APPLICANT PERSONAL DETAILS
NEXT OF KIN DETAILS
Please include all previous employment details from when you left school, explaining any gaps.
EDUCATIONAL QUALIFICATIONS
RELEVANT TRAINING COMPLETED
REFERENCES:
Please Give Names of 2 Responsible Persons who can provide references ONE of which must be an Employer.
ADDITIONAL INFORMATION
Are there any immigration restrictions limiting your freedom to work in this country?
The position you are applying for is exempted under The Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975, which means all convictions, cautions, reprimands, and final warnings on your criminal record that are not defined as protected must be disclosed. A conviction will not necessarily prevent your application from proceeding.
Yes No
Do you have any convictions, cautions, reprimands, and final warnings on your criminal record that are nor defined as protected as defined by The Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 [as amended in 2013]?
Yes No
If yes, please give details of offences, penalties, and dates.
Are you aware of any Police enquiries undertaken following allegations made against you, which may have a bearing on your suitability for this post?
Yes No
If yes, please give details:
DECLARATION
I confirm that the information I have given on this form is correct and complete, and that any misleading statements may be sufficient for cancelling any agreements made. Because of the nature of the duties the post holder will be expected to perform, I understand that I will have to undertake a DBS Enhanced Disclosure. In order to comply with the Conduct of Employment Agencies and Employment Businesses Regulations 2003, I consent to personal data being shared with clients and other public bodies where required by law.