Application Form

Details entered in this part of the form will be held by the People Services Team.

Personal Details

Rehabilitation of Offenders Act 1974

The Rehabilitation of Offenders Act helps rehabilitated ex-offenders back into work by allowing them not to declare criminal convictions after the rehabilitation period set by the Court has elapsed and the convictions become "spent". During the rehabilitation period, convictions are referred to as "unspent" convictions and must be declared to employers. Before you can be considered for appointment we need to be satisfied about your character and suitability. Alliance for Better Care CIC aims to ensure equality of opportunity and is committed to treating all applicants for positions fairly and on merit regardless of race, gender, marital status, religion or belief, disability, sexual orientation and age. Alliance for Better Care CIC undertakes not to discriminate unfairly against applicants on the basis of a criminal conviction or other information declared. If you are applying for a post involving access to persons in receipt of health services, your offer of employment may be subject to a satisfactory disclosure from the Disclosure and Barring Service. Failure to reveal information relating to any convictions could lead to withdrawal of an offer of employment. Anyone applying for a position which involves a regulated activity and certain controlled activity from 12 October 2009 will require an enhanced DBS check and that disclosure will, where appropriate to the role, include information against the Independent Safeguarding Authority barred lists for working with children or working with adults or both.

Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975

In order to protect certain vulnerable groups within society, there are a number of posts that are exempt from the provisions of the Rehabilitation of Offenders Act 1974. As the post you have applied for falls within this category, it will be exempt from the provisions of the Rehabilitation of Offenders Act by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. Applicants for such posts are not entitled to withhold any information about convictions or other relevant criminal record information which for other purposes are "spent" under the provisions of the Act. If you are successful with this application, any failure to disclose such information could result in dismissal or disciplinary action. Any information provided will be confidential and will be considered only in relation to posts to which the Order applies. From 12 October 2009 under the terms of the Safeguarding Vulnerable Groups Act (2006), all positions involving regulated and certain controlled activity with children and vulnerable adults and which are carried out frequently, intensively or overnight will require an enhanced DBS check. Where appropriate to the role, the DBS disclosure will include information against the Independent Safeguarding Authority barred lists for working with children and/or vulnerable adults.

Relationships

APPLICATION FOR EMPLOYMENT

Details entered in this part of the form will be held by the People Services Team.

Education & Professional Qualifications

Include in this section all the relevant qualifications (including GCSE’S, AS and A levels). Please also indicate subjects currently being studied. All qualifications disclosed will be subject to a satisfactory check.

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Training Courses Attended

Include in this section any relevant training courses that you have attended or details of courses that you are currently undertaking.

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Membership of Professional Bodies

Include in this section any relevant professional registrations or memberships. If you are registered then please enter the relevant details below; this information will be subject to a satisfactory check.

If professional registration is not required then go to Employment History.

If you are registered then please enter the relevant details below:

If you are applying for a post that requires professional registration you are required to provide the following information:

Employment History

Please record below the details of your current or most recent employer

Previous Employment

Please record below the details of your full employment history, beginning with the most recent first.

Previous Employer 1

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Previous Employer 2

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Previous Employer 3

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Previous Employer 4

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Previous Employer 5

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Please add additional employers/information as required.

References

Please state the names and contact details of the people who have agreed to supply references covering a minimum of 3 years employment/education. If you are or have been employed, these should include your two most recent employers, your line manager or someone in a position of responsibility who can comment on your work experience, competence, personal qualities and suitability for the post. If you are a student please provide contact details of a teacher at your school, college or university. If you have not been in employment for a considerable amount of time but have had previous employment, then you should seek one reference from your last known employer and a personal reference from a person of some standing within your community i.e. doctor, solicitor, MP etc. Where it is not possible to obtain any employer reference at all then please obtain two personal references. Where no personal reference can be obtained then references should be sought from personal acquaintances not related to or involved in any financial arrangement with you. If you have undergone training to return to work then the academic institution should be contacted. Personal references such as friends and relatives are not acceptable unless stated previously. Please note, all reference requests will be sought through your line manager or other relevant department manager and your employment history will be verified through the organisation’s recruitment function. Please ensure that you provide full contact details.

Reference 2

General Data Protection Regulation

Alliance for Better Care CIC is committed to protecting the privacy and security of your personal information. Please see the accompanying privacy notice which describes how we collect and use personal information about you during and after your working relationship with us, in accordance with the UK General Data Protection Regulation (UK GDPR). It applies to all employees, workers and contractors.

*DECLARATION

The information in this form is true and complete. I agree that any deliberate omission, falsification or misrepresentation in the application form will be grounds for rejecting this application or subsequent dismissal if employed by the organisation. Where applicable, I consent that the organisation can seek clarification regarding professional registration details.

I agree to the above declaration

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