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Child Protection Procedures - East Ayrshire Council

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Help<br />

To: The Director of Social Work Enquiring Organisation & Name of Worker:<br />

SSAFA Forces Help<br />

19 Queen Elizabeth Street<br />

London SE1 2LP<br />

Address:<br />

Tel:<br />

Tel:<br />

REQUEST FOR CHECKS<br />

(to be completed by enquiring organisation, tick each check as required)<br />

Section 1: For ALL applicants<br />

Army/RAF Police & Military Conduct/<br />

Conviction Record<br />

SSAFA Forces Help Social Work Record<br />

<strong>Child</strong> <strong>Protection</strong> Register Data Base<br />

Northern Ireland Police Service (RUC)<br />

Army Welfare Service Record<br />

Ministry of Defence Police<br />

Section 2: For SSAFA Forces Help applicants ONLY<br />

Criminal records Bureau/Pre Employment Consultancy Service (Northern Ireland)/Scottish Criminal Record<br />

Office<br />

<strong>Protection</strong> of <strong>Child</strong>ren Act List<br />

Post applied for:<br />

SURNAME:<br />

DATE OF BIRTH:<br />

Local Authority Social Services<br />

FORENAME:<br />

PLACE OF BIRTH:<br />

PREVIOUS/OTHER NAMES:<br />

If * HM Forces/Ex-service:<br />

*Delete where necessary<br />

Service number:<br />

Rank:<br />

If a dependant give Service number of sponsor:<br />

If a civilian give passport number:<br />

PRESENT ADDRESS & PREVIOUS ADDRESSES IN LAST 5 YEARS WITH DATES:<br />

(You must include postcodes and BFPO numbers)<br />

Dates<br />

Address(es)<br />

Continue over if necessary<br />

_______________________________________________________________________________________<br />

CHILDREN IN HOUSEHOLD<br />

Surname Forenames Date of Birth Gender<br />

I agree to the above record check being undertaken and for the disclosure to the enquiring organisation, of any<br />

information judged relevant by the checking agency.<br />

Signature of applicant:<br />

Date:<br />

Note: each person being checked must complete a separate form. <strong>Child</strong>ren aged 10 years and above living in the<br />

household of prospective adopters, foster parents or childminders must be checked. Parents/Guardians must sign<br />

consent.<br />

151

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