ESCS Form HR01a-STAFF-Employment Application (8)

ESCS Form HR01a-STAFF-Employment Application (8)
Are you a Kickstart Applicant

YesNo
Application Date

DayMonthYear
Date
Your Contact Information
Name*

First NameLast Name
First Name
Last Name
Email Address*
Mobile Number*
(44)1234-123456
Mobile No
Phone
Please submit a passport style photo*

Upload a File

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Before progressing with this application you will be required to upload the following documents. Please ensure they are available on your system to select:

If accepted we collate and validate a registration portfolio consisting essentially of:
- Employment history with any gaps being explained
- Two Employer references, one of which must be the current/most recent employer
- Verification on identity, including eligibility to work
- Copy of passport & Driving Licence (if applicable)
- An Enhanced Disclosure and Barring Service (DBS) verification check (completed in-house where necessary)
- Evidence of restraint training - refresher training must be completed within 6 months
- Full bank details and NI number
Which position are you applying for?*
Employment Basis

Full TimeAgency/Bank/Zero Hours
Only applicants who have a full licence and a vehicle can apply for this role*

Yes, I am a car owner (over 21) and have transport
Do you have 2 years within secure / Challenging Behaviour environments?*

YesNo
What type of work are you looking for?*
National Insurance Number
Born In the UK*

YesNoOther
Birth Place Town*
Birth Place County*
Nationality*
You need to supply your address history of at least 5 years. If you have several addresses during this time please complete the box below with further relevant address details
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
I have lived here since*

DayMonthYear
Additonal address details to cover 5 years
To ensure a fair recruitment process we need to know if you know, or are related to, any employee of Exclusive Secure Care Services*
If Yes, please specify
Did this member of staff refer you to ESCS

YesNo
Data Protection Act 1988
By ticking below, you give the Company the right, under the Data Protection Act 1998, to process the information you have given, including data of a sensitive nature, for processes relating to your application for employment, which have been notified to the Offices of the Information Commissioner. Any processing of the data by the Company will be in accordance with the Company’s Data Protection Policy and the processing principles set out in the Act. Application forms of unsuccessful candidates will be destroyed after 3 months.

I agree
By ticking below, you give the Company the right, under the Data Protection Act 1998, to process the information you have given, including data of a sensitive nature, for processes relating to your application for employment, which have been notified to the Offices of the Information Commissioner. Any processing of the data by the Company will be in accordance with the Company’s Data Protection Policy and the processing principles set out in the Act. Application forms of unsuccessful candidates will be destroyed after 3 months.*

I agree
Criminal Records Declaration
Please note that if you have ever received a caution or conviction, regardless of whether you believe it to be spent or unspent, it must be declared here. Our enhanced DBS check will uncover historical records, and failure to disclose this information may impede the progression of your application. Additionally, you will be responsible for any charges incurred for the application of the DBS check.*
If ‘YES’ please provide details
Disclosure of Criminal Convictions (please read carefully)1. Because of the nature of the work you are applying, this post is exempt from the provisions of the Rehabilitation of Offenders Act 1974. As you are seeking employment in a capacity which provides the opportunity for access to children, young offenders or alike, you must disclose – at the time of application – all criminal convictions or cautions including any that may be ‘spent’ under the Rehabilitation of Offenders Act 1974. In the event of employment any failure to disclose such convictions could result in dismissal or disciplinary action by the company. It is particularly important therefore that you read carefully the notes entitled “Disclosure of Criminal Convictions”2. If offered the post you will be required to give your consent for the Company, to undertake a police check as to whether there exists any record of criminal conviction. For more information please see the enclosure about Police checks “Disclosure of Criminal Convictions”
Safeguarding Declaration
Have you ever been subject to investigation by LADO or any safeguarding teams in connection with a Safeguarding matter? Or have you been involved in any disciplinary proceedings related to conduct or vulnerable individuals? Please provide detailed written expansion on this matter.*
If ‘YES’ please provide details
Outcome, area, reason etc
Current Employer
From

DayMonthYear
Date
To

DayMonthYear
Date
Duties
Previous Posts (most recent first). Please account for any gaps where you have not been in employment. Must cover 10 years
Employer
From

DayMonthYear
Date
To

DayMonthYear
Date
Duties and reason for leaving
Employer
From

DayMonthYear
Date
To

DayMonthYear
Date
Duties and reason for leaving
Employer
From

DayMonthYear
Date
To

DayMonthYear
Date
Duties and reason for leaving
Employer
From

DayMonthYear
Date
To

DayMonthYear
Date
Duties and reason for leaving
References (one must be your current employer)
Please give below the names and addresses of two people from whom references may be sought, at least one of whom should have recent knowledge of your work; your current employer should normally be included
May we approach your referees now?
First Name
Last Name
Email Address
First Name
Last Name
Email Address
Qualified Nurses Only
Part of UKCC Register
Expiry Date

DayMonthYear
Date
Date of Birth

DayMonthYear
Date
UKCC Pin Number
Additional Information
When can you start?

DayMonthYear
Date
Upload a colour copy of your passport photo page

Select File

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Upload a colour copy of your Current photocard driving licence

Select File

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Upload a copy of your Birth Certificate or Bank Statement / Letter from Local Authority (within last 3 months)

Upload a File

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Upload your Curriculum Vitae in support of your application*

Select File

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Please upload certificates and qualifications listed in your CV

Browse Files

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Do you have an enhanced DBS (CRB)*

Yes - Registered with update serviceYes - I have a paper copyNo - please process on my behalfStandard only - Please process to required level
DBS Certificate Number
Upload your current DBS (CRB)

Select File

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At ESCS, it is our policy to conduct a new Enhanced Disclosure check for all employees. I hereby provide my consent for a representative to apply for an enhanced DBS check on my behalf, both now and for any future requirements. I understand that the cost of the DBS check will be recovered from me.*

I agree
Upload your current First Aid Certificate

Select File

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Upload your current Physical Intervention Certificate

Select File

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Upload your current Manual Handling Certificate

Select File

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Upload your current Food Hygiene Certificate

Select File

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The Company is committed to equality of opportunity in employment and to the selection of the best person for the job. The information you are providing on this page is anonymous and is used for monitoring purposes only. It is not used in the selection process. This form should be returned with your application form, but will be removed from your application prior to shortlisting.
Gender*
Age*
Disability
Secure Care Services wishes to encourage suitably qualified disabled people to apply for jobs – all information will be treated in confidence. The Disability Discrimination Act 1995 defines disability as a ‘physical or mental impairment which has a substantial and long term adverse effect on the ability to carry out normal day-to-day activities’.
Do you consider yourself to have a disability*
If Yes , what is the nature of your disability
Nationality and Ethnic Origin
Ethnic Origin
Where you saw the advertisement or learnt about the job*
I confirm I have read and understood the following prior to my application. (Please refer to the top of the screen to read)*

Staff Recruitment, Selection & Vetting PolicyStaff Job DescriptionStaff Recruitment ProcedureStaff Candidate Profile
How many years of working in secure environments?*
How many years of working with challenging behaviour?*
How many years of Physical Intervention experience?*
I confirm that the information provided in this job application is true, accurate, and complete to the best of my knowledge. I understand that any false statements or omissions may result in the rejection of my application or termination of employment if discovered at a later date.*

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