Bradford Cathedral Choir Confidential Self-declaration Form 2021-22
This Confidential Declaration must be completed by all those wishing to sing or work with Bradford Cathedral Choir.

Our Privacy Notice explains how the information you supply in your Confidential Declaration is used and your rights with respect to that data as required by the General Data Protection Regulation 2016/679 (the “GDPR”) and the Data Protection Act 2018, (the “DPA 2018”). Copies may be obtained by contacting the Music Team (musicteam@bradfordcathedral.org).

If you do not complete this form, or if you do not give true, accurate and complete information in response to the questions it contains, this may result in your appointment not proceeding.

For more Safeguarding resources from the Church of England, please visit https://www.churchofengland.org/safeguarding/safeguarding-e-manual 

Before an appointment can be made applicants who will have substantial contact with children and / or adults experiencing, or at risk of abuse or neglect in their roles will be required to obtain an enhanced criminal record check (with or without a barred list check (as appropriate)) from the Disclosure and Barring Service.

All information declared on this form will be carefully assessed to decide whether it is relevant to the post applied for and will only be used for the purpose of safeguarding children, young people and / or adults experiencing, or at risk of abuse or neglect.

Please note that the existence of a criminal record will not necessarily prevent a person from being appointed, it is only if the nature of any matters revealed may be considered to place a child and / or an adult experiencing, or at risk of abuse or neglect at risk.

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Full name *
Address *
1. Have you ever been convicted of or charged with a criminal offence or been bound over to keep the peace that has not been filtered in accordance with the DBS filtering rules (include both ‘spent’ and ‘unspent’ convictions)? *
If 'Yes', please provide details of the circumstances and/or reasons that led to the offence(s).
2. Have you ever received a caution, reprimand or warning from the police that has not been filtered in accordance with the DBS filtering rules ? *
If 'Yes', please provide details of the circumstances and/or reasons that led to the caution(s), reprimand(s) or warning(s).
3. Are you at present (or have you ever been) under investigation by the police or an employer or the Church or other organisation for which you worked for any offence / misconduct?   *
If 'Yes', please provide details
4. Are you or have you ever been prohibited and / or barred from work with children and/or vulnerable adults? *
If 'Yes', please provide details
5. Has a court ever made a finding of fact in relation to you, that you have ill-treated, neglected or otherwise caused harm to a child and / or vulnerable adult, or has any court made an order against you on the basis of any finding or allegation that any child and / or vulnerable adult was at risk of ill-treatment, neglect or other significant harm from you? ‘Harm’ involves ill-treatment of any kind including neglect, physical, emotional or sexual abuse, or impairment of physical or mental health development.  It will also include matters such as a sexual relationship with a young person or adult for whom an individual had pastoral responsibility or was in a position of respect, responsibility or authority, where he/she was trusted by others. It also includes domestic abuse *
If 'Yes', please provide details
6. Has your conduct ever caused or been likely to cause ill-treatment, neglect or other harm to a child and /or vulnerable adult, and/or put a child or vulnerable adult at risk of ill-treatment, neglect or other harm? *
If 'Yes', please provide details
7. To your knowledge, has there ever been an allegation made against you (whether substantiated or not) that your conduct has amounted to or resulted in ill-treatment, neglect or other harm to a child and/or vulnerable adult, or putting a child or vulnerable adult at risk of ill-treatment, neglect or other harm? *
If 'Yes', please provide details, which may include the date(s) and nature of the allegation, and whether you were dismissed, disciplined, moved to other work or resigned from any paid or voluntary work as a result.
8. Have you ever had any allegation made against you, which has been reported/referred to, and investigated by the Police/Social Services/Social Work Department (Children or Adult’s Social Care)? *
If 'Yes', please provide details, which may include the date(s) and nature of the allegation, and whether you were dismissed, disciplined, moved to other work or resigned from any paid or voluntary work as a result.
9. Has a child in your care or for whom you have or had parental responsibility ever been removed from your care, placed by you in care, subject to child protection planning, subject to a care order, a supervision order, a child assessment order or an emergency protection order under the Children Act 1989, or a similar order under any other legislation? *
If 'Yes', please provide details
10. Has a child in your care or for whom you have or had parental responsibility ever been in the care of the local authority, or been accommodated by the local authority? *
If 'Yes', please provide details
11. If you are working from home with children, is there anyone who is 16 years of age or over living or employed in your household who has ever been charged with, cautioned or convicted in relation to any criminal offence not subject to DBS filtering rules; or is that person at present the subject of a criminal investigation/pending prosecution? *
If 'Yes', please give details including the nature of the offence(s) and the dates. Please give any further details, such as the reasons or circumstances, which led to the offence(s)
12. If you have any additional information which could be considered relevant to this declaration, please give details below
I declare the above information is true, accurate and complete to the best of my knowledge. I declare that I have disclosed any additional information I have which could be considered relevant to the questions in this Confidential Declaration. After I have been appointed, I agree to inform my supervisor (the Director of Music) if I am charged, cautioned or convicted of any offence or if I become subject to a Police/Social Services/Social Work Department (Children or Adult’s Social Care) investigation. *
Required
Signed (your name here) *
Date *
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