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Application Form
Application Form
The Ormerod Home Trust Ltd
Application Form
Application for post of:
*
Chief Executive Designate
Community Support Worker
Team Managers
Service Managers
Day Support Worker
Volunteer
Surname
*
Fornames
*
Address
*
Postcode
*
E-mail Address
Telephone Home
Telephone Mobile
Telephone Work
Date of Birth (dd/mm/yyyy)
Present Employer
Present Position
Date of Appointment (dd/mm/yyyy)
Current Salary
Previous Positions Please give dates employed and reason for leaving
Details of Secondary School Attended
Qualifications, Grades & Dates
Further and Professional Education
Membership of Professional Bodies
Details of any other specialised training (not covered in previous section)
Experience or Achievements
Have you ever been convicted of any criminal offence
As The Ormerod Home Trust meets the requirements in respect of exempted questions under the Rehabiliation of Offenders Act 1974, if you are offered employment, you will be subject to a criminal record check from the Criminal Records Bureau before the appointment is confirmed. The post you are applying for is subject to an Enhanced Disclosure. The Enhanced Disclosure contains details and dates of both spent and unspent convictions, as well as cautions, reprimands and final warnings held on the Police National Computer. If yes, please specify the date of conviction, Court, Nature of the offense and sentance imposed
Do yoy hold a current (less than six months old) Enhanced Disclosure
Please State if you have a personal/family relationship with any current staff member or Trustee
Please specify
Do you hold a current driving licence?
Are you registered under the Disabled Persons Act?
Registered No
How did you hear of this vacancy?
Period of Notice Required to terminate current employment
References Please give the names, addresses and occupations of two referees. Ideally one should be from your present or last employer.
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