1986 We would draw your attention to the following statement:-
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 Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 and the Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) Order 1986.
Applicants are, therefore, obliged to disclose information about any convictions which for other purposes would be regarded as ‘spent’ under the provisions of the Act”. Failure to disclose such convictions could result in dismissal or disciplinary action by the employing organisation. Any information given will be confidential and will be considered only in relation to any post to which the conviction applies.
Please give the detail of two references. We will take up professional references once you have been interviewed and provisionally offered a post. Please make sure that you have given the full contact details of your referees so that this does not delay processing reference requests.
If you have no employer references, we will take up references with named individuals at colleges where you have studied, or people who know you in a professional capacity. Please do not put down family members or people you live with as referees.
Care Passion wishes to have an agreement with you, which will apply until terminated by notice:
If you accept this proposal please sign below. This section of the application form will then be a record of this agreement between you and Care Passion.
Statement to be Signed by the Applicant
Please complete the following declaration and sign it in the appropriate place below. If this declaration is not completed and signed, your application will not be considered.
I agree that Care Passion can create and maintain computer and paper records of my personal data and that this will be processed and stored in accordance with the Data Protection Act 1998.
I confirm that all the information given by me on this form is correct and accurate and I understand that if any of the information I have provided is later found to be false or misleading, any offer of employment may be withdrawn or employment terminated.
CONFIDENTIAL
Care Passion is an equal opportunities employer and will ensure that no job applicant or employee receives less favourable treatment particularly on the grounds of sex, race, colour, nationality, ethnic origin, marital status, disability, sexuality, age, religious belief, political belief, trade union activity, responsibility for dependants, employment status or HIV status.
Please complete this form and return it with the main Application Form to assist Care Passion in monitoring its Recruitment and Selection process. In addition, the information will form part of the employment record for the successful applicant and will be used by Care Passion for later equal opportunities monitoring purposes throughout the period of employment.
This form is not made available to those conducting the recruitment interview.
PLEASE NOTE: If you falsify any information on this form or fail to mention anything relating to your health which may later come to light, you may be liable for disciplinary action including immediate suspension.
You are required to complete the Health Self Declaration Assessment below which must be signed and returned to Care Passion Agency prior to the start date.
As a health care worker, you are under ethical and legal duties to protect the health and safety of the individuals in your care. All information disclosed will be processed in accordance with the requirements of the Data Protection Act
Nursing and Allied Professionals Only:
Please provide the following details of your immunization record:
I declare that all of the information provided regarding my declaration of health and immunisation record is true to the best of my knowledge and I will endeavour to inform Care Passion of any changes in my health circumstances that may affect my ability to work.
