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  • Application Form:

    (Regulated Activities only i.e.: when DBS checks are part of recruitment process)
  • Employment Desired:

  • Personal Information:

    The following information will be treated in the strictest confidence.
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  • If offered employment, we are required to check your up to date DBS status before you are permitted to start work.
  • Education:

  • Employment Details

    Please give details of your past employment, excluding your present or last employer, stating the most recent first. (Please note there must not be any gaps in your employment history – If you were out of work for any reason, please state the dates and reason.)
  • Present or Last Employer

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  • Length of servce:

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  • References:



  • Declaration

  • I declare that the information given in this form is complete and accurate. I understand that any false information or deliberate omissions will disqualify me from employment or may render me liable to summary dismissal. I understand these details will be held in confidence by the Company, for the purposes of ongoing personnel administration and payroll administration in compliance with the Data Protection Act 1998. I undertake to notify the Company immediately of any changes to the above details.

    Given the nature of the job for which I have applied, I understand that any offer of employment will be subject to information on my criminal record being disclosed to the Company by the Disclosure Barring Service. (Please note that the amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are 'protected' and are not subject to disclosure to employers, and cannot be taken into account. Guidance and criteria on the filtering of these cautions and convictions can be found at the Disclosure and Barring Service website.)

    I have been given a copy of the Company’s Equal Opportunities and Diversity Policy, which includes information relating to the recruitment of ex-offenders.

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