 5 years of becoming a PAL
Please tick this box
To support your application to become a PAL:
Please print off and complete the required Vetting Invitation Form (NVB1) which you will receive by email after submitting this PAL registration form. Please return a scanned/jpeg copy to mail@gaisce.ie
USE OF YOUR PERSONAL DATA
We use your personal data for the purpose of identifying you as an appropriate person to deliver the Gaisce Award. We do not share or use your personal data for any other purpose.
We will retain your personal data for the duration that you are an approved President’s Award Leader on our system. We respect your personal data and take great care to ensure that security and confidentiality is maintained at all times. See our website Gaisce.ie for our full Privacy Statement.
Consent
In the normal course of delivering the Gaisce programme it will be necessary for the Gaisce team to contact you with information and updates.
The Gaisce team would like to keep you informed with regards to events and activities that we feel would be of value and interest to you.
Receiving marketing communications
Via email (including ezines and newsletters)
Please tick to opt in
Via Phone
Please tick to opt in
Via SMS
Please tick to opt in
Please note that we will always store your personal details confidentially and securely. Your data will be used for administration and analysis purposes only. It will never be shared or sold to a third party.
For further information on how we store and use your personal data, please see our Privacy Policy. If at any time you wish to stop receiving communications from us, either those automated from our online system or the information on activities and events, you can update your preferences by logging on to your profile page on our online system or you can email us,
info@gaisce.ie
and advise us on your change of preference to communication.
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