Custodial Suspended, community, Warning, caution, conditional discharge reprimand, fine, absolute discharge When was the offence Date: High Medium Low committed? In the past 3 years Between 3 and 10 years More than 10 years before Additional Notes Risk Assessment High Medium Low Is the type/nature of the offence directly relevant to the programme Some link between applied for? Yes No offence and aspects of Yes No course of study If yes, in what way? High Medium Low Is there a pattern of specific offences? Yes Some instances No pattern If yes, state nature of pattern: Yes No High Medium Low Has the applicant supplied additional references? Referees declare applicant Referees share some Referees declare Yes No unsuitable reservations applicant suitable How do the referees rate the applicant’s suitability for attendance at the institution and Yes No participation in the life of the institution? High Medium Low Does the applicant/referee offer any mitigating circumstances Yes No No Some mitigating Yes concerning past offence/s? circumstances
Custodial Suspended, community, conditional discharge Warning, caution, reprimand, fine, absolute discharge When was the offence committed? Date: High In the past 3 years Medium Between 3 and 10 years Low More than 10 years before Additional Notes Risk Assessment Is the type/nature of the offence directly relevant to the programme applied for? If yes, in what way? Yes No High Yes Medium Some link between offence and aspects of course of study Low No Is there a pattern of specific offences? If yes, state nature of pattern: Yes No High Yes Medium Some instances Low No pattern Has the applicant supplied additional references? Yes No High Referees declare applicant unsuitable Medium Referees share some reservations Low Referees declare applicant suitable How do the referees rate the applicant’s suitability for attendance at the institution and participation in the life of the institution? Yes No Does the applicant/referee offer any mitigating circumstances concerning past offence/s? Yes No High No Medium Some mitigating circumstances Low Yes