BSA Certified Host Family Provider Scheme

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* 1. Name of company:

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* 2. Registered company number:

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* 3. Registered company address:

Company

Address

Address 2

City/Town

County

Post Code

Country

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* 4. Trading address (if different to Q3):

Company

Address

Address 2

City/Town

County

Post Code

Country

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* 5. Website address:

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* 6. Name of contact:

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* 7. Email address:

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* 8. Phone number:

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* 9. Name of Designated Safeguarding Lead:

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* 10. Email address:

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* 11. Phone number:

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* 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

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* 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

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* 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

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* 15. Please provide your Data protection policy and Information Commissioners Office registration details:

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

Choose File

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* 16. Please provide copies of your Handbooks for students, parents, and host families:

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

Choose File

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* 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

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* 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

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* 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

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* 20. Please provide evidence of appropriate insurance (professional indemnity, public and employers' liability):

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

Choose File

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* 21. Please add any comments or points relating to questions 12-20 here:

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* 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:

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* 23. Reference 2:

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* 24. I agree to commit to the BSA Code of Conduct under this certified scheme.

Yes

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* 25. I am at least 25 years of age, a permanent resident in the UK, and not in full-time education.

Yes

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* 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.

BSA Certified Host Family Provider Scheme

Question Title

* 1. Name of company:

Question Title

* 2. Registered company number:

Question Title

* 3. Registered company address:

Question Title

* 4. Trading address (if different to Q3):

Question Title

* 5. Website address:

Question Title

* 6. Name of contact:

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* 7. Email address:

Question Title

* 8. Phone number:

Question Title

* 9. Name of Designated Safeguarding Lead:

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* 10. Email address:

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* 11. Phone number:

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* 12. 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:

Question Title

* 14. 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:

Question Title

* 16. 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):

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* 18. 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:

Question Title

* 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:

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* 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:

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* 23. Reference 2:

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* 24. I agree to commit to the BSA Code of Conduct under this certified scheme.

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* 25. I am at least 25 years of age, a permanent resident in the UK, and not in full-time education.

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* 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.

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* 27. Print name

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* 28. Date

* 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: