Esland Employment Application Form

Esland Employment Application Form

Esland Employment Application Form
Title*
Name*

First NameLast Name
*Previous names if applicable*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
National Insurance Number*
Do you have any relationships with employees at Esland? If yes, please tell us their name and how you know them*
Do you have the Right to Work in the UK*

YesNo
Do you hold a current full driving licence, valid in the UK?*

YesNo

Safer Recruitment

The Esland Group is committed to safeguarding and promoting the welfare of children. All applicants must be willing to undergo safeguarding screening appropriate to the post, including checks with past employers and disclosures with the relevant body at an enhanced level DBS. We are an equal opportunities employer.
Have you had ANY allegations against you in previous employment, volunteering or other capacity (excluding criminal convictions)?*

YesNo
Have you had ANY disciplinary investigations and/or action against you in previous employment, volunteering or other capacity (excluding criminal convictions)?*

YesNo
If yes, please give full details (include those that did not result in any disciplinary action) including the company name, dates, allegation and explanation. Failure to disclosure information which is later brought to our attention may lead to any offer being withdrawn, or termination of your engagement.
All care roles at Esland are exempt from the Rehabilitation of Offenders Act, and you will be asked to disclose both spent and unspent convictions as a result of this during the selection process. Do you have/or have you ever had any Criminal Conviction(s), Caution(s), Warning(s) and/or reprimand(s)?*

YesNo
If yes, please give full details below including dates, details and outcome:

Details of your history since the age of 16

Please provide an explanation for each period of employment or when you have not been working, any unexplained gaps will delay your application being processed. Please note, the form requires text to be entered in every box in order for you to progress. You should enter N/A where information is not applicable, or you don't have a response. This will allow you to move forward on the application form. *

Rows	Start Date MM/YYYY	End Date MM/YYYY	Were you Employed (Yes/No)	Company Name & Address	Position Held	Reason for Leaving	Reason for Gap	Company Contact Details
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Education, Qualifications and Training Relevant to the position your are applying for

Please provide details of your Education, Qualifications and Training

Rows	Start Date	End date	School/College/University/Training Provider	Qualification Obtained
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Have you spent more than a 3 month period overseas in the past 10 years (aged 18+)?*

YesNo
If yes, please provide details of dates, countries, and what you were doing for each period

Declaration

I understand that failure to disclose information or the provision of incorrect information may result in an offer of appointment being withdrawn or termination of my future engagement.

I agree to you approaching any of my previous employers to verify my employment history and I understand that all offers of engagement are subject to satisfactory onboarding checks. If we are not satisfied, we will withdraw an offer of engagement.

I agree that, if I am appointed, the information may be used as part of the personnel record of my engagement under GDPR regulations.

Esland Care is able to offer engagement after an enhanced DBS check has been successfully completed in line with Ofsted Safer Recruitment Guidelines.

I am aware that if listed on the POVA Register it is an offence to apply for work with the Vulnerable Adult / Child group and it could necessitate referral to the Local Authorities and / or Secretary of State.

I agree to Esland Care accessing details regarding any points, convictions or cautions from the DVLA.

I confirm that everything I have written on this application form is true to the best of my knowledge, and that consent is given to use my data for recruitment purposes.

I CERTIFY THAT I HAVE READ AND UNDERSTOOD THE ABOVE AND THAT THE INFORMATION I HAVE GIVEN IS TRUE AND CORRECT.
Signature*

Clear
Date*

DayMonthYear
Date
Should be Empty: