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Job Application:
Christina’s Home Care Services
Employment History
Job 1
Job 2
Job 3
Criminal Record

Please note any criminal convictions except those 'spent' under the Rehabilitation of Offenders Act 1974. If none please state. In all circumstances employment is dependent upon obtaining a satisfactory Protection of Vulnerable Groups Scheme Record (PVG) from the Criminal Records Bureau/Disclosure Scotland.

General Comments

Please detail here your reasons for this application, your main achievements to date and the strengths you would bring to this post. Specifically, please detail how your knowledge, skills and experiences meet the requirements of this role (as summarised in the person specification).


Referees will only be approached when a job has been offered and accepted.

Please note here up to date contact details eg email address of 2 persons from whom we may obtain work and character references

I agree that the organisation reserves the right to require me to undergo a medical examination. (Should we require further information and wish to contact your doctor with a view to obtaining a medical report, the law requires us to inform you of our intention and obtain your permission prior to contacting your doctor). I agree that this information will be retained in my personnel file during employment and for up to six years thereafter and understand that information will be process in accordance with the Data Protection Act.

I agree that should I be successful in this application. I will, if required, apply to Criminal Records Bureau/Disclosure Scotland for a PVG. I understand that should I fail to do so, or should the PVG not be to the satisfaction of the company any offer of employment may be withdrawn or my employment terminated.

Declaration (Please read this carefully before signing this application)
I confirm that the above information is complete and correct and that any untrue or misleading information will give my employer the right to terminatate any employment contract offered.