Name: Name: Address: Address: Telephone Telephone Number: Number: Email: Email: Relationship to Relationship to you: you: Rehabilitation of Offenders Act 1974 All posts involving direct contact with vulnerable children are exempt from the Rehabilitation of Offenders Act 1974. The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are are not subject to disclosure to employers and cannot be taken ‘protected’. These into account. Guidance and criteria on the filtering of these cautions and convictions can be found on the Disclosure and Barring Service website. Have you ever been convicted of a criminal offence which is not YES/NO ‘protected’ If you have answered yes, supply details of all convictions in a sealed envelope marked and attach to this form. If your application is successful, this information will be ‘confidential’ checked against information from the Disclosure & Barring Service before your appointment is confirmed. 7. Other Information Do you consider yourself to have Yes No a disability? If yes, would the provision of any aids or modification assist you in carrying out the duties of the post? Is there anything we need to know about your disability in order to offer you a fair selection interview?
Name: Name: Address: Address: Telephone Number: Telephone Number: Email: Email: Relationship to you: Relationship to you: Rehabilitation of Offenders Act 1974 All posts involving direct contact with vulnerable children are exempt from the Rehabilitation of Offenders Act 1974. The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are ‘protected’. These are not subject to disclosure to employers and cannot be taken into account. Guidance and criteria on the filtering of these cautions and convictions can be found on the Disclosure and Barring Service website. Have you ever been convicted of a criminal offence which is not ‘protected’ YES/NO If you have answered yes, supply details of all convictions in a sealed envelope marked ‘confidential’ and attach to this form. If your application is successful, this information will be checked against information from the Disclosure & Barring Service before your appointment is confirmed. 7. Other Information Do you consider yourself to have a disability? Yes No If yes, would the provision of any aids or modification assist you in carrying out the duties of the post? Is there anything we need to know about your disability in order to offer you a fair selection interview?
Holy-Trinity-Application-Form-TA-0607.docx