Please give details of ALL previous employment and account for any periods in between roles, eg. unemployment, voluntary work etc. Please continue on a separate sheet if necessary. Whist we require a minimum of two references, should these not cover the last five years, please provide further names and addresses to cover this period. One referee must be your line manager from your current, or most recent employer. Social work students may use Course Tutor / Practice Teacher as requested below. Please ensure you use block capitals and continue on a separate sheet of paper if necessary.
All applicants must answer the following. Failure to do so will render your application invalid.Because of the nature of the work you are applying for, the Rehabilitation of Offenders Act (Exceptions) Order 1975 applies. Applicants are therefore NOT entitled to withhold information about convictions which for other purposes are ‘spent’ under the provisions of the Act, and in the event of employment any failure to disclose such convictions may result in removal from our register.
If you have been retired on health grounds you will need to prove you are fit for work
I declare that all the information I have given is correct. I understand that if I knowingly make false statements I could be the subject of Police investigation and prosecution. It may also terminate my employment from Elite Care Recruitment. I have read, understood and agree to the terms and conditions as laid down in your leaflet, of which I have been given a copy. I understand that my registration is subject to at least two satisfactory references and a satisfactory result after checking with the Development of Health and/or Police records. I undertake to inform you immediately if I am engaged through your introduction, including the offer of permanent employment following temporary assignment. I will inform Elite Care Recruitment of any changes in circumstances which may affect my ability to work in the care profession while registered with Elite Care Recruitment.I hereby give my consent to the Company to process the following information:
Sensitive personal data
I consent to the Company processing the above personal data for the following purposes:
The consent I give to the Company will last for 6 years after my employment has ended. I am aware that I have the right to withdraw my consent at any time by informing the Company that I wish to do so.
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Elite Care Recruitment Ltd