Host Family Garda-Vetting

Garda Vetting

I consent to the making of this application and to the disclosure of information by the National Vetting Bureau to the Liaison Person pursuant to Section 13(4)(e) National Vetting Bureau (Children and Vulnerable Persons) Acts 2012 to 2016.

The details you provide us with will be given to our governing body "MEI" for processing through Garda vetting. This is a vital component in the granting of such consent.

Your data will be stored, processed and shared in line with our data protection policy. Once we have received your vetting disclosure all your data will be deleted.

Your personal details

Forename(s)*

Middle name(s)

Surname(s)*

Gender*

MaleFemaleDiverse

Your email address*

Phone number*

Has your name changed since birth?*

YesNo

Please give your name as it was at birth, plus any personal homepage or online profile that helps confirm your identity.

Forename(s) at birth

Middle name(s) at birth

Surname(s) at birth

Personal homepage or similar

Proof of identity

To complete your application please provide us with a copy of either TWO of the following (this can also be handwritten and photographed):

Driving licence or learner permit
Passport
Public Services Card

Date of birth*

Place of birth*

Nationality*

Passport number / ID number*

Country of issue*

PPS Number*

Mother's maiden name*

Upload proof of ID*

Upload File

Max file size 10MB.

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Upload 2nd proof of ID*

Upload File

Max file size 10MB.

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Current residential address*

Address Line 1*

Address Line 2

City

County

Eircode

Country

Provide your current address in Ireland as appropriate.

Former addresses

Please enter ALL your previous addresses in chronological order, going back as far as you can. Leave this empty if you have only ever lived at your current address.

Former Address 1

Address Line 1*

Address Line 2

City

County

Eircode

Country

Year From – Year Until*

Self-disclosed criminal record and legal history

Declare any relevant legal matters. Provide details where applicable, e.g. date, court name, offence summary, court outcome, cases pending, appeals.

If you are unsure about spent convictions, give details and they will be assessed under Irish law.

Do you have any pending court cases or charges currently active against you?*

YesNo

Pending cases include any active charges, summonses, or ongoing court proceedings in any jurisdiction.

Have you ever been convicted of a criminal offence?*

YesNo

Include convictions from any jurisdiction. If unsure about spent convictions, provide details for review.

Have you ever been the subject of a Garda/Police investigation (not resulting in conviction)?*

YesNo

Include investigations in any jurisdiction, even if they did not lead to charges.

Additional information

Any other information you believe is relevant to the vetting process (e.g., civil proceedings, restraining orders).

Consent to Garda vetting and background checks*I consent to the collection and use of the information provided for Garda vetting and background checks by the National Vetting Bureau and the organisation requesting vetting. I confirm the information provided is true and accurate.

Date of declaration*

Date you sign this declaration (dd/mm/yyyy).

By submitting this form electronically, I hereby confirm that all the information provided is accurate to the best of my knowledge, and I agree to be bound by its terms and conditions.

Signature*

Please provide your signature before submitting.