Young people and carer gardening at a home.

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Personal Details

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Address Information

Role and Employment Details
Are you free to take up employment in the UK? *
If no, are you subject to immigration control?
Are you available to work on a shift pattern, 365 days per year? *
Are you available to work weekends? *
Are you available to work night shifts (waking nights)? *
Are you available to do sleepover shifts? *
Information about your driving licence
Do you hold a full Driving Licence? *
If yes, is your driving license registered in the UK?
Is your driving licence for a manual vehicle?
Do you have any unspent driving related convictions or points on your licence? *
Employment History

Starting with your most recent employer, please provide details of your employment history. In the case of your most recent role, please also provide details of your reason for leaving. *

Education & Qualifications

Education History

If you hold any of the following qualifications, please select as appropriate

Rehabilitation of Offenders Act
Do you have any criminal convictions, bind-over, pending circumstances in respect of any offence? *
Safer Recruitment - Safeguarding Questions
Do you hold a current PVG or DBS? *
If you hold a DBS, are you currently registered on the update service? *
Can you confirm which vulnerable group your PVG/DBS is applicable for?
Have you previously worked with children? *
Have you ever been the subject of any allegations in relation to the safety and welfare of children, young people and/or vulnerable adults? *
If, YES, were the allegation(s) substantiated?
Have you ever had any action taken against you by an authority (LADO/Care Inspectorate/SSSC) in connection with safeguarding of vulnerable children under the age of 18? *
Have you ever been dismissed or resigned in the face of disciplinary action in connection with safeguarding of vulnerable children under the age of 18? *
Has an application made by you for registration of a voluntary or registered home ever been refused? *
Have you ever been refused registration to be a child minder or provider of day care, or had your registration as either of these cancelled? *
Has an order been made at any time for the purpose of removing a child from your care or preventing a child living with you? *
Have you ever been prohibited from being a foster parent? *

Thank you for taking the time to complete our application form. A member of the recruitment team will get in touch with you as soon as possible.

Equal Opportunities
We are committed to the fair treatment of our staff, potential staff, regardless of race, gender, religion/belief, sexual orientation, age, pregnancy/maternity, marital or civil partnership status, physical/mental disability, responsibilities for dependants or offending background.

The information you give on this form will help us ensure equality in our services to you. We recognise that you may regard some of this information as personal and we have, therefore, included an option in most questions for ‘prefer not to say’.

All information that we collect in relation to equality and diversity will be treated confidentially in accordance with the Data Protection Act 2018 and will be stored within the Applicant Tracking System. Access to this information will be restricted to staff involved in the processing and monitoring of this data. It will be used to provide statistical information only. In completing the form below, you consent to us using your data for this purpose.

If you have a medical condition, the Equality Act 2010 requires employers to make reasonable adjustments to the job content or working environment. To achieve this, we need to know whether you are covered. Definition of Disability: “A physical or mental impairment which has a substantial and long-term effect on a person’s ability to carry out normal day-to-day activities in a non-work environment.”

There are 6 million carers in the United Kingdom and nearly one in eight workers are carers. With an ageing population and an expected increase of 60% of carers in the next 30 years, we would like to monitor the number of people with caring responsibilities.

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