Please provide all relevant training and qualifications, also indicate subjects currently being studied and expected year of qualification. All qualifications disclosed will be subject to a satisfactory check.

Please record below the details of your full employment history beginning with your current or most recent first. Please cover all reasons for gaps in any given year. If you need more space, please use the employment history sheet(s) at the end of this form.

Please provide the names and full contact details of your referees. Referees may be contacted before interview unless you state otherwise below.

Alliance Care Professionals Ltd is committed to safeguarding and promoting the welfare of its service users and expects all staff to share that commitment.
As the job for which you are applying involves substantial opportunity of access to vulnerable adults, it is exempted from the provisions of the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975. Therefore, you are required to disclose any and all current or ‘spent’ criminal convictions, cautions, reprimands, bind overs or warnings you may have incurred, regardless of how long ago.

In accordance with equal opportunities statement, we provide equal opportunities to all employees and job applicants. We will not discriminate either directly of indirectly on the grounds of
• age and sex.
• race which includes colour, nationality, ethnic or national origin.
• religion or belief, including a lack of any belief.
• sexual orientation, be it bisexual, gay, heterosexual and lesbian.

Please indicate if you have any disabilities, please let us know if we need any adjustments when assisting you with your search for work.

I declare that to the best of my knowledge and belief the information given by me in this application is true, and I understand that the above information forms the basis of my contract of employment. I understand that if any of the information supplied by me is found to be falsely declared, my contract may have been fundamentally breached and my employment may be terminated immediately. I understand that I may not be offered a post until a satisfactory response has been received with respect to my DBS Register status, and that should I subsequently be offered a post, that offer will be subject to receipt of two satisfactory references, one of which must be from my previous employer, and that confirmation of the employment will be subject to a satisfactory criminal record check from the DBS. By my signature, I authorise Alliance Care Professionals Ltd to request a DBS Register check and a criminal records check from the DBS, on initial employment and at any time during my employment thereafter. I undertake to inform my employer immediately if my DBS Register status or criminal status changes at any time during my employment, such as by being charged with an offence (other than motoring offences), the administering of a warning, criminal conviction, referral to any register of barred Care workers, or withdrawal of any registration required by my employment status.

I agree to the above declaration

Privacy Notice and Consent form for Employees

In May 2018, the law changed about how employers record, store and use individuals’ personal data. As part of our recruitment process Alliance Care Professionals need to collect and hold data about you to enable us to process your application. We will share your personal data to third parties. We acknowledge and agree that any personal data of yours that we handle will be processed in accordance with all applicable data protection laws in force.

Alliance Care Professionals Ltd is registered with ICO (Registration - ZA563429) for processing your DATA. If you have a concern about the way we are collecting or using your personal data, you should raise your concern with us in the first instance or directly to Information Commissioners Office at https:\\ico.org.uk\concerns.

Your consent is requested.

I would like your consent to hold personal and special data about you in order that I can process your employment contract. You are entirely in control of your decision to give consent to our use of your data as requested in this form. There will be no repercussions if you choose to withhold consent.

Please acknowledge receipt of the Alliance Care Professionals Ltd Privacy Notice and confirm that you have read and understood it. If you would like a copy, please let us know.

I agree to the above declaration