Recruitment Submission
Illuminate Care Group
Position Applied For
How did you find out about the Job role
Current employee of Illuminate Care Group
Indeed
Website
Social Media
Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Phone Number
National Insurance Number
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Residency Status
*
Citizen
Permanent Resident
Work Permit
Highest Qualification
Please Select
Working Towards
Level 3
Level 5
Level 7 Management
Qualified Teacher/ Tutor
Qualified Social Worker
Other
Have you ever had a disciplinary at work?
Please Select
Yes
No
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?
Yes
No
If yes, please provide details
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.
Yes
No
If yes, please provide details
Have you ever been dismissed or resigned after disciplinary procedures have been instigated
Yes
No
If yes, please provide details
Have you ever been dismissed or resigned after disciplinary procedures have been instigated?
Yes
No
If yes, please provide details
Have you ever had any safeguarding concerns raised against your name include anything that resulted in no further action made?
Yes
No
If yes, please provide details
Do you consider yourself to have a disability under the Equality Act2010?
Yes
No
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.
Yes
No
If yes, please provide details
Any other information that you want to disclose or discuss?
Yes
No
Message / Additional Info
Current or most recent Employment/Voluntary Work
Company Name
Job Role
Details of employment / Brief description of Job role
Training relevant to this post.
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.
Work History
Please give details and reasons of any gaps in work history:
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
Name
First Name
Last Name
Name of Company
Job Title
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Referee Details
Name
First Name
Last Name
Name of Company
Job Title
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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.
Previous URN's
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?
Yes
No
If you have ticked yes please give details here:
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.
Yes
No
If you have ticked yes please give details here:
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.
Yes
No
If you have ticked yes please give details here:
Professional memberships / registrations
Please confirm if you have any professional registrations such as Social work England
Registration or Membership details
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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