Position applied for
Address*
YesNo
Details of endorsements:
(If Yes, please provide details):*
Duties* Please provide explanation of any gaps if this employment did not immediately follow your previous employment:
Duties Please provide explanation of any gaps if this employment did not immediately follow your previous employment:
Please note any other employment that you would continue with if you were to be successful in obtaining this position.
May we approach the above prior to interview*?
May we approach the above prior to interview?*
Because this position involves employment in a children’s home, it is dependent on the following: 1. Your written consent to obtaining a Disclosure and Barring certificate from the Disclosure and Barring Service. 2. Such disclosure being acceptable to us. 3. Proof of identity – birth or marriage certificate (where appropriate) and passport (if available). 4. Two satisfactory written references including one from your most recent employer(this is a legal requirement). 5. That you will supply a recent photograph of yourself for retention in your records (this is a legal requirement) . 6. Evidence of physical or mental suitability for your work. 7. Documentary evidence of any qualifications relevant for the position (this is a legal requirement).
1. I confirm that the above information is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered. 2. Should we require further information and wish to contact your doctor with a view to obtaining a medical report, the law requires us to inform you of our intention and obtain your permission prior to contacting your doctor. I agree that the organisation reserves the right to require me to undergo a medical examination. In addition, I agree that this information will be retained in my personnel file during employment and for up to six years thereafter and understand that information will be processed in accordance with the Data Protection Act. 3. I agree that should I be successful in this application, I will, if required, apply to the Disclosure & Barring Service for a Disclosure & Barring Certificate. I understand that should I fail to do so, or should the disclosure not be to the satisfaction of the company any offer of employment may be withdrawn or my employment terminated.
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