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Stakeholder Partner
Expression of Interest and
Safeguarding Declaration

Date of Birth
Day
Month
Year

If you are not located in the United Kingdom, please also add your country.

Your Organisation

Please confirm sector:
Third Sector - Charity / NGO / Civil Society / CIC
Public Sector - State Education / Local or National Government Department
Private Sector - Public or Private Company
Is your organisation a:
Primary School
Secondary School
College
University
Youth Organisation
Sport Organisation
Arts & Culture Organisation
Digital Technology Organisation
Local Authority
National Government Department
International Government Department
Local Business
National Business
International Business
Funding Body
Other - please state
How many paid staff do you employ?
0
1 to 10
11 to 30
31 to 100
101+
How many volunteers do you have?
0
1 to 10
11 to 30
31 to 100
101+
Is your organisation:
Working as a network Partnership
Establishing a network Partnership
Looking for a network Partnership
Other - please state
Is your organisation aiming to establish a Community Campus?
Yes
No
Is your organisation aiming to deploy Social Coaches?
Yes
No

Youth Activity Details

Is your organisation currently delivering Youth Activities?
Yes
No

If No, please go to Safeguarding Declaration section.


If Yes, please complete the following questions:

How many Youth Activities are you deliverying?
1 to 4
5 to 9
More than 10
Are your facilities:
Owned
Rented
Donated
Shared
Are your Youth Activities delivered in a:
School
Club
Community
Combination of Environments
Are your Youth Activities:
Sport
Arts and Culture
Digital
Combination of Activities

Safeguarding Lead

Please provide the name and contact details of the Safeguarding Lead for the organisation (Stakeholder Partner) you are completing this form for.

Safeguarding Declaration

Please read through the following key Safeguarding and Child Protection document and link:


I confirm that our organisation has read and will abide by:

Please see the document and link above this question, and read through thoroughly before confirming.

If your organisation does not have Safeguarding Policy, please ensure you follow the Youth Charter's Safeguarding and Child Protection Policy and Procedures, and International Safeguards for Children in Sport.

Does your organisation ensure all staff and volunteers working with young people have had DBS Certificates?
Yes
No
Not from the UK
Other

If your organisation does not require DBS Certificates for Staff and Volunteers, or is not from the UK, please submit the Expression of Interest and we will review accordingly.

Submission

I confirm that the information I have given in this form is accurate and truthful:

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Submission Date
Day
Month
Year
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