Calderdale Safeguarding Children Board - Safeguarding children - everyone's responsibility
Training > Training Programme 2007/09 > Course Application

This form should be used to apply for a place on one of the CSCB training courses.

IMPORTANT - It would be helpful if you noted the course name and date before completing this form.  You may only apply for one course at a time using this form.  If you wish to apply for additional courses you must complete the form again.
Applicant's Details
Full Name
Job Title
Workplace
Full Postal Address
 
 
Post Code
Telephone Number (Home)
Telephone Number (Work)
E-mail Address
Do you have any dietary/access or hearing requirements?

Yes

No
If yes, please specify.
Course Details
Course Name
Date (dd/mm/yyyy)
How has this learning been identified? PAS
Supervision
  Other
How will this learning assist your professional development?
Name of Manager  
Note: you should obtain support/approval from your manager prior to completing this application form.
Monitoring

In order to assist us with our monitoring please complete the following by checking the appropriate boxes.
Gender - are you: Male
  Female
Employment Status Full-time
  Part-time
Do you consider yourself disabled?

Yes

No
Are you employed by an agency?

Yes

No
Ethnic Origins (please check one box only)
White 1A British
  1B Irish
  1C Any other background
Mixed 2A White & Black Caribbean
  2B White & Black African
  2C White & Asian
  2D Any other mixed background
Asian or Asian British 3A Indian
  3B Pakistani
  3C Bangladeshi
  3D Any other Asian background
Black or Black British 4A Caribbean
  4B African
  4C Any other Black background
Chinese or other ethnic groups 5A Chinese
  5B Any other
For Child Protection Courses only

Please state date of any Child Protection Training undertaken in your own agency within the last three years:

 

This information will be forwarded to the training administrator at CSCB who will contact you to confirm your place.

 

 
Our new Procedures
The Safeguarding Children Board

Information about a Child Protection Conference

The role of sub-groups

Calderdale Council CAFCASS West Yorkshire Police NSPCC Calderdale and Huddersfield NHS Trust National Probation Service

Call 01422 393337 - Safeguarding children - everyone's responsibility