July 10, 2021 1009 Job Application form Present Employment Employment History Please start with the most recent and work back. We require your employment history to go as far back as possible with no gaps in employment. From(Month & year) To(Month & year) Job Title Place of Work Reason for Leaving The position you have applied for entails substantial involvement with vulnerable people. Applicants are therefore required to declare any convictions or cautions that they may have, even if such convictions would otherwise be regarded as spent under the Rehabilitation Of Offenders Act 1974 [any information disclosed in this section is treated in the strictest confidence and will only be taken into account in relation to applications to which the exception from the 1974 act applies] Do you have any convictions? YesNo Do you need a work permit to work in the UK? YesNo Do you own a car? YesNo Do you have a current driving license? YesNo Any training attended [college or in house] or professional qualifications achieved. Job flexibility Prepared to work Full TimePart TimeShifts Equal opportunities- Voluntary information The Organisation seeks to recruit employees on the basis of their general suitability for the position applied for and aims to ensure that consideration of age, sex, marital status, disability and racial of ethnic origin should play no part in this process. In order to monitor the effectiveness of this commitment to equal opportunities it would be helpful if you could complete this section of the form. Completion is not compulsory but should you give details below the information will be used for no other purpose than that as stated in this paragraph. Marital Status: SingleMarriedSeparateWidowedDivorced Sex: MaleFemale Ethnic Origin: AfricanAfro – CaribbeanAsianEuropeanPolynesianOther Age: 18-2425-3435-4445-5455-6465+ Are you registered disabled? YesNo References Because within the home you will be working with vulnerable adults, Richmondwood requires three written references. Current or most recent employer References 1 References 2 References 3 I confirm that the information provided in this application is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered.