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Going Away With Scheme

Request to county to appoint a mentor or assessor

This form should be completed by the commissioner who is responsible for approving the Residential Event Notification Form; this could be a district, division or the county commissioner. A commissioner cannot approve an event she is attending.

We ask that this form is completed a minimum of 12 weeks before the intended event to allow adequate time to work through the Going Away With Scheme and for us to find a mentor and assessor.

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Please appoint a mentor and assessor for the following leader who wishes to gain a licence: *
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Please confirm the leader has completed the Leadership Qualification and currently holds an active role as a leader, assistant leader, commissioner or adviser. *
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Please confirm the leader has completed ‘A Safe Space Level 3’ and that it will be valid at the time of the residential event. *
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Please indicate the licence and/or modules the leader is intending to obtain:
Module 1 – Plan a residential event
Module 2 – Administer a residential event
Module 3 – Plan for the safety and security of yourselves and others
Module 4 – Make health and first aid arrangements
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The following modules are only relevant for events lasting two nights or more when the catering, programme, facilities and/or camping equipment are the responsibility of the leader. Please indicate the relevant modules for the planned event:
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If Module 6 is selected, please indicate the section it will cover:
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Date of event (if known):
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Location of event (if known):
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Please indicate if this is an indoor or outdoor event:
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