pvg - new member form

35
A guide to completing the form “Application to join PVG Scheme”

Upload: ianwk

Post on 12-Jul-2015

81 views

Category:

Business


1 download

TRANSCRIPT

Page 1: PVG - New member form

A guide to completing the form

“Application to join PVG Scheme”

Page 2: PVG - New member form

Designed for

organisations

enrolled with CRBS

Page 3: PVG - New member form
Page 4: PVG - New member form
Page 5: PVG - New member form

Use BLUE or BLACK ink

Page 6: PVG - New member form

Use BLUE or BLACK ink

Stay within the boxes

Page 7: PVG - New member form

Use BLUE or BLACK ink

Stay within the boxes

Do not use any stamps or stickers

Page 9: PVG - New member form
Page 10: PVG - New member form
Page 11: PVG - New member form

X

X

Page 12: PVG - New member form

X

X

Note : the red circles are for illustration purposes only!

Page 13: PVG - New member form
Page 14: PVG - New member form
Page 15: PVG - New member form
Page 16: PVG - New member form
Page 17: PVG - New member form
Page 18: PVG - New member form

X

X

Page 19: PVG - New member form
Page 20: PVG - New member form
Page 21: PVG - New member form

5 year h

istory

required

Page 22: PVG - New member form
Page 23: PVG - New member form

SCWIS (Care Inspectorate) 101

General Chiropractic Council 102

General Dental Council 103

General Medical Council 104

General Optical Council 105

General Osteopathic Council 106

General Teaching Council for Scotland 107

Health Professions Council 108

Nursing and Midwifery Council 109

General Pharmaceutical Council 110

Scottish Social Services Council 111

Page 24: PVG - New member form
Page 25: PVG - New member form

Applicant 9 9 9 9 9 9 9 9

Page 26: PVG - New member form

For a free disclosure application

Page 27: PVG - New member form

X

X

X

For a free disclosure application

Page 28: PVG - New member form

X

? ? ? ?? ? ? ? ?

For a paid disclosure application

Page 29: PVG - New member form

X

Page 30: PVG - New member form

A G R E E D P O S I T I O N

Page 31: PVG - New member form
Page 32: PVG - New member form

For CRBS only

Page 33: PVG - New member form

Do NOT sign at F1/F2

Page 34: PVG - New member form

Do NOT sign at F1/F2

Leave page 6 blank