ࡱ> ornk 0bjbjȬ 4J΢,j΢,j + SSSSSggg8LgWw"! -WWWWWWWZO]WS5"55WSS:)W&k"k"k"5FSSWk"5Wk"k"NRz!G{4P&VOW<WP^~^LRR^ST855k"55555WW- >555W5555^555555555 Y : DBS Request form Name of PhD student / applicant:Student numberSchool/DepartmentName of Supervisor:  Supervisor signatureDate: I confirm that an enhanced DBS check is required for the above PhD student because their project involves one (or more) of the following: Please tick all the appropriate statement(s) Working with people under the age of 18 (children), or with vulnerable adults, in a position whose normal activities include caring for, teaching, training, supervising or being in sole charge of children/vulnerable adults.Providing any form of advice or guidance provided wholly or mainly for children/vulnerable adults if it relates to their physical, emotional or educational well-being.Work in a specified establishment, e.g. a school, nursery, childrens home etc. (N.B. A childrens hospital is Not a specified establishment). Direct contact with patients/service users but no direct bearing on the quality of their care (observer). Delete as appropriate The project requires unsupervised one to one contact with children / young personsY/NThe project requires unsupervised one to one contact with vulnerable adultsY/NThe PhD student will be supervised on a day-to-day basis by someone who has had a DBS check there must be supervision by a person who is in regulated activity the supervision must be regular, day to day and on an ongoing basis; and the supervision must be reasonable in all the circumstances to ensure the protection of children/vulnerable adults.Y/NThe activity takes place: on more than 4 days in a 30 day period, or once or more per week on an ongoing basis, or or once at any time between 2am 6am, Y/NThe applicant will be providing teaching, training, instructing, care, supervision, advice/guidance on wellbeing or conveying to the children?Y/NThe applicant will be providing teaching, training, instructing, assistance, advice or guidance to adults? If YES: What health or social care service(s) are the adults in receipt of due to their age, illness or disability? Y/NIf the work involves research into a medical condition, please list it here:  Please provide a short description of what activities the applicants project entails (max 200 words):  Please submit this form to the Doctoral Research Office ( HYPERLINK "mailto:dro@reading.ac.uk" dro@reading.ac.uk). Once reviewed, the student/DBS applicant will receive an email with the link to the online application form, so that they can complete their DBS application. PhD students/DBS applicants will need to bring their required proof of ID documentations to the Doctoral Research Office in the Graduate School (Old Whiteknights House). Please note the following categories do not require an enhanced DBS check: Indirect contact with patients/service users but no direct bearing on the quality of their care (e.g. some types of telephone interviews, postal questionnaires) Access to identifiable patient data, tissues or organs with or without direct bearing on the quality of their care. Working on NHS premises only (e.g. in a laboratory). Working with 16 / 17 year olds on work experience DBS application costs for PhD students will be charged to the School/Department.      PAGE \* MERGEFORMAT 1 *4567EFGHYZ[\oϽ{m_R_Dhh5z5OJQJ^JhhBDOJQJ^JhhBD5OJQJ^JhhU5OJQJ^Jh;L5OJQJ^Jhh;LOJQJ^Jhh;L5OJQJ^JhOhaQ5OJQJ^JhhaQ5OJQJ^J#hhaQ5CJ0OJQJ^JaJ0#hh25CJ0OJQJ^JaJ0;jhhaQ5CJ0OJQJU^JaJ0mHnHtH u567FG $Ifgd \Vkd$$Ifl0 0* X  t644 lalyt $IfgdGHZ[\qrF; $IfgdUVkd$$Ifl0 0* X  t644 lalyt \ $Ifgd \Vkdh$$Ifl0 0* X  t644 lalyt \opqrst  ! 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