BSA Certified Host Family Provider Scheme Question Title * 1. Name of company: Question Title * 2. Registered company number: Question Title * 3. Registered company address: Company Address Address 2 City/Town County Post Code Country Question Title * 4. Trading address (if different to Q3): Company Address Address 2 City/Town County Post Code Country Question Title * 5. Website address: Question Title * 6. Name of contact: Question Title * 7. Email address: Question Title * 8. Phone number: Question Title * 9. Name of Designated Safeguarding Lead: Question Title * 10. Email address: Question Title * 11. Phone number: Question Title * 12. Please list and provide copies of any brochures, policies and procedures (which are not online): PDF, DOC, DOCX, PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File Please list and provide copies of any brochures, policies and procedures (which are not online): Question Title * 13. Safeguarding - Please provide evidence of DSL/DDSL safeguarding training (including Prevent and safer recruitment), safeguarding and safer recruitment policies: PDF, DOC, DOCX, PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File Safeguarding - Please provide evidence of DSL/DDSL safeguarding training (including Prevent and safer recruitment), safeguarding and safer recruitment policies: Question Title * 14. Please provide evidence of record keeping, e.g., student travel arrangements, meetings and finances (redacted): PDF, DOC, DOCX, PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File Please provide evidence of record keeping, e.g., student travel arrangements, meetings and finances (redacted): Question Title * 15. Please provide your Data protection policy and Information Commissioners Office registration details: PDF, DOC, DOCX, PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File Please provide your Data protection policy and Information Commissioners Office registration details: Question Title * 16. Please provide copies of your Handbooks for students, parents, and host families: PDF, DOC, DOCX, PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File Please provide copies of your Handbooks for students, parents, and host families: Question Title * 17. Please provide the outline of assessment requirements for host families (including suitability of accommodation): PDF, DOC, DOCX, PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File Please provide the outline of assessment requirements for host families (including suitability of accommodation): Question Title * 18. Please provide job descriptions for Host Family Provider staff and Host Family leads: PDF, DOC, DOCX, PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File Please provide job descriptions for Host Family Provider staff and Host Family leads: Question Title * 19. Please provide staff and student codes of conduct, anti-bullying, complaints and whistleblowing policies: PDF, DOC, DOCX, PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File Please provide staff and student codes of conduct, anti-bullying, complaints and whistleblowing policies: Question Title * 20. Please provide evidence of appropriate insurance (professional indemnity, public and employers' liability): PDF, DOC, DOCX, PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File Please provide evidence of appropriate insurance (professional indemnity, public and employers' liability): Question Title * 21. Please add any comments or points relating to questions 12-20 here: Question Title * 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: Question Title * 23. Reference 2: Question Title * 24. I agree to commit to the BSA Code of Conduct under this certified scheme. Yes No Question Title * 25. I am at least 25 years of age, a permanent resident in the UK, and not in full-time education. Yes No Question Title * 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 Question Title * 27. Print name Question Title * 28. Date Done