• Employment Application - Private & Confidential

    Employment Application - Private & Confidential

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  • Do you have a Full UK Driving Licence?*
  • Expiry Date
     - -
    2 digit day, 2 digit month, 4 digit year

  • Education & Training Details

    Please complete in order (latest first).
  • Qualifications and Certifications
  • Schools
  • College/University

  • Career Details

    Please complete in order (latest first).
  • Employment History
  • Do you have any gaps in your employment history?
  • Current Memberships of Professional Bodies (ie CIPD, NMC etc).
  • Please note any other employment that you would continue with if you were to be successful in obtaining the position:
  • Please note here your leisure interests, sports and hobbies, other pastimes, etc.:

  • References

    Please provide two persons from whom we may obtain both character and work references.

  • Reference 1
  • Reference 2

  • Support of Application

  • Legal & Industry Requirements

    Please read carefully.

  • Cautions, Rehabilitations & Criminal Records

    The amendments to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (2013 and 2020) provide that when applying for certain jobs and activities, certain convictions and cautions are considered ‘protected’. This means that they do not need to be disclosed to employers, and if they are disclosed, employers cannot take them into account. Guidance about whether a conviction or caution should be disclosed can be found on the Ministry of Justice website. Because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974, by virtue of the Exceptions Order 1975 as amended by the Exceptions (Amendment) Order 1986, which means that convictions that are spent under the terms of the Rehabilitation of Offenders Act 1974 must be disclosed, and will be taken into account in deciding whether to make an appointment. Any information will be completely confidential and will be considered only in relation to this application. In addition you are required to submit to a Disclosure and Barring check. Any disclosure made by the Disclosure and Barring Service will remain strictly confidential.
  • Have you ever been convicted in a Court of Law and/or cautioned in respect of any offence?*

  • Special Requirements (Care Sector)

    Because this position involves the care of children and/or vulnerable adults employment is dependent on the following:
    1. Provision of a Disclosure and Barring certificate from the Disclosure and Barring Service.
    2. Such disclosure being acceptable to us.
    3. Proof of identity – birth or marriage certificate (where appropriate) and passport (if available).
    4. Two satisfactory written references including one from your most recent employer (this is a Legal Requirement).
    5. That you will supply a recent photograph of yourself for retention in your records (this is a Legal Requirement).
    6. Evidence of physical or mental suitability for your work.
    7. Documentary evidence of any qualifications relevant for the position (this is a Legal Requirement).

  • Data Protection

    Because this position involves the care of children and/or vulnerable adults employment is dependent on the following:
    1. Provision of a Disclosure and Barring certificate from the Disclosure and Barring Service.
    2. Such disclosure being acceptable to us.
    3. Proof of identity – birth or marriage certificate (where appropriate) and passport (if available).
    4. Two satisfactory written references including one from your most recent employer (this is a Legal Requirement).
    5. That you will supply a recent photograph of yourself for retention in your records (this is a Legal Requirement).
    6. Evidence of physical or mental suitability for your work.
    7. Documentary evidence of any qualifications relevant for the position (this is a Legal Requirement).

  • Declaration

    (please read this carefully before signing this application)

    1. I confirm that the information provided in this application is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered.

    2. Should we require further information and wish to contact your doctor with a view to obtaining a medical report, the law requires us to inform you of our intention and obtain your permission prior to contacting your doctor. I agree that the organisation reserves the right to require me to undergo a medical examination.

    3. I agree that should I be successful in this application, I will, if required, apply to the Disclosure and Barring Service for a Disclosure and Barring Certificate. I understand that should I fail to do so, or should the disclosure not be to the satisfaction of the company any offer of employment may be withdrawn or my employment terminated.

  • Date
     - -
    2 digit day, 2 digit month, 4 digit year
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