Application for Employment

PERSONAL

Forest Homecare is an Equal Opportunities Employer

INTERESTS

TO ALL APPLICANTS

This post is exempt from the provision of section 4(2) of the rehabilitation of Offenders Act 1974. Please detail any convictions or cautions below including those that for any other purposes are “spent”. Any disclosure will be treated in the strictest of confidence, however the failure to disclose may lead to the withdrawal of any offer of employment or dismissal. Should you have no convictions/cautions please state “NONE”.

EDUCATION

EMPLOYMENT

Please provide us with your FULL employment history and explanations for any breaks in your employment.

CHARACTER REFERENCES

Please give details of two people we could approach for references (Not Relatives or Work Colleagues/Managers)

DECLARATION

I declare that the above information is correct to the best of my knowledge

PRIVACY POLICY

As part of any recruitment process, the Company collects and processes personal information, or personal data, relating to job applicants. This personal information may be held by the Company on paper or in electronic format.

This privacy notice applies to all job applicants, whether they apply for a role directly or indirectly through an employment agency. It is non-contractual.

To view our full Privacy Policy please visit our website: https://www.foresthomecare.co.uk/recruit-privacy-policy.aspx

I confirm that I have read and understood the terms of this privacy policy.

YOU WILL BE REQUIRED TO WORK ALTERNATE WEEKENDS – PLEASE TICK YOUR AVAILABILITY FOR BOTH WEEKS

WEEK 1 (WEEKEND ON)

WEEK 2 (WEEKEND OFF)

HEALTH QUESTIONNAIRE

Forest Homecare is committed to the health and safety of its staff. As part of these commitments, this health questionnaire is required to be completed by all staff prior to taking up employment with Forest Homecare so that reasonable adjustments can be made in the workplace.

Are you receiving / received treatment for the following:

Declaration

I declare that the answers to the above questions are true and complete to the best of my knowledge and belief.

EQUAL OPPORTUNITIES QUESTIONNAIRE

Please complete this form, filling in spaces or ticking boxes as appropriate, and include with your Application for Employment.

I would describe my ethnic/cultural origin as:

THANK YOU FOR YOUR ASSISTANCE

Criminal record self-declaration form for jobs exempt from the ROA

This form must be completed by all applicants. The information disclosed on this form will not be kept with your application form during the application process.

Policy statement on recruiting applicants with criminal records

This post is exempt from the Rehabilitation of Offenders Act 1974 and therefore applicants are required to declare any cautions, convictions, reprimands and final warnings that are not protected (i.e. that are not filtered out) as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013).

For further information on filtering please refer to Nacro guidance and the DBS website.

We recognise the contribution that ex-offenders can make as employees and volunteers and welcome applications from them. A person’s criminal record will not in itself, prevent a person from being appointed to this post. Any information given will be treated in the strictest confidence. Suitable applicants will not be refused posts because of offences which are not relevant to, and do not place them at or make them a risk in, the role for which they are applying.

All cases will be examined on an individual basis and will take the following into consideration:

• whether the conviction is relevant to the position applied for
• the seriousness of any offence revealed
• the age of the applicant at the time of the offence(s)
• the length of time since the offence(s) occurred
• whether the applicant has a pattern of offending behaviour
• the circumstances surrounding the offence(s), and the explanation(s) offered by the person concerned
• whether the applicant’s circumstances have changed since the offending behaviour.

It is important that applicants understand that failure to disclose all cautions, convictions, reprimands, or final warnings that are not protected could result in disciplinary proceedings or dismissal. Further advice and guidance on disclosing a criminal record can be obtained from Nacro.

Criminal record self-declaration form ROA Exceptions Order (standard or enhanced DBS checks)

If you are not sure whether your convictions, cautions, reprimands or final warnings are filtered, please contact Nacro for further advice.

If you have answered yes, you now have two options on how to disclose your criminal record.

Option B: You can disclose your record in a written statement provided that you tick the box below and attach the disclosure statement stapled to this form in an envelope. The envelope should be marked CONFIDENTIAL and state your name and the details of the post you are applying for.

DECLARATION

I declare that the information provided on/with this form is correct. I understand that the declaration of a criminal record will not necessarily prevent me from being offered this role at Forest Homecare.