Care Practitioner application form
Please fill out all the information below before submitting.
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Email *
Name *
Email address *
NI Number: *
Address *
Telephone number *
Do you have a full UK license and access to a car?(has to be submitted at interview stage with a copy of up to date insurance details) *
Secondary Educational qualifications  (School name and results achieved) *
Further Education and additional training courses (college courses etc) *
Previous employment information. (Present/ most recent employer *
Other past employment details. (Employer name and dates of employment)   *
How did you hear about Care Herts? *
Have you ever been convicted of a criminal offence? (Declaration subject to the rehabilitation of Offenders Act 1974) If yes, please give further details. *
Do you have permission to work in the UK? (If taken to interview stage, documentation will need to be reviewed. Passport/visa etc.) *
Due to the nature of the work for which you are applying for this post is exempt from the provisions of section 4 (2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (exemptions) Order 1975. Applicants are therefore not entitled to withhold any information about convictions which, for other purposes are 'spent' under the provisions of the Act. In the event of employment any failure to disclose such convictions could result in dismissal or disciplinary action in line with company policy. Any information given will be confidential and will be considered only in relation to an application for positions in which the order applies.
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Care Standards Act 2000: State any police cautions and incidents with police, in view of the nature of  the position for which you are applying.
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