Name of teacher to be present during the lesson/assembly: Name, date and signature of person Name: completing the form: Date: Signature: Appendix 2: School facility use and hire checklist Name of individual/agency/organisation: Address of individual/agency/organisation: Name and address of YES / NO (delete as appropriate) individual/agency/organisation confirmed: Proposed use of school facilities: Open source research completed: YES / NO (delete as appropriate) By: [Insert Name] Please list open source references below Date completed: Individual/agency/organisation assessed as YES / NO (delete as appropriate) suitable on open source research: Individual/agency/organisation approved: YES / NO (delete as appropriate) If please outline reasons below ‘No’ Name, date and signature of person Name: completing the form: Date: Signature:
Name of teacher to be present during the lesson/assembly: Name, date and signature of person completing the form: Name: Date: Signature: Appendix 2: School facility use and hire checklist Name of individual/agency/organisation: Address of individual/agency/organisation: Name and address of individual/agency/organisation confirmed: YES / NO (delete as appropriate) Proposed use of school facilities: Open source research completed: By: [Insert Name] Date completed: YES / NO (delete as appropriate) Please list open source references below Individual/agency/organisation assessed as suitable on open source research: YES / NO (delete as appropriate) Individual/agency/organisation approved: YES / NO (delete as appropriate) If ‘No’ please outline reasons below Name, date and signature of person completing the form: Name: Date: Signature:
Due-diligence-checks-for-External-Speakers-and-Private-Hire-of-Facilities-January-2018.docx