BSCB MULTI-AGENCY TRAINING APPLICATION FORM (2 page doc)

Before applying for this training, please discuss with your line manager &/or organisational lead for safeguarding as to whether it is essential for your role - see the Training Pathway on our website for further information

http://www.bucks-lscb.org.uk/wp-content/uploads/Training/BSCB-TRAINING-PATHWAY.pdf

·  Please tick against the course you are applying for and then continue to complete the form in full.

·  Complete one form per course, per delegate & submit the form by one method only (ie: email, fax or post)

·  Please note that events are closed to new applications 10 working days prior to the course start date

·  Please note that confirmation of all bookings, joining instructions and e-Packs (where applicable) will be sent directly to the delegate via the e-mail address given

·  Applications will be processed by the BSCB Training Team within 10 working days of receipt

·  NB: Incomplete application forms will not be processed and will be returned to sender

Group 1 / Group 2
Introductory Courses / Family Outcomes Star Assessment Tool
Working Together In Safeguarding Children / Everyone’s Responsibility / Family Outcomes Star Refresher
Specialist Courses / Graded Care Profile 2 Assessment Tool
Mentally Ill Parents & Their Children / Neglect / Early Help Awareness Raising
Child Sexual Exploitation / Protecting Disabled Children
Domestic Abuse & Child Protection / Working With Challenging Families
Introduction To Protective Behaviours / The Management of Escalation, Conflict Resolution & Challenge
Course date(s):
(please confirm possible choices of training date in case 1st choice unavailable): / 1st choice: / 2nd choice: / 3rd choice:
Are you replacing a colleague already booked onto this training: / YES / NO (please indicate) If YES – please confirm the name of your colleague …………………………………..
It is a requirement that before attending any of the above BSCB courses, ALL applicants must have completed Introductory/Basic Child Protection training e.g. single agency or e-learning.
NB: This is not a BSCB course / I confirm this training has been completed (please indicate) YES / NO
Before attending any of the Specialist title courses listed above (except Child Sexual Exploitation & Introduction To Protective Behaviours), ALL applicants must have attended ONE of the following introductory courses:
Date of attendance (please confirm)
BSCB - Working Together In Safeguarding Children:
BSCB - Everyone’s Responsibility:
Full First & Surname name
(for certificate where applic):
Name usually known by (for name badge):
Direct Contact Tel:
Your direct email address. Please print clearly:
Organisation Name & Full Work Address:
Role/Post:
Team/Section:
BCC employee SAP number:
Line Manager Name:
Line Manager E-mail Address:
Additional needs that need to be catered for on the course eg: access / signing / dietary etc?

Cont’d

Please confirm your Agency/Organisation against the appropriate box below: -
* Buckinghamshire
County Council: / * Health: / * Bucks District Council:
* BCC C&F / * Bucks Healthcare NHS Trust (Community) / * AVDC / * Police
* BCC LSP / * Bucks Healthcare NHS Trust (Hospital) / * Chiltern & South Bucks / * Probation
* BCC YOS / * CCG’s / * Wycombe / Voluntary/Charity
within Bucks
(please confirm charity number)
………………
* BCC Adults / * Oxford Health / CAMHS
* BCC Other
Please state
……………………
School / Academy / Further Education / Independent Private / Services
Independent School / Other (please specify)
……………………
Children’s Centre (other than A4C & Spurgeons)
(please specify) ……………………
CHARGING INFORMATION: It is important at this stage that you read and understand the
BSCB Charging/Cancellation Policy
Group 1 Courses (Listed on Page 1)
·  There is no attendance charge for staff working in agencies & organisations directly contributing financially to the BSCB (indicated with an * in the box above). However, please refer to the BSCB Charging/Cancellation Policy regarding any subsequent cancellation / non-attendance charges
·  For Voluntary/Charity services (VCS) in Buckinghamshire, a limited number of free places are allocated per event. Each VCS can have a max of 2 free places over the course of a financial year, subject to availability. However, please refer to the BSCB Charging/Cancellation Policy regarding subsequent cancellation / non-attendance charges
·  For all other organisations and additional VCS places being requested - the standard cost to attend training is £120.00 per day / £60.00 half day or less. Please tick against your chosen payment method (below) and complete as appropriate
Group 2 Courses (Listed on Page 1)
·  There is NO charge to attend this particular training for any agency/organisation. However, refer to the BSCB Charging/Cancellation Policy for any subsequent ‘cancellation / non-attendance’ charges
PAYMENT SECTION
ALL applicants must complete this Payment Section (in case a cancellation/non-attendance)
□ / INVOICE – The contact name & address to which the invoice should be sent to:
The Purchase Order number to be quoted on this invoice (if applicable):
□ / Bucks Schools - Please confirm School DfES Number to allow payment to be processed through Bucks CC School Billing System:
□ / BCC employee - Please process an internal charge to our budget via SAP.
My SAP number is …………………………
AUTHORISATION
Applicant Signature**: ………………………………………….. .. Date: ……………………..………………..
** By signing this form (sending from your email address counts as your signature) you are confirming that you have the support of your line manager and agency to attend the course. This also confirms that you/your agency agree to pay any charge associated with the training and that you/your agency have read and accept the terms detailed in the BSCB Charging / Cancellation Policy.
Please note you are expected to attend the full training session. The trainer will use their discretion to give out attendance certificates where delegates do not attend the full course.

Website: www.bucks-lscb.org.uk

Please return form to: / Fax: 01296 382383

or via post to: BSCB Training Team, BSCB, 4th Floor, County Hall, Aylesbury, Bucks HP20 1UZ

March 2017