• F_LS-HR-01.OAF – Staff Application Form (Safer Recruitment), V1.25            Logo

  • Pre-Interview Staff Application & Safeguarding Declarations

  • Thank you for your interest in working with NewLeaf Residential Care Services Ltd, operating from our Children's Home in Enfield (EN3). 

    This Pre-interview Application Form forms part of our safer recruitment process for roles involving work with children and young people.

    The information provided will be used to support shortlisting and interview decisions only. Completion of this form does not constitute an offer of employment.

    Candidates who are shortlisted will be required to complete further pre-employment checks in line with statutory safeguarding requirements, including verification of identity, right to work in the UK, references, and an Enhanced DBS check with a check of the Children’s Barred List.

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  • Section A - Position Applied For

  • Which position are you applying for?*
  • What type of employment are you seeking?*
  • Preferred Start Date
     - -
  • Which shifts are you generally available to work?
  • You may save this form and return to it later. Please ensure all sections are completed and submitted for your application to be considered.

  • F_LS-HR-01.OAF – Staff Application Form (Safer Recruitment), V1.25            Logo

  • Section B – Personal Details

  • Format: (44) 0000-000-0000.
  • F_LS-HR-01.OAF – Staff Application Form (Safer Recruitment), V1.25            Logo

  • Section C – Right to Work (UK)

    These declarations are required before interview. Original documents will be checked at a later stage.
  • Right to Work declarations*
  • Do you have a driving license?
  • Section D – Employment History (Initial Screening)

    Please upload your most recent CV. This should include your employment history, dates, and any significant gaps.
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  • CV & Employment History Confirmation*
  • F_LS-HR-01.OAF – Staff Application Form (Safer Recruitment), V1.25            Logo

  • Section E – Experience & Suitability

    Please provide brief, honest responses. Further details can be discussed at interview.
  • F_LS-HR-01.OAF – Staff Application Form (Safer Recruitment), V1.25            Logo

  • Section F – Referees & Employment Verification

    Please provide details of two (2) referees we may contact as part of our safer recruitment and employment verification process. Wherever possible, both references should be from current or previous employers. At least one (1) referee must be your current or most recent employer. Where a second (2-nd) employer reference is not available, you may provide a Professional Character reference instead. This should be from someone who has known you for a meaningful period of time (normally two years or more) in a work-related, voluntary, or safeguarding-relevant context, and who can comment on your conduct, reliability, and suitability to work with children or vulnerable people. Personal references from family members or close friends are not accepted. References will only be requested following interview and a conditional offer.
  • 1 of 2. Current or Most Recent Employer 

     

     

  • Employment Start Date*
     - -
  • Employment End Date
     - -
  • Format: (44) 0000-000-0000.
  • Type of Second Reference

    If you are unable to provide a Second Employer Reference, please select Professional Character Reference.
  • Type of 2-nd Reference
  • F_LS-HR-01.OAF – Staff Application Form (Safer Recruitment), V1.25            Logo

  • 2 of 2 (a). Second Employer

  • Second Employment Start Date*
     - -
  • Second Employment End Date
     - -
  • Format: (44) 0000-000-0000.
  • F_LS-HR-01.OAF – Staff Application Form (Safer Recruitment), V1.25            Logo

  • 2of 2 (b). Professional Character Reference

    If you are unable to provide a second employer reference, you may provide a professional character reference instead. This should be from someone who has known you for a meaningful period of time in a professional, operational, voluntary, or safeguarding-related context, and who can comment on your conduct, reliability, and suitability to work with children or vulnerable people. This must not be a family member or close friend. Where possible, this reference should be from a different organisation to any employer reference already provided.
  • Format: (44) 0000-000-0000.
  • F_LS-HR-01.OAF – Staff Application Form (Safer Recruitment), V1.25            logo

  • Section G – Safeguarding, Criminal Declarations & Self-Disclosure

    This role involves working with children and is subject to safer recruitment requirements.The position is exempt from the Rehabilitation of Offenders Act 1974, which means you are required to disclose all convictions, cautions, reprimands, warnings, and other relevant information, including matters that would not normally be disclosed for non-exempt roles. Any information disclosed will be treated confidentially and considered in line with safeguarding legislation and safer recruitment guidance. Disclosure does not automatically prevent employment. These declarations form part of our safeguarding responsibilities. Any relevant matters will be discussed at interview where appropriate.
  • Criminal Record Declaration*
  • Disciplinary & Professional Conduct Declaration *

  • 1. Have you ever been known to any children’s services department or police as being a risk or potential risk to children?*
  • 2. Have you ever been dismissed, asked to resign, or left employment following disciplinary action?*
  • 3. Are you currently subject to any disciplinary investigation, professional conduct investigation, or regulatory inquiry?*
  • 4. Have you ever been referred to a safeguarding authority, regulator, or employer due to concerns about your conduct when working with children or vulnerable people?*
  • 5. Have you ever been subject to sanctions, restrictions, or conditions by a professional or regulatory body in the UK or overseas?*
  • Safer Recruitment Declaration*
  • By signing below, I confirm that the information I have provided on this form  is accurate. I understand that this information will not necessarily prevent me from being employed or appointed in the role above, and that I will be given an opportunity to discuss any concerns you might have before you make a final decision on my suitability for the role.

  • Date*
     - -
  • F_LS-HR-01.OAF – Staff Application Form (Safer Recruitment), V1.25            logo

  • Section H – Consent & Authorisation for Recruitment Checks

    As part of our safer recruitment process for work with children, NewLeaf Residential Care Services Ltd is required to carry out recruitment, safeguarding, and pre-employment checks in line with applicable legislation and statutory guidance
  • Please tick all boxes to confirm you authorise NewLeaf Residential Care Services Ltd to:
  • Please read the following declarations carefully. You must confirm each statement before submitting your application.
  • Date*
     - -
  • Should be Empty: