Resort Mission Confidential Disclosure


1: It is ICS’s policy to ask those who work for it and with it, who may come into contact with children and/or vulnerable adults, to complete this declaration before appointment or before contact with children and/or vulnerable adults. ICS undertake to meet the requirements of the General Data Protection Regulation (GDPR) (EU) 2016/6791 and all other relevant legislation. This form is strictly confidential and, except under compulsion of law, will be seen only by those with a role in authorising and making your appointment. Your responses will only be held on file for up to twelve months following your chaplaincy period unless you specifically authorise the Resort Mission Manager to retain them for the purpose of allowing you to make a shorter declaration in future. In all cases, your responses must be confirmed, updated or repeated each time you are offered a chaplaincy or are joining a chaplaincy as a family or team member.

2: The posts or voluntary roles for which you are applying, or are currently working in, may involve work with children or vulnerable adults and are excepted from the Rehabilitation of Offenders Act 1974. This means that all convictions, cautions, reprimands and final warnings on your criminal record need to be disclosed, whether spent or unspent.
If you make a disclosure and do not wish to have to repeat this each time, you must authorise the Resort Mission Manager to hold this information on file until you cease to serve as a Resort Mission Chaplain.

3: ‘Vulnerable adult’ is defined in ICS’s policy as a ‘person aged 18 years and over and who is suffering from or believed to be at significant risk of physical injury, neglect, emotional, financial or sexual abuse e.g. as a result of age, disability, bereavement, marital breakdown or incapacity.’‘Significant harm’ means ill treatment (which is serious and noteworthy) of any kind (including sexual abuse) or impairment of physical or mental health or development.

Personal Details
PART 1 - These questions cover all convictions, cautions, reprimands and warnings.

As this post involves contact with children, the ‘spent conviction’ process under the Rehabilitation of Offenders Act 1974 is not applicable. If your answer is yes to any of these questions, please give details, in the box below the relevant question

Have you ever been found by a Court exercising civil jurisdiction (including matrimonial or family jurisdiction) to have caused significant harm to a child or young person aged 17 years of age or under or a vulnerable adult, or has any such court made an order against you on the basis of any finding or allegation that any child, young person or vulnerable adult was at risk of significant harm from you?

PART 2 - These questions relate to any conduct, whether in a paid or unpaid capacity, as a voluntary worker or otherwise.

Has a child, young person or vulnerable adult in your care, or for
whom you have had parental responsibility ever been removed from
your care, been placed on a Child Protection Register or been the
subject of a Care Order, a Supervision Order, a Child Assessment
Order or an Emergency Protection Order under the Children Act
1989, or a similar order under other legislation in any country or

PART 3 - General Questions

For name, address and residency histories, please start each line with the relevant dates, eg:
birth - mm/yyyy
mm/yyyy - mm/yyyy
mm/yyyy - present

Residency outside the UK (or BFPO)

When applying for PTO in the Diocese in Europe, a “Certificate of Good Conduct” will normally be required for Chaplains (not spouses or other team members) from each country where you have been resident for at least 6 months since age 16. For many countries, this is easy to obtain. For others, it is less simple but still possible. For others, it may not be possible. Fees and timescales vary. Please note that this will only be required once for periods of past residency. Advice on this can be obtained found on the following British Government website: and any questions should be addressed directly to the Diocese in Europe.


By authorising the Resort Mission Manager to hold your declaration securely on file, you will avoid the need to repeat the entire form each time you serve. If you have made a specific disclosure in parts 1 or 2 of this form, you will need to give special permission for this information to be retained. Please ensure that you choose the correct option below, If you choose NOT to give authorisation (option 3), your form will be retained for a maximum of 12 MONTHS following the end date of the chaplaincy.


By submitting this form, I declare that the above information is accurate and complete to the best of my knowledge. I understand that failure to disclose any relevant information may lead to dismissal. I declare that I have personally completed this form. I understand that this information may be accessed by staff at ICS for reasons related to my role within Resort Mission, but that it will be treated as confidential.