THE OSCAR ROMERO AWARD VALIDATOR APPLICATION FORM

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YOU MUST FILL IN ALL FIELDS MARKED WITH *

Title* Family Name* First Name* Middle Name(s) Address* Postcode* Main Telephone Number* Alternative Telephone Number Email* Parish* Diocese*

This information will enable us to allocate schools to appropriate validators.

Previous Experience (relevant to the role of validator):*

Personal Statement (to include why you are interested in the role and your suitability for the post):*

Please name two referees (Referee 1 should be a professional person; Referee 2 should be able to provide a character reference)*

	REFEREE 1	REFEREE 2
NAME
POSITION
ADDRESS
POST CODE
EMAIL

It is the responsibility of the Applicant to ensure that all named referees have consented to providing a reference.

Disclosure of Criminal and Child Protection Matters and Disclosure and Barring Service Checks

The Oscar Romero Award Trust is obliged by law to operate a checking procedure for employees/volunteers who have access to children and young people.

Please confirm whether you have ever been the subject of any child protection concern either in your work or personal life, or been the subject of, or involved in, any disciplinary action in relation thereto, including any which is time expired.

Please confirm*YesNo

If yes please provide full details:

It is an offence to knowingly apply for, offer to do, accept, or do any work in a regulated position if you have been disqualified from working with children. Any offer for a position with the Oscar Romero Award Trust will be subject to checks being carried out in order to ensure that you are not subject to a prohibition order or an interim prohibition order.
In the event of a successful application an offer may be made to you which is conditional upon receipt of satisfactory Disclosure and Barring Service Checks (“DBS Checks”) in relation to criminal and child protection matters. Please note that a conviction will not necessarily be a bar to obtaining a position.

By checking the box you consent to a DBS Check(s) being made:*I agree to DBS Check

Referee 1 Submission Value Referee 2 Submission Value

Are you aware of any safeguarding concerns which may affect the suitability of this applicant to fulfil the role of Validator for the Oscar Romero Award?*YesNo

If you have answered “YES” above, please give details here: