Child 2 name and age: Pre-assessment of carer Program Criterion Carer 1 Carer 2 requirement 3.2.5 prior to proceeding with assessment of Yes No Yes No Disqualified carer check applicant Date: Date: New police record check upon application to the CSO Yes No Yes No Expiry date: Expiry date: Three-year renewal completed Yes No NA Yes No NA Expiry date: Expiry date: Disclosable offence Yes No Yes No Number: Number: Written sign-off from the department to proceed Yes No NA Yes No NA Date: Date: Police record checks for household members aged 18 years or older Yes No NA Yes No NA who live or regularly stay overnight Expiry date: Expiry date: Expiry date: Expiry date: Expiry date: Expiry date: International police record check Yes No NA Yes No NA International checks for carer and household members 18 years or Date: Date: older Date: Date: Date: Date: Working with Children Check Yes No NA Yes No NA ‘Volunteer (V)’ An up-to-date WWCC for the carer and any adult member of the Expiry date: Expiry date: household who will have a parenting role with the child Expiry date: Expiry date: Expiry date: Expiry date:
Child 2 name and age: Pre-assessment of carer Program requirement Criterion Carer 1 Carer 2 3.2.5 Disqualified carer check prior to proceeding with assessment of applicant Yes No Date: Yes No Date: New police record check upon application to the CSO Yes No Expiry date: Yes No Expiry date: Three-year renewal completed Yes No NA Expiry date: Yes No NA Expiry date: Disclosable offence Yes No Number: Yes No Number: Written sign-off from the department to proceed Yes No NA Date: Yes No NA Date: Police record checks for household members aged 18 years or older who live or regularly stay overnight Yes No NA Expiry date: Expiry date: Expiry date: Yes No NA Expiry date: Expiry date: Expiry date: International police record check International checks for carer and household members 18 years or older Yes No NA Date: Date: Date: Yes No NA Date: Date: Date: ‘Volunteer (V)’ Working with Children Check An up-to-date WWCC for the carer and any adult member of the household who will have a parenting role with the child Yes No NA Expiry date: Expiry date: Expiry date: Yes No NA Expiry date: Expiry date: Expiry date:
Foster%20Care%20Performance%20Audit%20Program.docx