SD Form | GraceChurchBeckenham

Self-Declaration Form
for a Voluntary Position Requiring a Disclosure

All information submitted on this form will be handled in accordance with the Grace Church Beckenham (GCB) Data Protection Policy

First Name

Last Name

Have you been the subject of any investigation by any organisation or body due to concerns about your behaviour towards children?

Yes

I have read and agree to abide by the GCB Safeguarding Policy

I agree to a Disclosure and Barring Service (DBS) check appropriate to my role at GCB*

I agree to inform the GCB Safeguarding Coordinator within 24 hours if I am subsequently investigated by any agency or organisation in relation to concerns about my behaviour towards children or young people.

I understand that the information submitted on this form, the results of any DBS check and information supplied by third parties may be supplied by GCB to other persons or organisations in circumstances where this is considered necessary to safeguard children

Date

Initials

*and to providing References where deemed appropriate by GCB

Thanks for submitting!

Self-Declaration Form for a Voluntary Position Requiring a Disclosure

All information submitted on this form will be handled in accordance with the Grace Church Beckenham (GCB) Data Protection Policy

Self-Declaration Form
for a Voluntary Position Requiring a Disclosure