Lewisham Safeguarding Children Board

Multi-Agency Training Application Form

Course information
Course Title:
Course Date:
Date Applied:
Personal Details
Name (please print):
Organisation (no abbreviations please):
Job Title (no abbreviations please):
Work address:
Tel: / Email:
Do you have any additional requirements, such as wheelchair access?
Yes No
Have you completed an introductory Safeguarding Children training within last 3 years
Yes No
Please note: it is recommended for all professionals working with children, young people and families to have an introductory Safeguarding training completed prior to attending other safeguarding courses. For more details please refer to the LSCB Training Programme. For a copy please contact LSCB.
Managers Details – Applications will not be accepted unless this section is completed
The person named in this section must be able to approve financial transactions. Whilst there is no charge to attend LSCB training, if a place is confirmed and the delegate does not attend or does not give a minimum of 5 working days notice, a one-off charge of £ 50.00 will incur as per the LSCB cancellation policy detailed in the LSCB Training Programme. For a copy please contact LSCB.
Manager’s declaration: I support this application and will ensure that, if accepted, this person will attend. I am aware of the learning outcomes and understand that my agency may incur a charge as specified above. I have agreement from the named budged holder to release the funds.
Manager’s Name:
Job Title:
Work address:
Tel: / Email:
Payment / Invoicing details. This should be details of the budget holder
Name:
Job Title:
Billing address:
Tel: / Email:
Cost code – applicable to Lewisham Council staff only. Applications from LBL staff will not be processed without a valid cost code

Equal Opportunities Monitoring Form

Do you wish to complete this form? Yes No

Please indicate your ethnic origin. This information will be treated in strict confidence.

White Black

British British

Irish Caribbean

Other White Background African

Other Black Background

Asian Chinese or other background

British Chinese

Indian Vietnamese

Pakistani Turkish

Bangladeshi Turkish Cypriot

Tamil Other ethnic origin

Other Asian Background

Mixed parentage

White & Black Caribbean

White & Black African

White & Asian

Other mixed background

Please indicate your agency

CYP YOS

Early Years Education (not including schools)

Schools Housing

Lewisham & Greenwich NHS Trust Lewisham CCG

CAMSH / SLAM MET Police

Probation VAL

Lewisham Council Other Other

Private / voluntary organisation Faith Group / Organisation

If you are a member of a faith, voluntary or private organisation, please also answer the two questions below:

-does your organisation operate on a non-profit basis Yes No

-is your organisation a registered charity Yes No

Once completed please return this form and Equal Opportunities form to the LSCB:

4th Floor Kaleidoscope Centre for CYP, 32 Rushey Green, Catford, London, SE6 4JF

Confirmation will be sent via email after the closing date.

Please do not attend unless you have received a confirmation.

If you have applied but not received a response 5 days after closing date, please call LSCB on 0203 049 1446

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