Recruitment Submission Form

  • Recruitment Submission

    Illuminate Care Group
  • How did you find out about the Job role
  • Format: (000) 000-0000.
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  • Residency Status*
  • Have you ever been subject to any investigation, fact findings, disciplinary action or dismissed from paid, unpaid, voluntary, other employment, training or other programme with children, young people and/​or vulnerable adults that was either substantiated or unsubstantiated?
  • Have you have any disciplinary action against your name? Depending on the reason for the warning, we may have to write to the relevant company to confirm the action that was taken.
  • Have you ever been dismissed or resigned after disciplinary procedures have been instigated
  • Have you ever been dismissed or resigned after disciplinary procedures have been instigated?
  • Have you ever had any safeguarding concerns raised against your name include anything that resulted in no further action made?
  • Do you consider yourself to have a disability under the Equality Act2010?
  • Do you have any medical conditions or illness that may impact on your ability to care for children and young people including if required to use physical intervention if this was need to protect a child or young person from harm.
  • Any other information that you want to disclose or discuss?

  • Current or most recent Employment/Voluntary Work

  • Employment History

    Please give details of your full employment history in date order starting with the most recent.You must list all employment, career breaks, and periods of unemployment, education and voluntary work since leaving secondary education; without any gaps.

  • References

    Please give the names of two referees who can provide professional or educational references. The first must be from your present or last employer/voluntary organisation. If you cannot give an employer, please provide the name of someone who can provide an educational reference. The second should be a previous employer. If you cannot provide a previous employer, please give either an educational referee or the name of someone who has known you for 3 years who can provide a character reference. If neither of the two referees given have known you for a period of 3 years or more, please provide an additional referee. This could be a further previous employer, an educational referee, or someone who has known you for 3 years who can provide a character reference. The person you name must hold a managerial or personnel position in that organisation and have access to your records. Please ensure that you inform any educational/character referees that you have given their name, and confirm that they are happy to provide a reference. The employment referees provided will be asked if you have any live disciplinary offences and also about any ‘time expired’ disciplinary offences where they relate to children. They will also be asked if you have been subject to any child protection concerns, and if so, the outcome of any enquiry or disciplinary procedure. Where you are not currently working with children or vulnerable adults but have done so in the past,you are required to nominate a referee from the organisation where you were most recently employed to work with children or vulnerable adults as one of your nominated referees. If you are recommended for appointment in these circumstances we will then seek to gain your current employer as a referee. Failure to comply with these instructions may cause a delays in your application. PLEASE NOTE THAT: Illuminate Care Group reserves the right to ask you for permission to contact a referee from any organisation you have been associated with. This can be in addition to, or instead of, the names you supply. No referee you give should be related to you.

  • Referee Details

  • Format: (000) 000-0000.

  • Referee Details

  • Format: (000) 000-0000.

  • URN details of any previous Regulated services worked in

    This is to be completed if you are applying for a registered position or Head Teacher.

  • Criminal Convictions

  • You are required to declare any spent or unspent convictions, cautions, reprimands or final warnings that are not "protected" as defined by the Rehabilitation of Offenders Act1974 (Exceptions) Order 1975 (as amended in 2013).The information you provide under this section will not be used for shortlisting purposes but will be discussed at interview if Illuminate Care Group considers it is relevant to the position you are applying for. Have you any spent or unspent convictions, cautions, reprimands or final warnings that are not 'protected' to declare?
  • Due to the nature of our services and our safeguarding responsibilities, we are required to check driving licence status and any driving-related convictions where driving forms part of the role. Disclosure of this information does not automatically exclude applicants and will be considered fairly and proportionately. Do confirm if you have any outstanding driving convictions.
  • Are you subject to a sanction or have you been at any time barred or subject to aninvestigation from working with children or vulnerable adults by any Governing Body.

  • Professional memberships / registrations

    Please confirm if you have any professional registrations such as Social work England

  • Declaration

    All information provided will be processed in accordance with the UK General Data Protection Regulation (UK GDPR) and retained only for as long as necessary for recruitment and employment purposes.
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