BUCKINGHAMSHIRE SAFEGUARDING CHILDREN BOARD
4th FLOOR
COUNTY HALL
WALTON STREET
AYLESBURYHP20 1UZ
Website: www.bucks-lscb.org.uk
Email: [email protected]
(NOV 2016) Page 1
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
Course title you are applying for:
Course date(s):
(please confirm possible choices of training date
in case 1st choice unavailable)
1st choice:
2nd choice:
3rd choice:
YES / NO (please circle)
Are you replacing a colleague already booked
onto this training?
If YES – please confirm the name of your colleague
…………………………………..
It is a requirement that before attending either the BSCB: Working Together in Safeguarding
Children, Everyone’s Responsibility or Child Sexual Exploitation courses that ALL applicants must
have completed one of the following in order to gain a basic understanding of child protection:
Date of attendance (please confirm)
Introductory/Basic Child Protection training e.g.
single agency or e-learning.
NB: This is not a BSCB course
Before attending any specialist title courses (except Child Sexual Exploitation), 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
If you are satisfied that you meet the criteria above, then continue – please complete this form in full.
Please note that confirmation of all bookings and joining instructions will be sent directly to the delegate via e-mail*
NB: Incomplete application forms will not be progressed and will be returned to sender.
Full First & Surname name (for certificate):
Name usually known by (for name badge):
Contact Tel:
*Email address: (this will be used to send your
acknowledgment, joining instructions and epack)
Full work address:
Role/Post:
Team/Section:
If BCC employee please provide your SAP staff
number:
Line Manager Name
&
Email address:
Additional needs that need to be catered for on
the course eg: access / signing / dietary etc?
Page 2
Please highlight or tick against your Agency/Organisation below: No Charge to Attend Training
*Buckinghamshire
County Council:
BCC C&F
*Health:
Bucks Healthcare NHS Trust
(Community)
*Bucks District
Council:
AVDC
Children’s Centre:
Action4Children
(A4C)
BCC LS&P
Bucks Healthcare NHS Trust
(Hospital)
Chiltern & South
Bucks
Spurgeons
BCC YOS
CCG’s
Wycombe
*Police
BCC Adults
Oxford Health / CAMHS
*Probation
BCC Other
Please state
……………………
Voluntary/Charity within
Bucks (please confirm
charity number)
………………
Connexions/
Adviza
Charge to Attend - £120.00 per day/£60.00 per half day or less
School / Academy / Further Education
Independent Private / Services
Independent School
Other (please specify)
……………………
Children’s Centre (other than A4C & Spurgeons)
(please specify)
……………………



CHARGING INFORMATION:
*There is no charge for staff working in agencies & organisations contributing to the BSCB budget.
For non-contributing organisations (Independent, private & some commissioned services) the standard cost for
attending a full day’s training is £120.00 or £60.00 for a half day training or less.
Please tick against your chosen payment method (below) and action / complete as appropriate
CANCELLATIONS / CHANGE OF DELEGATE:
A charge will be imposed for Cancellation / Change of Delegate notification received after Joining Instructions have
been issued, irrespective of the reason. Please ensure the BSCB Cancellation / Change of Delegate Policy is
therefore read carefully before submitting this application form.
□
CHEQUE – Should be made payable to: Buckinghamshire County Council and the name of the
applicant and ‘FCAA110/932632’ stated on the reverse.
MUST be submitted with application form in advance of training date.
□
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):
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 Cancellation/Change of Delegate 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 leave early.
Please return form to: [email protected] / Fax: 01296 382383
or via post to: BSCB Training Team, BSCB, 4th Floor, County Hall, Aylesbury, Bucks HP20 1UZ