CRISP Intention to Apply Form

CRISP Intention to Apply Form

Group Coordinator to complete.

The Community Refugee Integration and Settlement Pilot (CRISP) allows everyday Australians to welcome and support refugees to settle into their local communities.

Refugee participants in the CRISP are referred to Australia by the United Nations High Commissioner for Refugees (UNHCR), and referred into the program by the Australian government.

To join the CRISP as a community supporter group, you must:

a. Have, or intend to have, at least 4 other adults form a group with you;

b. Be within Australia; and

c. Be seeking to welcome and support a refugee household that is not yet known to you.
CRISP Intention
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Lead Source
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Status
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CRISP CRISP
Date
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dd-MMM-yyyy
Individual *
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Title *
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Name
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Required First Required Last
Address
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Required Street Address Required City Required State/Region/Province Required Postal / Zip Code

Country
Phone *
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+61#########
Email *
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Please ensure that each applicant uses a unique email address (i.e. their own email, not a shared email).
Date of Birth *
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dd-MMM-yyyy
Age Range
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Gender *
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Occupation (previous if retired) *
N/A
Other Occupation *
N/A
N/A

Retired Retired

Check box if you are retired
Current Employment Status *
N/A
What cultural background or ethnicity do you identify with? *
N/A
Do you speak any language(s) other than English? *
N/A
Which language(s) and how well?
-- No Fields Available --
- Language
- Skill
Add Entry Add Entry
- Language *
  N/A
- Skill *
  N/A
- Language *
  N/A
- Skill *
  N/A
Are you an Australian Citizen or Permanent Resident? *
N/A
Given the nature of the program you need to have a thorough understanding of Australian systems and structures in order to be able to effectively support the program participant. We recommend at this point you do not proceed.
Do you have any criminal history or are you subject to any outstanding criminal proceedings? *
N/A
Due to your current circumstances we won't be able to progress this application. All participants in CRSA's programs are subject to a national criminal history check.
Do you have any active immigration proceedings (e.g. visa cancellation, citizenship revocation) against you? *
N/A
Due to your current circumstances we won't be able to progress this application because of the time commitment of the program.
Have you completed the necessary background checks? *
N/A

Background checks include a National Criminal History Check and a Working with Children or Vulnerable People Check/Blue Card
Please ensure that you start the process of applying for these with your state authority as soon as possible as this is a mandatory requirement for the program.
When you have completed both checks, please send copies to crisp@refugeesponsorship.org.au so that they can be verified and added to your record.
National Criminal History Check Reference Number *
N/A
National Criminal History Check Issue Date *
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dd-MMM-yyyy
Working with Children/Vulnerable People Check or Blue Card Reference Number *
N/A
Working with Children/Vulnerable People Check or Blue Card Check Expiry Date *
N/A

dd-MMM-yyyy
Upload AFP and WWCC Documents
N/A
Upload file
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I agree to abide by the Code of Conduct set out by CRSA as part of my participation in the CRISP
*
I agree to abide by the Code of Conduct set out by CRSA as part of my participation in the CRISP
Required

The Code of Conduct sets a standard of behaviour for all group members participating in the CRISP. Further details of this will be shared in training.
What is the name of your group? *
N/A

Be creative with this! This will make it easier for us to identify your group. For example 'WWelcome' or 'Marian Street Group'. Please don't use CRSA's name or acronym in your group name.
Are there 5 or more adults (18+) in your group? *
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It is recommended that your group of 5 or more adults be made up of individuals from at least 3 different households.
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As group coordinator I confirm that all group members listed in this application are known to me * As group coordinator I confirm that all group members listed in this application are known to me Required
Name of your 'Deputy' *
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Please identify one person in your group who can take the role as coordinator should not be available
Deputy Email Address *
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Deputy Phone Number *
N/A
Has your group, or the majority of your group's members, been a mentor group under CRSA's Group Mentorship Program? *
N/A
What year did your group join the Group Mentorship Program? *
N/A
How did you hear about Community Refugee Sponsorship Australia *
N/A
Date of Event *
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dd-MMM-yyyy
Name and Location of Event *
N/A
Name of Employer *
N/A
Name of Organisation *
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We will be in touch to discuss how your group's involvement in the Group Mentorship Program will impact your group's training needs and fundraising obligations under the CRISP, noting that groups involved in the GMP in 2020 may be eligible to apply for seed funding from CRSA in connection with their participation in the CRISP.
Community Refugee Sponsorship Australia Limited is collecting your personal information in order to provide our services to you, and for the purposes described in our Privacy Policy (available at https://refugeesponsorship.org.au/privacy-policy/). We may also collect personal information about you from third parties including agencies and other related service providers, and/or disclose your personal information to third parties who provide us with (or help us provide) our services. By providing your information to us, you consent to receiving messages from us in connection with our services. You do not have to provide us with the personal information requested, however we may not be able to provide our services to you. Our Privacy Policy states how you can seek to access or correct any personal information we hold about you, how to complain about a privacy breach by us and how we will deal with a privacy complaint.

You can contact us at info@refugeesponsorship.org.au.
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I acknowledge and agree to the CRSA Privacy Policy * I acknowledge and agree to the CRSA Privacy Policy Required

CRISP Intention to Apply Form

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