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Application for employment
The information given will be used for selection purposes only. Your information will not be given to any third parties without your consent.
Personal details
Answers given in this part of the form are to help the Recruitment Centre to manage your application. If you have any difficulty completing this form please ask someone to help you. We would like to take this opportunity to thank you for applying.
Title *
Your answer
first name *
Your answer
Middle name(s)
Your answer
Surname
Address
Your answer
Address City / town *
Your answer
City
County
Your answer
Norfolk
Country
Your answer
Postcode
Your answer
please insert images of 2 proof of address *
Your answer
Mobile telephone
Your answer
Your answer
First available date for employment
MM
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DD
/
YYYY
a) Are you related to a member or employee of Victoria care Services?
JoNHS river
Your answer
Relations post
Sugar dad
Your answer
b) Have you ever been dismissed from previous employment? *
Post dismissed from
Date dismissed
MM
/
DD
/
YYYY
Reason for dismissal
Rehabilitation of Offenders Act 1974
The Rehabilitation of Offenders Act helps rehabilitated ex-offenders back into work by allowing them not to declare criminal convictions after the rehabilitation period set by the Court has elapsed and the convictions become "spent". During the rehabilitation period, convictions are referred to as "unspent" convictions and must be declared to employers.
Before you can be considered for appointment we need to be satisfied about your character and suitability basis of a criminal conviction or other information declared.
If you are applying for a post involving access to persons in receipt of health services, your offer of employment may be subject to a satisfactory disclosure from the Disclosure and Barring Service. Failure to reveal information relating to any convictions could lead to withdrawal of an offer of employment.


Victoria Care Services aims to promote equality of opportunity and is committed to treating all applicants for positions fairly and on merit regardless of race, gender, marital status, religion, disability, sexual orientation and age. We undertake not to discriminate unfairly against applicants on the

Have you any unspent criminal convictions or bind overs, or any cautions, warnings or reprimands?If yes, please give details *
Your answer
What is your current DBS number *
Your answer
What is your immigration status *
Your answer
please insert proof *
Please supply details of any permit currently held including number, validity and expiry date *
Your answer
Are you a licensed driver
If yes please insert proof of Licence
Your answer
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