References Please give names and address of two referees, one of whom should be your current or most recent employer. Reference 1 Reference 2 Employer: Employer/Personal Name: Name: Job Title: Relationship: Company: Company: Address: Address: Telephone No: Telephone No: E-mail: E-Mail: Should referees be approached prior to interview? 8. DECLARATION Rehabilitation of Offenders Act 1974 The position for which you are applying is exempt from the provision of Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975. Applicants should be assured that the information they give will be kept confidential. The Data Protection Act requires that personal information is obtained and processed fairly and lawfully; is only disclosed in appropriate circumstances; is accurate, relevant and not held longer than necessary; and is kept securely. Only relevant convictions and other information will be taken into account so disclosure need not necessarily be a bar to obtaining this position. Have you ever been convicted or cautioned of a criminal offence? Yes / No Are you aware of any police enquiries undertaken following allegations made against you, which may have a bearing on your suitability for this post? Yes / No Data Protection Act 1998 Any data about you will be held in secure conditions with access restrictions. Data will also be used for employment monitoring purposes however all data will be kept anonymous. If you are unsuccessful, your application will be destroyed after 3 months. If you are the successful candidate, relevant information will be taken from this form and used as part of your personal record. Asylum and Immigration Act 1996 (Section 8) This act makes it a criminal offence for an employer to take on new staff whose immigration status prevents them from taking up the post in question. This applies to all types of employment, including part-time, temporary or casual appointments. For most jobs you will only be asked to produce one or two documents if you are offered the job. Documents will be checked as a completely separate process. I declare that the information contained in this application is complete and correct. I understand that, if I have knowingly provided false information in my application, I may be disqualified or dismissed after appointment. I consent to the use of this information as outlined above. Signature: _________________________ Date: ________________________
References Please give names and address of two referees, one of whom should be your current or most recent employer. Reference 1 Reference 2 Employer: Employer/Personal Name: Name: Job Title: Relationship: Company: Company: Address: Address: Telephone No: Telephone No: E-mail: E-Mail: Should referees be approached prior to interview? 8. DECLARATION Rehabilitation of Offenders Act 1974 The position for which you are applying is exempt from the provision of Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975. Applicants should be assured that the information they give will be kept confidential. The Data Protection Act requires that personal information is obtained and processed fairly and lawfully; is only disclosed in appropriate circumstances; is accurate, relevant and not held longer than necessary; and is kept securely. Only relevant convictions and other information will be taken into account so disclosure need not necessarily be a bar to obtaining this position. Have you ever been convicted or cautioned of a criminal offence? Yes / No Are you aware of any police enquiries undertaken following allegations made against you, which may have a bearing on your suitability for this post? Yes / No Data Protection Act 1998 Any data about you will be held in secure conditions with access restrictions. Data will also be used for employment monitoring purposes however all data will be kept anonymous. If you are unsuccessful, your application will be destroyed after 3 months. If you are the successful candidate, relevant information will be taken from this form and used as part of your personal record. Asylum and Immigration Act 1996 (Section 8) This act makes it a criminal offence for an employer to take on new staff whose immigration status prevents them from taking up the post in question. This applies to all types of employment, including part-time, temporary or casual appointments. For most jobs you will only be asked to produce one or two documents if you are offered the job. Documents will be checked as a completely separate process. I declare that the information contained in this application is complete and correct. I understand that, if I have knowingly provided false information in my application, I may be disqualified or dismissed after appointment. I consent to the use of this information as outlined above. Signature: _________________________ Date: ________________________
headway-gloucestershire-application-form-2018.docx