Application Form

SAMPLE APPLICATION FORM

REFEREES AND GUARANTORS

Please provide the details of two people that we can write to for a reference (Work and School References), and one guarantor (Someone that have known you for at least 5years).

One of your references can still be your guarantor. Do well to inform whoever you are using for reference or guarantor before putting down their names. The first of these people must be your current or most recent employer. If you cannot provide details of a teacher or tutor for school reference, we may accept a personal reference from a person of professional standing (e.g a doctor, lawyer, accountant, recognised leader or teacher) who knows you, either professionally or personally.

You must not give the names of friends or relatives or colleagues that are/were not senior to you as referees. All references will be verified. First referee (should be current or most recent employer).

FIRST REFEREE

GUARANTOR

CRIMINAL RECORDS

Care workers work with vulnerable people and we take our responsibility to protect them very seriously.

Your appointment will depend on the satisfactory completion of a criminal record disclosure (see policy statement below), but at this stage, we need you to answer the following questions truthfully and honestly.

In your lifetime, have you received any convictions, cautions, reprimands or final warnings?

To your knowledge, are you currently the subject of any criminal proceedings (for example, charged or summoned but not yet dealt with) or any police investigation?

If you answered yes to either of the two previous questions, please provide details

Do you consent to our applying for an enhanced criminal records disclosure on you and to our retaining a copy of your disclosure certificate during the period of your employment or until a new disclosure is completed (whichever occurs first)?

VIEW POLICY