Name of Provider / Organisation * :

Provider Type * :
     Joint local government and private sector Joint local government and third sector Joint private sector and third sector Local Government Private Sector Third Sector

Brief Description :

Address :

Contact Name :

Telephone * :

Website URL : (please include http://)

Email * : (required for login)

General Opening Times :

Travel Info :

Disability Access Features :

Service Provider Accreditation :

Young Person Accreditation :

 

Do all Staff and volunteers involved with young people have a valid CRB Check prior to taking up employment/work? :
    Yes   No

If yes, are records maintained to confirm this :
    Yes   No

CRB Number :

 

Does your organisation have a Health and Safety Policy? :
    Yes   No

If Yes, please attach a copy to this form and state the date of the last review (in the notes box below).

Health & Safety date of last review :

 

Does your organisation have a Safe guarding Policy? :
    Yes   No

If Yes, please attach a copy to this form and state the date of the last review (in the notes box below).

How do you monitor and supervise your staff? :

 

Does your organisation have an Equal Opportunities Policy? :
    Yes   No

If Yes, please attach a copy to this form and state the date of the last review (in the notes box below).

Equal Opportunities date of last review :

 

Does your organisations have relevant insurance cover? :
    Yes   No

If Yes, please attach a copy to this form complete the notes form below.

Insurance Notes :

 

Does your organisations have a parental consent form? :
    Yes   No

If Yes, please attach a copy to this form.

what is the current year? :

* mandatory field

 

 

If you do not have electronic versions of the forms required please contact us at info@getoutthere.info.

 

Please ensure you have appropriate photographic consent for any images to be included on the Get out there website if they include pictures of Children and Young People.