Cautions, Rehabilitations 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.

Disqualification for Caring for Children Regulations 2002.

These regulations disqualify individuals who have committed certain offences, or for other reasons, from running or being employed in a children’s home. Information on reasons for disqualification was provided with the application form. Please confirm that you are not disqualified by signing the declaration below:

I confirm that all the information contained herein is to my knowledge true and accurate and that none of the circumstances leading to disqualification under the Disqualification for Caring for Children Regulations apply to me.

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 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).

DECLARATION

I confirm that the information provided in this application is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered/Summary dismissal.

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.

I agree that should I be successful in this application; I consent for Independence Development Ltd to apply to the Disclosure and Barring Service for a Disclosure and Barring Certificate. I understand that should the disclosure not be to the satisfaction of the company any offer of employment may be withdrawn or my employment terminated.

I consent Independence-Development Ltd to contact my referees including my most recent employer. I understand that satisfactory references must be obtained as part of the conditions of the employment offer.

Please read the statements above carefully, and only sign below if you can agree with all the statements above.