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BSA Certified Host Family Provider Scheme
1.
Name of company:
2.
Registered company number:
3.
Registered company address:
Company
Address
Address 2
City/Town
County
Post Code
Country
4.
Trading address (if different to Q3):
Company
Address
Address 2
City/Town
County
Post Code
Country
5.
Website address:
6.
Name of contact:
7.
Email address:
8.
Phone number:
9.
Name of Designated Safeguarding Lead:
10.
Email address:
11.
Phone number:
12.
Please list and provide copies of any brochures, policies and procedures (which are not online):
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No file chosen
13.
Safeguarding - Please provide evidence of DSL/DDSL safeguarding training (including Prevent and safer recruitment), safeguarding and safer recruitment policies:
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14.
Please provide evidence of record keeping, e.g., student travel arrangements, meetings and finances (redacted):
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15.
Please provide your Data protection policy and Information Commissioners Office registration details:
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16.
Please provide copies of your Handbooks for students, parents, and host families:
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17.
Please provide the outline of assessment requirements for host families (including suitability of accommodation):
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18.
Please provide job descriptions for Host Family Provider staff and Host Family leads:
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19.
Please provide staff and student codes of conduct, anti-bullying, complaints and whistleblowing policies:
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20.
Please provide evidence of appropriate insurance (professional indemnity, public and employers' liability):
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21.
Please add any comments or points relating to questions 12-20 here:
22.
Please provide reference contact details for at least two schools you have worked with. Please include name, email address, school name, full address and telephone number.
Reference 1:
23.
Reference 2:
24.
I agree to commit to the BSA Code of Conduct under this certified scheme.
Yes
No
25.
I am at least 25 years of age, a permanent resident in the UK, and not in full-time education.
Yes
No
26.
I certify that enhanced DBS checks have been undertaken on all relevant Host Family Provider staff and all host family members over 16 years of age. These will be kept up to date.
Yes
No
27.
Print name
28.
Date
