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Barking and Dagenham Safeguarding Children Board

Application form

Confirmation will be sent by email once your place has been allocated.

If you have not received confirmation, please contact the training department.

Course

Course title*

Course date (1st choice)

Open the calendar popup.

Course date (2nd choice)

Open the calendar popup.

Applicant details

Name*
Job title
Email*
Work address
Organisation name
Work phone number*

Organisation (Please choose a sector)

Organisation (please choose a sector)*
Organisation (Other) - Please specify

Declaration

I confirm that I have read the B&DSCB cancellation policy and aims and objectives for this course and believe that I will significantly benefit from this training. I have consulted and gained authorisation from my line manager to attend this training course and will have the opportunity to discuss the learning outcomes and look at impact on my practice. I have agreement from my manager to pay the £50 non-attendance fee if I do not attend the training course without giving at least 5 working days notice, or sending a replacement representative to the training. I understand that I am responsible for representing my organisation and that any incidents or issues related to this application and course will be discussed with my manager. I agree to provide Barking and Dagenham Safeguarding Children Board permission to contact my manager for the purpose of gaining post course feedback and for subsequent workforce development.
Yes I confirm

For monitoring purpose only

Do you consider yourself to have a disability?
Yes
No
Gender
Male
Female
Are you a borough resident?
Yes
No
Age
16 to 25
26 to 35
36 to 45
Over 45

Ethnic origin (Please state how you would like to define yourself)

Ethnic origin

Please complete the details below with permission from your authorising manager

Manager's name
Manager's job title
Manager's phone number*
Manager's email*
I have permission from my authorising manager to fill these details and apply
Yes I confirm

Invoice and payment details

Please tick here if invoice address is the same as your work address
Yes
No
Organisation or Agency
Invoice address (external)
Cost code

* Required Field

Invoice and payment details

All B&DSCB courses are free at point of entry; however departments will be charged a £50 non attendance charge in accordance with the cancellation policy.