Safeguarding Children Declaration 2021

Ofsted recommends that the School should ask each employee to sign a declaration that they have not received a conviction, caution or bind-over since they last had a Disclosure and Barring Service (DBS) check. It has been agreed that the School will adopt Ofsted recommendations.

In the event that you have received a conviction, caution or bind-over it is your responsibility to give details of any such conviction, caution or bind-over in a sealed envelope marked "Confidential" and addressed for the attention of the Headmaster.

Please complete this return by Friday 19th November 2021.
If you have any queries regarding this declaration please see Alison Davey.
Name: 


A red asterisk (*) indicates required questions.

  1. I am aware that I am required to declare all convictions, cautions and bind-overs. *
    I have no such convictions, cautions or bind overs.
    I have provided the details of any such convictions, cautions or bind-overs in a sealed envelope marked "Confidential" and handed it to the Headmaster.


  1. Have you been disqualified form working with children, are you named on DofE List 99 or the Protection of Children Act List. *
    Yes
    No


  1. I understand that if this Declaration is found to contain a false statement that I may be summarily dismissed from my employment at Old Swinford Hospital. *
    Yes
    No