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- At which setting?*
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- Date of Birth*
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Format: 00000-000000.
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- Do you consider yourself to have a Disability?
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- We require all staff to undergo a check with the DBS – Disclosure and Barring Service. Do you have any objections to this?*
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- Have you ever been convicted of any offence, or ‘bound over’ or given a caution?*
- Are you or anyone in your household disqualified from working with children?*
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- Declaration*
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- Should be Empty: