Read all the following statements carefully and click the box that applies to you.

• A comprehensive CV is acceptable provided it lists your full history from secondary school and details of the month & years.
• Please supply details of your history starting from secondary school to date.
• Please explain any gap in your history.
• Please continue on a different sheet if required

• Because Of The Bature Of The Work For Which You Are Applying. Section 4(2), And Further Order Made By The Provision Of This Section Of The Rehabilitation Of Offenders ACT (1947) (Exceptions) Order 1947 Applies. Applicants Are Therefore Required To Give Information About Convictions Which For Other Purposes Are "spent"under The Provisions Of The Act. Any Information Given Will Be Completely Confidential And Will Be Considered Only A Relation For Positions To Which The Order Applies.

• Please supply the names and work addresses of at least one clinical professional referee.

  • This referee must be from your present or most recent employer.
  • The referee should hold a senior position relative to your own.
  • The duration of your employment under this person should be more than three months.

• The second referee should be from a previous employer.

  • You should have been employed with this previous employer for more than three years.
  • If the three-year criterion is not met, the second referee must be someone from your current or most recent employer.

General Instructions

This employment is not exempt from the provisions of the Rehabilitation of Offenders Act 1974. You are not, therefore, entitled to withhold information requested by the company about any previous convictions in this country or abroad you may have, even if in other circumstances these would appear spent. I confirm that the information I have given is true. I understand that if the information given on the application form is found to be false, it may result in disciplinary action, which could include dismissal. Should I be offered employment, I accept that I will be required to notify the company of any change to my DBS status.

Confidentiality

If you are successful in your application for employment with C and S Recruitment Agency, all information you see or hear in the course of your duty is confidential. You must not disclose any personal details or information relating to clients, their medical conditions, or information that is deemed to be commercially sensitive to the organization.

Data Processing

Personal information collected on this declaration will be processed and stored in full accordance with the Data Protection Act 1998 and the General Data Protection Regulation 2018. In line with the legislation, C and S Recruitment Agency files are kept securely in a safe and secure location. You understand that any personal detail held by C and S Recruitment Agency may be accessed from time to time by inspectors from the Care Quality Commission, other regulatory bodies, and designated individuals in line with contractual obligations.

Working Time Regulations 1998

The European Union has laid down guidelines for all workers, governing the length of the maximum working week that is safe to work. The current limit is 48 hours per week. Because you are under no obligation to accept work offered, you will not be compelled to work more than 48 hours per week; however, you may choose to do so.

Employment with C and S Recruitment Agency

It is C and S Recruitment Agency's policy to employ the most suitably qualified personnel and to ensure equal opportunity for the advancement of employees. This includes promotion and training and prohibits discrimination against any individual on the basis of race, color, ethnicity, nationality, sexual orientation, gender, religion, belief, pregnancy, marital or civil partnership status, age, or disability. In completion of this application form, I authorize C and S Recruitment Agency to obtain references to support this application once an offer has been made and accepted. I release C and S Recruitment Agency and submitted referees from any liability caused by giving and receiving any information. I can confirm that the information given on this form is, to the best of my knowledge, true and complete, and that the provision of any false statement(s) will be sufficient cause for rejection or, if employed, dismissal. By submitting this application form, you have confirmed that you have read, understood, and accepted all of the above.