Reason for Applying Please use the space below to demonstrate how you meet the requirements of the person specification, giving examples where appropriate. Please include further information about yourself that you feel is relevant. Continue on to next page if necessary. Rehabilitation of Offenders Act 1974 Because of the nature of the work which you are applying this post is exempt from the provision for Section 4 (2) of the Rehabilitation of Offenders Act 1974 in accordance with the Rehabilitation of Offenders Act 1974 (Exceptional) Order 1975 as amended by the Rehabilitation of Offenders Act 1974 (Exemptions) (Amendment) Order 1986. Applicants are therefore not entitled to withhold information about convictions, cautions or bind over orders which for any other purposes are under the ‘spent’ provisions of the Act, and, in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action. Any information will be completely confidential. Having a criminal record will not necessarily bar you from working with us. This will depend on the nature of the position and the circumstances and background of your offence. Please answer the following questions: Have you ever been convicted of a criminal offence in the past? Yes No Signed Date You will be asked to complete an enhanced DBS application, if you do not have an enhanced DBS certificate provided by Hackney Learning Trust or if you do not have an enhanced DBS registered to the update service with a certificate date within the last 3 years. Please note, if you have lived outside of the UK in the last 5 years for 12 months or more, you will need to provide a certificate of good conduct from whichever country/countries you have resided in if your application is successful. Have you previously used or do you currently use any other forenames or aliases? Yes No If yes please names and dates used Name Dates
Reason for Applying Please use the space below to demonstrate how you meet the requirements of the person specification, giving examples where appropriate. Please include further information about yourself that you feel is relevant. Continue on to next page if necessary. Rehabilitation of Offenders Act 1974 Because of the nature of the work which you are applying this post is exempt from the provision for Section 4 (2) of the Rehabilitation of Offenders Act 1974 in accordance with the Rehabilitation of Offenders Act 1974 (Exceptional) Order 1975 as amended by the Rehabilitation of Offenders Act 1974 (Exemptions) (Amendment) Order 1986. Applicants are therefore not entitled to withhold information about convictions, cautions or bind over orders which for any other purposes are ‘spent’ under the provisions of the Act, and, in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action. Any information will be completely confidential. Having a criminal record will not necessarily bar you from working with us. This will depend on the nature of the position and the circumstances and background of your offence. Please answer the following questions: Have you ever been convicted of a criminal offence in the past? Yes No Signed Date You will be asked to complete an enhanced DBS application, if you do not have an enhanced DBS certificate provided by Hackney Learning Trust or if you do not have an enhanced DBS registered to the update service with a certificate date within the last 3 years. Please note, if you have lived outside of the UK in the last 5 years for 12 months or more, you will need to provide a certificate of good conduct from whichever country/countries you have resided in if your application is successful. Have you previously used or do you currently use any other forenames or aliases? Yes No If yes please names and dates used Name Dates
SC3868%20Application%20Form.docx