WelCare247

About Us

Professional Reference

Job

Name & Job Title *

Company

Phone Number *

Email *

Address with Postcode

Mandatory Training

Health and safety *

Date Taken: *

Basic life support *

Date Taken: *

Advanced life support *

Date Taken: *

Medication Administration (nurses only) *

Date Taken: *

Permissions to Work in the UK

Are there any restrictions on your right to work in the UK that may prevent your employment opportunity with *

If your application is successful, you will be required to provide evidence that you have the right to work in the UK. Do you have a passport/VISA/birth certificate? Evidence to be provided and a copy taken. *

Rehabilitation of Offenders Act 1974- Order 1975(as amended in 2013)

The position you are applying for is an ‘eligible position’ under the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 and, in certain circumstances, the Police Act 1997. Enhanced disclosures may also include other relevant police information where this is deemed relevant to the position. Protected convictions and cautions will not be disclosed in a DBS check. This position has been identified as a regulated activity under the Safeguarding of Vulnerable Groups Act (2006) (as amended by the Protection of Freedom’s Act 2012) an enhanced DBS disclosure will include information which is held on the Children’s and/or Adults barred list(s), as applicable to the position.
Do you have any convictions, cautions, reprimands or final warnings that are not protected as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013) in the UK or in any other country? *

If yes, please provide details of the conviction, cautions, reprimands or final warnings; including approximate date, the offence and the authority and country which dealt with the offence. *

About Us

Job

Mandatory Training

Permissions to Work in the UK

Rehabilitation of Offenders Act 1974- Order 1975(as amended in 2013)

Fields marked with * are mandatory.