Please click on the buttons below and read the information provided before proceeding with filling out this form.

       INFORMATION ABOUT THIS FORM             IDENTITY DOCUMENT GUIDE                  

Please read this before completing this application.You may request a volunteer check if you: 

1. A person engaged in the role of 'Volunteer' with a registered or recognised charitable, community service, not-for-profit or benevolent societies as listed on the Australian Charities and Not-for-profits Commission; OR 

2. A student undertaking a compulsory (unpaid) vocational placement as required by a registered Australian-based academic institution, secondary school, higher education provider or training provider as registered on the National Register on Vocational Education and Training, the National Register of Higher Education Providers (provided by the Tertiary Education Quality and Standards Agency), or the relevant state or territory school registration authority. 

 EVIDENCE OF VOLUNTEERING:If you proceed with the 'Volunteer' check category, you will later on in this application, be required to upload evidence of your unpaid volunteering placement.Suitable examples: Proof of volunteer letter or volunteer confirmation letter

CONTACT DETAILS

You can contact the accredited body for more information on the nationally coordinated criminal history check process, how your information is handled and how you can dispute your result through the accredited body.

All known names:

You must disclose all names you have been known by through out your life, including your full legal name, name before marriage (maiden name), and other previous names and/or alias names.

Single Names 

A single name is where your name comprises of: 

•only one word; or 

•several words not using Western naming conventions (as per your commencement document). 

For this next question, provide the following information: 

Note:  Acronyms must not be used. 

• Position title, occupation

Example: Unpaid Medical Student Placement in General Practice

Example: Unpaid Physiotherapy Clinical Placement in Rehabilitation Centre

For this next question, provide the following information: 

Note:  Acronyms must not be used. 

• volunteer position/role

Example: Unpaid Volunteer in Canteen

Example:  Unpaid Event Support Volunteer

Enter the name of the organisation where you will be working

Examples include:

• RSPCA Australia 

• Animals Australia 

• SES 

• CareFlight

Enter the name of the organisation where you will be working, 

Examples Include

• University of Southern Queensland (USQ) 

• Australian Red Cross 

• Geelong Grammar School 

• The Royal Children’s Hospital (Melbourne) 

• TAFE Institutes (TAFE Queensland

• TAFE NSW 

• TAFE Victoria)

To proceed with your 'Volunteer' check, you will need to upload evidence of your unpaid volunteering placement. Suitable examples: Proof of volunteer letter or volunteer confirmation letter

If you have other previous names that you have not already entered above, please keep a record of these as we may need to ask you for this information.

If you have any concerns about this please contact us.

You must select the gender that best describes how you identify yourself within the community.  

The gender details that you submit as part of your nationally coordinated criminal history check, will be the gender that appears on the check result.

The ACIC’s processes are aligned with the Australian Government Guidelines on the Recognition of Sex and Gender. If these Guidelines affect you and you would like additional information specifically regarding this, please contact the ACIC directly at npcs@acic.gov.au

If you cannot provide all these details, contact the accredited body or its legal entity customer.

If you are under the age of 18, you will need to have a parent or legal guardian provide their consent for you to perform a police check.

Your parent or legal guardian will need to sign their name in the 'Consent' section further along in this form.

Provide your current and previous residential addresses for the past FIVE YEARS.

If you cannot provide full details, provide as much information as possible. If you are unsure how to complete this section contact Elite Screening Australia - admin@elitescreeningaustralia.com.au or Ph: 1300959214

If you have other previous addresses in the past 5 years that you have not already entered above, please keep a record of these as we may need to ask you for this information.

If you have any concerns about this please contact us.

What is Informed Consent? 

Your Informed Consent is needed before an Accredited Body can request a Nationally Coordinated Criminal History Check for you. 

Your Informed Consent means you:

 • have read and understood the information provided in this form about how your personal information and any police nformation relevant to you will be handled and disclosed 

• provide your permission for the Accredited Body to request a Nationally Coordinated Criminal History Check on your behalf 

• provide your permission for the Accredited Body to disclose your information to any organisation listed in D1 of this form

How do I provide my Informed Consent? 

An important aspect of providing informed consent is that you understand what you are consenting to. It is important that you read the consent statements below and, where required, get clarification from the Accredited Body or its Customer, to ensure complete understanding. You must then sign and date this form, to give your Informed Consent.

Please read this before answering the following question.

You must provide your name, read each statement carefully and then print your name, sign and date to provide your informed consent. 

Applicant’s consent to submit a nationally coordinated criminal history check

Authorised Agent (legal representative) must provide: 

• one of the documents listed as a 'Commencement of Identity Document' (such as Australian Passport)

• one of the documents listed as a 'Primary Use in Community Document' (such as driver's license)

• one of the documents listed as a 'Secondary Use in Community Document' (such as Medicare card)a documentary link between yourself and your Authorised Agent (such as court order)

IDENTITY DOCUMENT GUIDE

Please have your parent or legal guardian provide each of the following documents:

• one of the documents listed as a 'Commencement of Identity Document' (such as parent/guardian's Australian Passport)

• one of the documents listed as a 'Primary Use in Community Document' (such as parent/guardian's driver's license)

• one of the documents listed as a 'Secondary Use in Community Document' (such as parent/guardian's Medicare card)

• a documentary link between yourself and your parent or legal guardian (such as your birth certificate or court order)

IDENTITY DOCUMENT GUIDE

Special Provisions Required

You do not need to select any further documents at this stage, as you may need to proceed under special provisions due to not being able to provide a commencement document.

Please click Next to submit your form.

Special Provisions Required

You do not need to select any further documents at this stage, as you may need to proceed under special provisions due to not being able to provide a primary use in the community document.

Please click Next to submit your form.

Change of Name document

Applicants are encouraged to provide all identity documents in their primary legal name. Where an Applicant provides identification in a former name, evidence of the name change must be provided in addition to the minimum three (3) identity documents. This means providing either a:

● Change of name certificate issued by the Australian Registry of Births, Deaths and Marriages.

● Australian marriage certificate issued by a state or territory (church or celebrant-issued certificates are not accepted)

An example is where an Applicant provides their birth certificate in their maiden name as their commencement document, but all other documents are in their primary name, a change of name document such as a marriage certificate is required as a fourth document. The marriage certificate cannot be used as part of the minimum three (3) identity documents.

Change of Name document

Applicants are encouraged to provide all identity documents in their primary legal name. Where an Applicant provides identification in a former name, evidence of the name change must be provided in addition to the minimum three (3) identity documents. This means providing either a:

● Change of name certificate issued by the Australian Registry of Births, Deaths and Marriages.

● Australian marriage certificate issued by a state or territory (church or celebrant-issued certificates are not accepted)

An example is where an Applicant provides their birth certificate in their maiden name as their commencement document, but all other documents are in their primary name, a change of name document such as a marriage certificate is required as a fourth document. The marriage certificate cannot be used as part of the minimum three (3) identity documents.

Change of Name document

Applicants are encouraged to provide all identity documents in their primary legal name. Where an Applicant provides identification in a former name, evidence of the name change must be provided in addition to the minimum three (3) identity documents. This means providing either a:

● Change of name certificate issued by the Australian Registry of Births, Deaths and Marriages.

● Australian marriage certificate issued by a state or territory (church or celebrant-issued certificates are not accepted)

An example is where an Applicant provides their birth certificate in their maiden name as their commencement document, but all other documents are in their primary name, a change of name document such as a marriage certificate is required as a fourth document. The marriage certificate cannot be used as part of the minimum three (3) identity documents.

Change of Name document

Applicants are encouraged to provide all identity documents in their primary legal name. Where an Applicant provides identification in a former name, evidence of the name change must be provided in addition to the minimum three (3) identity documents. This means providing either a:

● Change of name certificate issued by the Australian Registry of Births, Deaths and Marriages.

● Australian marriage certificate issued by a state or territory (church or celebrant-issued certificates are not accepted)

An example is where an Applicant provides their birth certificate in their maiden name as their commencement document, but all other documents are in their primary name, a change of name document such as a marriage certificate is required as a fourth document. The marriage certificate cannot be used as part of the minimum three (3) identity documents.

Change of Name document

Applicants are encouraged to provide all identity documents in their primary legal name. Where an Applicant provides identification in a former name, evidence of the name change must be provided in addition to the minimum three (3) identity documents. This means providing either a:

● Change of name certificate issued by the Australian Registry of Births, Deaths and Marriages.

● Australian marriage certificate issued by a state or territory (church or celebrant-issued certificates are not accepted)

An example is where an Applicant provides their birth certificate in their maiden name as their commencement document, but all other documents are in their primary name, a change of name document such as a marriage certificate is required as a fourth document. The marriage certificate cannot be used as part of the minimum three (3) identity documents.

Change of Name document

Applicants are encouraged to provide all identity documents in their primary legal name. Where an Applicant provides identification in a former name, evidence of the name change must be provided in addition to the minimum three (3) identity documents. This means providing either a:

● Change of name certificate issued by the Australian Registry of Births, Deaths and Marriages.

● Australian marriage certificate issued by a state or territory (church or celebrant-issued certificates are not accepted)

An example is where an Applicant provides their birth certificate in their maiden name as their commencement document, but all other documents are in their primary name, a change of name document such as a marriage certificate is required as a fourth document. The marriage certificate cannot be used as part of the minimum three (3) identity documents.

Change of Name document

Applicants are encouraged to provide all identity documents in their primary legal name. Where an Applicant provides identification in a former name, evidence of the name change must be provided in addition to the minimum three (3) identity documents. This means providing either a:

● Change of name certificate issued by the Australian Registry of Births, Deaths and Marriages.

● Australian marriage certificate issued by a state or territory (church or celebrant-issued certificates are not accepted)

An example is where an Applicant provides their birth certificate in their maiden name as their commencement document, but all other documents are in their primary name, a change of name document such as a marriage certificate is required as a fourth document. The marriage certificate cannot be used as part of the minimum three (3) identity documents.

Special Provisions Required

You do not need to select any further documents at this stage, as you may need to proceed under special provisions due to not being able to provide a secondary document.

Please click Next to submit your form.

FINAL STEP - IDENTITY VERIFICATION

Once you submit this form, you’ll receive an email with a secure link to complete your identity verification.

You will need to upload three identity documents as selected in the form:

1 x Commencement document
1 x Primary document
1 x Secondary document

Please click the link in the email to upload your documents,we cannot process your application until these have been provided.

The email will include an identity document guide and step-by-step instructions. If you don’t receive it within a few minutes, please check your junk or spam folder.