Personal Details

Your Name (as you would like it to appear on your certificate)
Your Job Title (in full)
Your Organisations Name (in full)
Agency Type
Child Minder CAFCASS CAMHS / SLaM Children’s Centre Children's Social Care Children & Young People's Directorate Commissioned Organisation Early Years Education Other Faith Group Foster Carer GP Housing Lewisham Clinical Commissioning Group Lewisham Council Other Lewisham & Greenwich NHS Trust London Ambulance Service Met. Police Primary School Private Organisation Probation Service Secondary School Voluntary Organisation Youth Offending Service Youth Services
Your Full Work Address
Contact Telephone Number

Email Address
Do you have any additional requirements, such as a wheelchair?
Yes NoOther (please specify)
Equal Opportunities Monitoring
Asian British Asian Indian Asian Pakistani Asian Bangladeshi Asian Tamil Asian Other Black British Black Caribbean Black African Black Other Chinese Mixed Parentage Asian and White Mixed Parentage Black and White Caribbean Mixed Parentage Black and White African Mixed Parentage Other Turkish Turkish Cypriot Vietnamese White British White Irish White OtherOther (please specify)

Select a date

Friday 27th September 2019Friday 13th March 2020

Authorising Managers Details

Please ensure you have your manager’s agreement to attend this training, and they are able to approve financial transactions.

Managers Name
Managers Job Title
Contact Telephone Number
Email Address
Invoice Address or Lewisham Council Budget Code (see Terms & Conditions)

Learning Evaluation Stage 1

Please rate yourself in regards to the aims and objectives of the course:

How relevant to your role do you think the learning is?
Not at all Somewhat Very Extremely
Please give an example of how you expect this session to make a difference to your work with children, young people, and their families
When did you last receive training on this subject?
Never Less than 1 year 1-2 years Over 2 years
How do you rate your understanding of Prevent?
No Understanding Poor Fair Good Excellent
How do you rate your understanding of how people can be influenced or radicalised?
No Understanding Poor Fair Good Excellent
How do you rate your understanding of the vulnerability factors which can lead to people being radicalised?
No Understanding Poor Fair Good Excellent
How do you rate your understanding of how to notice concerns where someone may be vulnerable to radicalisation in your day-to-day job?
No Understanding Poor Fair Good Excellent
How do you rate your understanding of how to share concerns about people vulnerable to radicalisation within your day-to-day job?
No Understanding Poor Fair Good Excellent