Child Protection Disclaimer LAL Language Centres Child Protection Disclaimer Offences concerning children* I declare that I have never been convicted of any offence involving any type of harm to a child or children, nor have I ever been warned or cautioned in relation to such a matter. I also declare that there are no civil or criminal proceedings of any nature pending against me at the date of this declaration relating to any allegation concerning any type of harm to a child or children. Authorisation to seek references* I authorise LAL to seek references or approach previous employers for information to verify information on disciplinary offences relating to children. Criminal records* I authorise LAL to ask for criminal records information in relation to any allegation concerning any type of harm to a child or children in other countries if necessary. I expressly authorise LAL to pass personal details to the relevant authorities in countries where I have lived or worked for the purposes of obtaining criminal records information. Periodic checks* I give my permission for LAL to check the above-mentioned records periodically. Withholding information* I understand that if I withhold any relevant information, or present false or inaccurate information, I may render myself liable to disqualification from the recruitment exercise or, if appointed, to disciplinary action including fair dismissal. Confidentiality* In accordance with data protection legislation this declaration is confidential and is extended solely in order to accredit my suitability to work with children at LAL. This declaration may not be used totally or partially for any other purpose save that for which it is expressly made. Name* First name Surname Signature*Date* Date Format: DD slash MM slash YYYY Your e-mail address* Enter e-mail address Confirm e-mail address (a copy of this form will be sent to this address)EmailThis field is for validation purposes and should be left unchanged.