Tennis NZ wishes to emphasise that Police Vetting is not an attempt to identify or disqualify individuals with minor or irrelevant criminal records that are unrelated to the role you play in supporting the delivery and participation of tennis.

Tennis NZ are an Approved Agency with NZ Police, and Police Vetting can only be carried out with your consent, which you can give via this online form.  As an approved agency, we want to ensure you are aware of the vetting process and we direct you to the Police website and the ‘ Guide to Completing the Vetting Request and Consent Form ’ for more information.  Police vetting is an entirely online process, and vetting requests can only be submitted through the online agency portal.

Please be assured the specifics of the report or record will be kept confidential to the Tennis New Zealand senior leadership team, and any clubs, centres, Associations, or Regions that engage the services of the applicant.

If you need help completing this form please email  admin@tennis.kiwi  or call  09 528 5428 .

 **A police vet is required for those that have contact with children or vulnerable adults either overnight, or at least once each week, or at least 4 days each month.  Police vets are also required for those involved in organising, running, delivering or officiating, at tournaments, competitions and events for children and vulnerable adults.

1. The New Zealand Police may release any information they hold if relevant to the purpose of this vetting request. This includes:
• Conviction histories and infringement/demerit reports
• Active investigations, charges and warrants to arrest
• Charges that did not result in a conviction including those that were acquitted (not guilty), discharged without conviction, withdrawn, or resolved by way of the Police diversion scheme
• Any interaction I have had with New Zealand Police considered relevant to the role being vetted, including investigations that did not result in prosecution
• Information regarding family violence where I was the victim, offender or witness to an incident or offence, primarily in cases where the role being vetted takes place in a home environment where exposure to physical or verbal violence could place vulnerable persons at emotional or physical risk
• Information subject to name suppression where that information is necessary to the purpose of the vet
2. If I am eligible under the Criminal Records (Clean Slate) Act 2004, my conviction history will not be released unless:
• Section 19(3) of the Clean Slate Act applies to this request (exceptions to the clean slate regime)
• Section 31(3) of the Children’s Act 2014 applies to this request (safety checks of core children’s workers)
• The vetting request is made by an individual for the purpose of an overseas Visa/Work Permit as a Privacy Act request authorising the vetting result to be provided directly to the relevant embassy, high commission or consulate
Please see the guide for more information regarding the Clean Slate legislation.
3. The Police Vetting Service may disclose newly-obtained relevant information to the Approved Agency after the completion of the Police Vet in the following circumstances:
• The disclosure of the newly-obtained information is considered to be justified under the Privacy Act 1993 (if it had existed or been available at the time of the Police vet, it would have been disclosed); and
• The Police Vetting Service has taken steps to confirm that the purpose of the Police vet still exists – e.g., that I got the role which required a Police vet and am still employed or engaged in it
The Vetting Service will endeavour to notify you prior to the disclosure.
4. Information provided in this consent form may be used to update New Zealand Police records.
5. I am entitled to a copy of the vetting result released to the Approved Agency (to be provided by the agency) and can seek a correction by contacting the Vetting Service
6. The Approved Agency will securely dispose of this consent form, copies of identification documents and the vetting result within 12 months of receiving the result unless a longer retention period is required by legislation
7. I may withdraw this consent, prior to Police’s disclosure of the vetting result, by notifying the Approved Agency

For further information, please see the Guide to Completing the Consent Form.

Applicant's Authorisation

ü I confirm that the information I have provided in this form relates to me and is correct

ü I have read and understood the consent to release information

ü I authorise NZ Police to disclose any personal information it considers relevant to my application (as described previously) to the Approved Agency (Tennis New Zealand) making this request for the purpose of assessing my suitability at any time.

ü I authorise Tennis New Zealand to share my police vet status with the clubs or organisations that I am representing as part of the national safeguarding and police vetting approach. As per the Tennis NZ Police Vetting Policy, I authorise that the details of any police vet report ‘released with results’ will be communicated to relevant club or organisation personnel that I am representing.

The specifics of the report or record will be kept confidential to the Tennis New Zealand senior leadership team, and any clubs, centres Associations or Regions that engage the services of the applicant.

Applicant's Agreement – Tennis NZ Code of Conduct & Privacy Policy

ü I agree to abide by the Tennis NZ Code of Conduct, as set out in the Participant Protection Policy.

ü I agree to terms of the Tennis NZ Privacy Policy.

ü I sincerely declare and agree to the Member Protection Declaration.

Primary ID document (e.g. passport, drivers license etc.)*