1. I understand that if I am charged or cautioned after signing this declaration, I must inform Ambition.

2. I acknowledge that I have been given a copy of the contract of employment issued by Ambition , which is mine to keep, and furthermore that I have read those Terms and Conditions and agree to abide by them.

3. I acknowledge and confirm that Ambition is authorised to apply for and obtain a Disclosure and Barring Service Check (including the online status update service check if applicable) and references from any previous employers and educational establishments.

4. I am not aware of any condition, medical or otherwise, which would affect or limit my employment or performance, other than those declared in my Occupational Health Questionnaire

5. I declare that the information given herein is true and complete and is not presented in a way intended to mislead. I agree that if I have given false or misleading information or omit to give relevant information now or in the future that Ambition may cease to offer me further placements without notice, as well as a claim for recovery of any payments I have received, together with a claim for a loss of profit to Ambition.

6. I acknowledge that my personal details will be stored and handled correctly by Ambition in accordance with the Data Protection Act 1998 however; I agree that they may be made available for audit/review by relevant organisations, e.g. Care Quality Commission and, where applicable, Ambition clients. (This is relevant for all information including all documents – DBS, Occupational Health, References).

7. I understand that if I am on a student visa I can only work for 20 hours per week during term time. I understand that I have a responsibility to monitor this. In addition, if my position as a student changes, I must inform Ambition.

8. I confirm that I am not disqualified from working with children, or subject to any sanctions imposed by a regulatory or professional body

9. I confirm I am happy for my photo to be shared to a third-party company so that my ID badge can be created and sent to my home address. This image will be held on file by Ambition.

10. I acknowledge that if any of my details stated on this Application Form change, or my circumstances change, which may affect my ability to work for Ambition, I must inform Ambition immediately.

11. I give permission for Ambition to run a Right to Work check with the Home Office if I provide them a Biometric Residence Card for my Right to work in the UK.

12. Ambition Community Healthcare Ltd will only collect data for specified, explicit and legitimate use in relation to the recruitment process. By signing this application form, you consent to Ambition Community Healthcare Ltd holding the information contained within this application form. If successfully shortlisted, data will also include shortlisting scoring and interview records. We would like to keep this data until the vacancy is filled. (We cannot estimate the exact time period, but we will consider this period over when a candidate accepts our job offer for the position for which we are considering you). When that period is over, we will either delete your data or inform you that we would like to keep it in our database for future roles. We have privacy policies that you can request for further information. Please be assured that your data will be securely stored by the Registered Manager and only used for the purposes of recruiting for this vacant post. You have a right for your data to be forgotten, to rectify or access data, to restrict processing, to withdraw consent and to be kept informed about the processing of your data. If you would like to discuss this further or withdraw your consent at any time, please contact the Registered Manager or Data Protection Officer on 01362 289398