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Current Driving Licence *
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Are there any restrictions on you taking up work in the UK? *
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EMPLOYMENT HISTORY
Please complete in full starting with your most recent employment and give reasons for any gaps in employment
Please include the following:-
Name and address of employer
Job title and duties
Dates employed - from/to
Salary on leaving
Reason for leaving
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Salary when leaving
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Salary when leaving
£
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Salary when leaving
£
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REFERENCES
Please provide details of two referees who can provide information relating to your competency in a caring role, one of whom must be your present or most recent employer (referees for qualified nurses must be professionals). If you are a student, please give an academic referee. If you are applying for a post which requires unsupervised access to children/vulnerable adults, we reserve the right to approach any past employer for a reference
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May we approach the above prior to interview?
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Capacity in which you know them
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May we approach the above prior to interview?
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Capacity in which you know them
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Please provide below details of a third reference. This reference will only be contacted in the event that we are unable to contact either of your above named contacts
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May we approach the above prior to interview?
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Capacity in which you know them
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CAUTIONS, REHABILITATION AND CRIMINAL RECORDS
Because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1986, which means that convictions that are spent under the terms of the Rehabilitation of Offenders Act 1974 must be disclosed, and will be taken into account in deciding whether to make an appointment. Any information will be completely confidential and will be considered only in relation to this application.
In addition, you are required to submit to a Criminal Records Bureau check. Any standard or enhanced disclosure made by the CRB/SCRO will remain strictly confidential.
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Have you ever been convicted in a Court of Law and/or cautioned in respect of any offence?
YES/NO (delete as required) *
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SPECIAL REQUIREMENTS (CARE SECTOR)
Because this position involves the care of children and/or vulnerable adults, employment is dependent on the following:-
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DECLARATION
Please read this carefully before signing this application *
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I understand this is a legal representation of my signature.
Clear
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