Self Declaration and Application – section B

This form is strictly confidential and, except under compulsion of law, will be seen only by those responsible for the appointment and, when appropriate, the diocesan child protection adviser.
All forms will be kept securely under the terms of the Data Protection Act 1998.
Guidelines from the Home Office following the Children Act 1989 advise that all voluntary
organisations, including churches, should take steps to safeguard children who are entrusted to their care. In accordance with the House of Bishops’ Policy on Child Protection, you are therefore required to make the following declaration:

If you answered YES to any of the above, please give details which may, if you wish, be enclosed in a separate sealed envelope. It will be regarded as relevant only to this application and will not necessarily debar you from consideration. The object of this is not, in any way, to reflect upon your integrity, but it is necessary simply to protect the children and young people, the incumbent and the PCC.
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