Passion Home Care | Rehabilitation of Offenders

Which position are you applying for?*

Job Reference Number if Applicable

Closing Date for the Position

Data Protection Consent Statement

In submitting the information via the website you are agreeing to us holding your information for the purpose of applying for a job at Passion Home Care or are requesting your details to be held on file should a suitable position become available. Data submitted via the website will be held for 12 - 24 months in our email accounts and on our back office systems. Data held on the website will be deleted within 12-months. If you require more information on our Data Protection Policy and Data Retention Policy prior to submitting any details please use the contact form. If you do not want us to hold your information on our systems please telephone us to discuss.

Data Protection Consent*

Yes - You agree to the data submitted via the form kept on our systems for up to 24-months.

No - Please delete it immediately.

PERSONAL DETAILS AND CONTACT

The following section should be completed. All fields are mandatory.

Name*

Address*

Email*

Rehabilitation of Offenders Declaration Form

Please complete the following form.

Declaration

The post for which you have applied involves working with people who are considered to be vulnerable and, as such, the post is exempt from the provisions of the Rehabilitation of Offenders Act 1974. This exemption requires that you must declare ALL CONVICTIONS regardless of time passed including those convictions which would otherwise be regarded as ‘spent’.

No application for employment will be processed unless this declaration has been completed.

A criminal record will not necessarily be a bar to any applicant obtaining the position for which they have applied.

Have you ever been convicted of any offence?*

If you have answered yes to the above question, please provide further details below or enter NOT APPLICABLE.*

Offenders Declaration

I declare that the information that I have given is correct and that there are no convictions that have not been included.

I understand that if I am offered the post and it is subsequently found that the information given is incorrect, this will be treated as gross ‘misconduct’ and I will be liable to be dismissed without notice.

Offenders Declaration*

Date*

Electronic Signature Confirmation

I can confirm that to the best of my knowledge the above information is correct. I accept that providing deliberately false information could result in my dismissal.

Electronic Signature*

Date of Electronic Signature*

Data Consent

In ticking the following box and submitting the data completed in the above form you agree to us processing the information as stated at the start of the form. You will need to tick the box prior to submission.

Data Consent*

Data Consent

Instructions

When submitting this form it will generate an email to Passion Home Care. The information completed is the fifth and final part of the application process and on the successful submission you will be redirected to the Work for Us page of the website. When completing this form please use the same email address as used as part of this submission. We will not process an application until we have received the "Job Application", "Health Questionnaire", "Equal Opportunities", "ID Verification Form" and the "Rehabilitation of Offenders Declaration".

Disclaimer

Passion Home Care will not accept a partially complete application and if any of the forms are missing we can not guarantee your application will be considered. For each form you will receive a confirmation email confirming the submission and we recommend that you retain this as proof. On submission you will be redirected to the next form but you do not need to complete within a specified time as long as all are received prior to the closing data of the advertised position.

Rehabilitation Offenders