Pre-Interview Staff Application & Safeguarding Declarations

F_LS-HR-01.OAF – Staff Application Form (Safer Recruitment), V1.25
Section B – Personal Details
Your Name*

First NameLast Name
Your Email*
example@example.com
Your Phone Number*
Please enter a valid UK phone number, e.g. (44) 07123 456 789
Your Current Postcode*
Are you able to reliably travel to the home’s location in Enfield (EN3)?
What is your highest level of education achieved?

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

I confirm that I have the legal right to work in the United KingdomI understand that original documents or a Home Office share code will be required before employmentI understand that employment cannot commence until right to work checks are completed
Do you have a driving license?

YesNo
Section D – Employment History (Initial Screening)

Please upload your most recent CV. This should include your employment history, dates, and any significant gaps.
Upload your current CV*

Cancelof
CV & Employment History Confirmation*

I confirm that my CV accurately reflects my employment history to dateI confirm that any gaps in employment are included or will be explained if requestedI understand that my CV will be used as part of safeguarding, reference, and vetting checks

F_LS-HR-01.OAF – Staff Application Form (Safer Recruitment), V1.25
Section E – Experience & Suitability

Please provide brief, honest responses. Further details can be discussed at interview.
Q1: Please briefly summarise your recent employment or relevant experience.*
Q2: Please explain any significant gaps in employment (significant gaps mean any amount above 3 days).*
If none, you can write “N/A”
Q3: Please describe any experience you have working with children or vulnerable young people.*

F_LS-HR-01.OAF – Staff Application Form (Safer Recruitment), V1.25
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
Full Name of Your 1-st Referee*

First NameLast Name
Organisation's Name:*
Your Referee's Job Title / Position*
Your Job Title with this Employer
Capacity in which they know you. They were/ are your ...*
If you chose "other", pls give more details below
Other:
Employment Start Date

DayMonthYear
Date
Employment End Date

DayMonthYear
Leave the end date blank if currently employed here
Organisation's Address
Organisation's Postcode*
Your Referee's Phone Number*
Please enter a valid UK phone number, e.g. (44) 07123 456 789 or 0203.. etc.
Their Work Email Address*
Note: personal email addresses may not be accepted for employment references
I confirm that this referee is aware they may be contacted and has agreed to provide a reference.
Type of Second Reference

If you are unable to provide a Second Employer Reference, please select Professional Character Reference.
Type of 2-nd Reference

Previous EmployerProfessional Character Reference

F_LS-HR-01.OAF – Staff Application Form (Safer Recruitment), V1.25
2 of 2 (a). Second Employer
2 of 2. Full Name of Your Second Referee*

First NameLast Name
Organisation's Name:*
Your Second Referee's Job Title / Position*
Your Job Title with this Employer
Capacity in which they know you. They were your ...*
If you chose "other", pls give more details below
Other:
Second Employment Start Date

DayMonthYear
Date
Second Employment End Date

DayMonthYear
Leave the end date blank if sill employed here
Organisation's Postcode*
Your Referee's Phone Number*
Please enter a valid UK phone number, e.g. (44) 07123 456 789 or 0203.. etc.
Their Work Email Address*
Note: personal email addresses may not be accepted for employment references
I confirm that this referee is aware they may be contacted and has agreed to provide a reference.

F_LS-HR-01.OAF – Staff Application Form (Safer Recruitment), V1.25
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.
2 of 2. Full Name of Your Referee*

First NameLast Name
Organisation / Relationship Context :*
(e.g. “XYZ Ltd” or “Known through voluntary work”)
Your Referee's Job Title / Position*
How long have they known you?*
In what capacity do they know you?*
Your Rerefee's Email Address*
Note: A work or organisational email address is preferred where available. Personal email addresses may be accepted for professional character references
Their Phone Number*
Please enter a valid UK phone number, e.g. (44) 07123 456 789 or 0203.. etc.
I confirm that this referee is aware they may be contacted and has agreed to provide a reference.

Pre-Interview Staff Application & Safeguarding Declarations

Section A - Position Applied For

Section B – Personal Details

Section C – Right to Work (UK)

Section D – Employment History (Initial Screening)

Section E – Experience & Suitability

Section F – Referees & Employment Verification

Type of Second Reference

2 of 2 (a). Second Employer

2of 2 (b). Professional Character Reference

Section G – Safeguarding, Criminal Declarations & Self-Disclosure

Section H – Consent & Authorisation for Recruitment Checks