Enter only letters, numbers or @!$&-/()',. Check with the tax authority of the jurisdiction which you think you may be a tax resident. > Find out more about our safer recruitment training. I declare that within the last academic year, since the date of the last DBS check, I have not had, nor have pending, any of the following: (Motoring offences and speeding fines are included in each category. In order for us to hold accurate and up–to-date information about your tax residence, you may submit a self-certification via this secured website. This includes making sure the people who work or volunteer for the organisation are safe to work with children. The form should only be used when recruiting to positions that are listed in the Exceptions Order of the Rehabilitation of Offenders Act or the Police Act regulations as being eligible for a standard or enhanced … Help for children and young people development of a new illness, starting new treatment or pregnancy). We are required by tax regulations under the Foreign Account Tax Compliance Act (FATCA) and Common Reporting Standard (CRS) to identify the tax residence of our customers. Changing the nature of the questions on the self-declaration to avoid … Whilst it is likely that the risk to most students attending placement will be very low, we ask that all students complete the steps below: In some cases (particularly for students that fall within the “moderate” or “high” risk categories) students will be asked to complete an occupational health screening form and may be required to make an appointment with the occupational health team. Please refer to OECD for guidance on the Tax Identification Number (TIN) format for the respective countries. A photograph or scanned copy of government-issued document (e.g. Clinical placements form a fundamental part of the Health Sciences’ programmes and will continue to take place during the COVID-19 pandemic to ensure students are able to meet learning outcomes and progress on the course. > Find out more about our safer recruitment training, Download example self-disclosure forms (PDF). National Society for the Prevention of Cruelty to Children. Template Employment Self-Declaration and Disclosure Form This form may be adapted to include individuals working with vulnerable adults Private and Confidential For roles involving contact with children (under 18 year olds).
It is essential that you refer to the guidance carefully and complete these steps. In order to mitigate risk the University, placement providers and students are all expected to contribute to the risk assessment of clinical placements. I hereby confirm that I have referred to the NHS guidance on who’s at risk from coronavirus and believe that I am at high or moderate risk from coronavirus and have contacted my Field Lead/Programme Director accordingly. ), Accessibility | Data protection | Cookies | Disclaimer | Freedom of information | Modern Slavery Statement (PDF), © University of Surrey, Guildford, Surrey GU2 7XH, United Kingdom. These example self-disclosure forms should be used in conjunction with our information on safer recruitment and our other information and resources on safeguarding. For safeguarding training, resources and consultancy You can view details and manage settings at any time on our cookies policy page. All information will be treated as confidential and managed in accordance with relevant data