Personnel Application Form

STRICTLY CONFIDENTIAL
APPLICATION FOR EMPLOYMENT

PERSONAL DETAILS

PREVIOUS EMPLOYMENT

A full employment history must be detailed beginning with your current employment, and covering all reasons for gaps in any given year.

REHABILITATION OF OFFENDERS ACT 1974 – NOTICE TO OFFENDERS

Because of the nature of the work involved, the post for which you are applying is exempt from Section 4(2) of the rehabilitation of Offenders Act 1974 by virtue of the rehabilitation Offenders Act (Exemption Order 1975). This means that you are not entitled to withhold information relating to any convictions you may have had.
Any information should be given on a separate sheet and sent with this application form. This information will be treated as confdential and will not necessarily preclude you from employment.

ANSWER EVERY QUESTION SO THAT WE WILL BE ABLE TO FULLY ASSESS YOUR APPLICATION AND MAKE A DECISION WITHOUT UNDUE DELAY.

ADDITIONAL PERSONAL DETAILS

REFERENCES

REFEREE 1

REFEREE 2

This organisation seeks to work in a flexible and family friendly manner with its staff, however unsocial hours are part and parcel of a quality care service. Weekend working is a requirement for all staff, the frequency of which will be determined at interview.
Thank you for completing this application form.
I declare that to the best of my knowledge, all of the information contained and documented herein is complete and truthful.

EQUAL OPPORTUNITIES MONITORING

This section of the application will be detached and used for monitoring purposes only. Our organisation recognise and actively promote the benefts of a diverse workforce and are committed to treating all employees with dignity and respect regardless of race, gender, disability, age, sexual orientation religion or belief. We welcome applications from all sections of the community.

I Please select the option which best Please indicate your religion or belief describes your sexuality

HEALTH QUESTIONNAIRE

(To be used for those applicants that have been deemed appointable).

In order to comply with the Health and Social Care Act 2008 and the Equality Act 2010, please complete this questionnaire as fully as possible. Failure to do so could impede or delay your appointment. All information is confdential.

SPENT SOMETIME OUT OF UK AS A RESIDENT ?
Please List below any vaccinations or immunisations

I declare that the information given is correct to the best of my knowledge. In my view, I am ft physically and mentally to undertake this post. I understand that omissions or false statements may disqualify me from employment or lead to dismissal. I give the employer the right to investigate all references

Headquarters:
3 Thetford Mews, Caversham, RG4 6SN,
Company Reg: 11788238.
UK:
Phone: 0044742433616
Email: info@worldclasscareandstaffing.co.uk
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