SAFECHAIN™ Pilot Programme — Application

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This pilot is designed for leadership-level engagement. The SAFECHAIN™ Pilot is not legal representation, case management outsourcing, therapy or survivor advocacy, IT system replacement, or accreditation upon participation. Participation is subject to confidentiality and a non-transferable evaluation licence.

Fields marked * are required.

Applicant Details

First Name *

Last Name *

Role / Title *

Professional Email * Professional email addresses only. No personal addresses.

Phone Number *

Preferred Start Date *

Organisation Details

Organisation Name *

Sector *

Jurisdiction *

Safeguarding Staff (approx.) *

Total Staff Size

Lead Contact Name * The individual who will hold leadership responsibility for pilot engagement.

Lead Contact Email *

Structural Readiness Assessment

Please indicate whether your organisation currently operates within each of the following safeguarding structures. Your honest assessment enables us to identify the most effective pilot pathway for your organisation.

Safeguarding Structure	Yes	No	In Development	Notes (optional)
Documented safeguarding framework
Formal escalation structure
Trauma-informed safeguarding procedures
Multi-agency safeguarding pathways
Documented safeguarding governance oversight
Safeguarding audit processes
Evidential continuity protocols

Current Safeguarding Environment

Briefly describe your organisation's current safeguarding framework *

Main safeguarding challenges currently affecting your organisation *

Does your organisation currently work across multiple agencies or referral pathways? *

Yes No Sometimes

If yes or sometimes — please describe the agencies or pathways involved

Pilot Suitability

Why is your organisation interested in participating in the SAFECHAIN™ Pilot Programme? *

What outcomes would your organisation hope to achieve from the 90-day pilot? *

Who would hold leadership responsibility for pilot engagement? *

Is executive-level oversight available for the pilot? *

Yes No

Operational adoption without executive oversight is not suitable for this pilot.

Can your organisation commit to structured review meetings during the 90-day period? *

Yes No To be discussed

Governance Declaration

Please read each statement carefully and confirm by checking all boxes. All four declarations are required before your application can be submitted.

I am submitting this application on behalf of an eligible organisation as described in the pilot criteria, and I have the authority to do so. The organisation has leadership-level awareness of this application, and executive or senior leadership support is in place or being actively sought. I understand that pilot participation is subject to confidentiality obligations, SAFECHAIN™ intellectual property protections, and a non-transferable evaluation licence. I agree not to replicate, reverse engineer, or implement the framework outside of a formal institutional agreement. I understand that the SAFECHAIN™ Pilot is not legal representation, therapy, case management outsourcing, IT system replacement, or accreditation upon participation. Submission of this form does not guarantee acceptance into the pilot.

Signature & Sign-Off

Full Name *

Role / Title *

Organisation *

Date *

By submitting this application you acknowledge that SAFECHAIN™ is a proprietary compliance framework operated by SAFE-CHAINN Ltd (registered in England & Wales). Full implementation of the SAFECHAIN™ framework suite requires a separate institutional licence agreement. This pilot application does not create any contractual or regulatory obligation on the part of SAFECHAIN™ or SAFE-CHAINN Ltd.

Please complete all required fields and confirm all four governance declarations before submitting.

Applications are reviewed within 10 working days. You will be contacted at the professional email address provided.

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Application Received

Thank you for applying to the SAFECHAIN™ 90-Day Pilot Programme. Your application has been recorded and will be reviewed within 10 working days. You will be contacted at the professional email address you provided. Pilot placements are limited and assessed on structural readiness and leadership engagement capacity.

Reference:

SAFECHAIN™

Applicant Details

Organisation Details

Structural Readiness Assessment

Current Safeguarding Environment

Pilot Suitability

Governance Declaration

Signature & Sign-Off

Application Received

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