Please complete this form and click submit to return it to the 111 Human Resources Team.
You are required to provide the name, full address and telephone number of at least two employment referees. Other referees will only be acceptable in exceptional circumstances (e.g. if you have no previous employment you may give the details of a head teacher or tutor).
References must go back a minimum of three years. If your first two references do not cover this period of time, please provide the details of additional referees to cover three years.
Failure to disclose this information may disqualify your application or, if appointed, render you liable to dismissal.
It is Company policy that, prior to confirmation of employment, all employees must have received a satisfactory health check. Successful applicants will therefore be required to complete a detailed medical questionnaire and may be required to attend a medical examination prior to being appointed.
The information in this application form is true and complete. I agree that any deliberate omission, falsification or misrepresentation in the application form may 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.
Because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of Rehabilitation of Offenders Act (Exceptions) Order 1975 as amended. You are therefore required to disclose information about ALL cautions and/or convictions in a court of law, which for other purposes are considered as ‘spent’ under the Act.
If you have any convictions you are required to supply details of these in a separate sealed envelope. This information will be completely confidential and will only be considered in relation to an application for a post that the Order applies. In certain circumstances where posts involve substantial access to children and/or vulnerable adults, applicants will also be subject to a Disclosure & Barring Services Check (DBS).
The Equality Act protects people with disabilities from unlawful discrimination. If we know you have a disability we will make adjustments to your working arrangements or your working environment provided it is reasonable in all of the circumstances to do so.
The Working Time Regulations state that you are not allowed to work in excess of an average of 48 hours per week over a rolling 17-week period. The limit includes time spent working for other organisations / employers. Please complete the information below so that we are aware of your other working commitments.
