Application Form

Course Details

Name of course

/ Child Sexual Exploitation -Young People with Learning Difficulties / Date of Application
Date(s)
please state a 1st and 2nd preference / 1) /

Venue

2)
Delegate Details
Full Name / NI No / SCC staff only / D.O.B
E-mail / Tel No
Job Title / What CP training have you done in last 2 years?
**IMPORTANT**
Please note you cannot apply for the Working Together course unless you have completed the LSCB Introduction to Child Protection Course.
Agency
Work base &
Address
(including Post Code)
Individual Requirement / E.g.: Diet, disabled access, large print handouts, hearing loop
If you would like to discuss your needs prior to the course please tick here

Pre Course Self-Assessment of Learning Needs

Child Sexual Exploitation Young People with learning Difficulties
Column 1
I need to learn this / Column 2
I already know this
1 / To consider the benefits and barriers to working with young people with learning disabilities at risk of Child Sexual Exploitation
2 / Know about current research and resources
3 / Know what action to take if you have concerns
4 / To have a greater understanding of Child Sexual exploitation and consider the additional vulnerabilities for young people with learning difficulties
Personal learner target 1:
Personal learner target 2:
Some examples;
For example, ‘I will be able to increase my confidence in …………….which will help me maintain a quality provision’.

Support

Line Manager Details
Name / Signature
Job Title
E-mail / Tel No
Please note: By signing this form, you are agreeing to release the applicant for this training and to complete our on-line evaluation survey to enable us to measure the impact of this training on practice.
Please ensure that the applicant has completed the self assessment of learning needs and personal targets.
Once a booking is made there will be no refunds given. However, it is possible to offer the place to another member of your organisation or company, or to use the place on an alternative course (subject to availability). For this purpose, you must provide : Cost Centre Number: ______
(SCC staff only)
**IMPORTANT** - all delegates will be expected to pay for places in advance, at the point of booking. Day rate: £85 per delegate, half day rate £55 per delegate, 2 day course rate £150.
NB Receipt of an application does not guarantee a place on the course.
Confirmation of acceptance & course details will be sent 4 weeks in advance

Please return to: E Mail:

LSCB Training Administrator, B3W, County Hall, Taunton, TA1 4DY

Tel: 01823 355975

NB Somerset Partnership Staff Only – all applications must be submitted through the Trust Training and Development Department, Priory House, Wells ()