Other Employment

Please note any other employment that you would continue with if you were to be successful in obtaining this position.

Leiesure

Please note here your leisure interests, sports and hobbies, other pastimes etc.

References

Please note here the names and addresses of two persons from whom we may obtain both character and work
experience references.

General Comments

Please detail here your reasons for this application, your main achievements to date and the strengths you would bring to this post. Specifically, please detail how your knowledge, skills and experiences meet the requirements of this role (as summarised in the person specification).

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 1974, by virtue of the Exceptions Order 1975 as amended by the Exceptions (Amendment) Order 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 Disclosure and Barring check. Any disclosure made by the Disclosure and
Barring Service will remain strictly confidential.

Have you ever been convicted in a Court of Law and/or cautioned in respect of any offence? YES/NO (delete as required).

If YES, please give details.

Special Requirements (Care Sector)

Because this position involves the care of children and/or vulnerable adults employment is dependent on
the following:

1. Your written consent to obtaining a Disclosure 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.
5. That you will supply a photograph of yourself for retention in your records.
6. Evidence of physical or mental suitability for your work.