Gaisce PAL Online Registration Form

YOUR PERSONAL DETAILS

Personal Details

First Name

Last Name

Confirm Email Address

Test

Address

County

Eircode

Phone

Mobile Phone

Date of Birth

Date of Application

Have you attended or completed an approved 4-hour Children First Safeguarding training or the 90 minute online TUSLA Safeguarding training?

Tick here if you have completed 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?

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?

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 complete the required Vetting Invitation Form which you will receive by email and post the original to us at: Gaisce – The President’s Award, Ratra House, North Road, Phoenix Park, Dublin 8, D08 YD62, together with the required proof of identity and address.
If not already done, please book a place on one of our PAL Training Workshops – see http://www.gaisce.ie/paltraining

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.