Lambeth Safeguarding Children Board Multi-Agency Course Application Form

LSCB online training course application form

Thank you for your interest in the multi-agency training courses offered by Lambeth Safeguarding Children Board (LSCB).

Data Protection: All data is securely held by Lambeth Safeguarding Children Board in accordance with the Data Protection Act 1988. It is treated as confidential and used for learning and development monitoring purposes only

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Important information

• To contact Lambeth Safeguarding Children Board call 020 7926 4759 or email lscb@lambeth.gov.uk.
• You must have authorisation from your manager to attend the course/s.
• Your agency / business unit will incur an administration fee of £50.00 if you do not give 48 hours notice that you are unable to attend the course or do not attend the complete course as advertised.
• Confirmation letters will be sent offering places approximately ten days before the course If you have not heard from us within ten days of the course date, please contact us on 0207 926 9128.
• Please do not attend a course unless you have received a confirmation letter.

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Your Details

Please enter your details below.

First Name *
Surname *
Job Title (do not abbreviate) *
Phone Number *
E-Mail Address

Please ensure your email address is entered correctly.

If you do not have an email address, please enter your fax number below. If you do not have an email or fax number and are allocated a place, details will be posted to your work address.

Fax
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Agency Details

CAMHS Connexions Early Years Guy's and St Thomas' Hospital NHS Trust Kings College Hospital NHS Trust Housing Police Probation School CYPS PCT Voluntary Organisation Click to Go Back Click to Continue

Agency Address

Please enter the name of your department or team *
Please enter your work address *
Please enter your postcode *
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Additional Requirements

Please specify if you have any dietary requirements
Do you have any special needs / requirements (e.g. a disability)?
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Terms and conditions

Please tick the following boxes to show that you are aware of the terms set out by the LSCB. This must be completed before we can process your application.

Your application cannot be processed unless all conditions are agreed to*

I agree to the following:

I agree to attend the complete course as advertised and I will not attend part of the course only.

I understand my agency will be charged £50.00 if I do not attend as agreed.

Your Name *
Course date* / /

Your application cannot be accepted unless this section is complete. You must have agreement from your manager to attend this course and they must agree that this course is relevant to your position and training needs

My line manager (enter name) *

has agreed my attendance on this course. S/he understands that if I do not attend the full course without giving 48 hours notice or arranging for a suitable substitute, my agency will be charged a £50.00 administration fee.

Managers job title (do not abbreviate) *
Managers e-mail
Managers phone number
Business unit detail
Cost centre code
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Equal opportunities monitoring

Lambeth Safeguarding Children Board is committed to ensuring that people wishing to use our services have an equal opportunity to do so and that these services are appropriate to their needs.

In order to achieve this, it is important we have information concerning the ethnic background and gender of people using our training facilities and also to know whether they have a disability. This will allow us to develop more effective policies against discrimination and to monitor the progress of these policies

All information given is strictly confidential and anonymous

Do you wish to complete this section?* Yes No Click to Go Back Click to Continue

Please select your agency* CAMHS Connexions Early Years Guy's and St Thomas' Hospital NHS Trust Kings College Hospital NHS Trust Housing Police Probation School CYPS PCT Voluntary Organisation Please select from the following options* Male Female
Please select from the following options* Yes No
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If you consider yourself to be of dual or mixed heritage please specify:
If you consider yourself as being of another origin, please specify:
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Submit You Course Application Form