Declaration of Interest form 2020-2021

To comply with the regulations, the centre is required to manage Conflicts of Interest and inform the relevant awarding body/bodies for any of their qualifications of:

• any members of centre staff who are taking qualifications at their own centre which include internally assessed components/units;
• any members of centre staff who are teaching and preparing members of their family (which includes step-family, foster family and similar close relationships) or close friends and their immediate family (e.g. son/daughter) for qualifications which include internally assessed components/units; and
maintains clear records of all instances where:
• exams office staff have members of their family (which includes step-family, foster family and similar close relationships) or close friends and their immediate family (e.g. son/daughter) being entered for examinations and assessments either at the centre itself or other centres;
• centre staff are taking qualifications at their centre which do not include internally assessed components/units;
• centre staff are taking qualifications at other centres.
To ensure compliance, you must respond to any of the statements that apply to you and complete the required information.

Question Title

* 1. Your Name

Question Title

* 2. Staff Code

Question Title

* 3. Your Job Title

Question Title

* 4. Subject(s) you teach (if applicable to your role)

Question Title

* 5. I am taking a qualification(s) at this centre which includes an internally assessed component/unit

T