Do you wish to become a member of the Nagalro private members’ forum? This is an on-line group of members who exchange ideas and access information.

Do you wish to apply to join the Nagalro Directory of Independent social workers open to full members of Nagalro? There is an additional charge for this.

Have you had a claim upheld (or is a claim currently outstanding) for professional negligence, unprofessional conduct or breach of confidentiality resulting in insurers having to pay damages? Yes / No

Are you aware of any circumstances which may give rise to a claim being made against you, even though no such claim has actually been made to date? Yes / No

Have you ever had a complaint made against you to your Social Work Registration Authority, please provide dates of the complaint and any hearings and also any interim or final outcome if appropriate. Yes / No

*I declare that I do not practice in or accept instructions from organisations or individuals within the following regions:
Belarus/Cuba/Iran/Libya/North Korea/Syria/Russia/Venezuela/The Crimean Region Crimea, Sevastopol, Donetsk or Luhansk regions of Ukraine.

In those areas where registration with a regulatory body is not required in order to practice as a social worker please send the equivalent of a CRB check.

I have read the Nagalro privacy notice and consent to Nagalro processing my personal data in accordance with the terms of that notice.