Please give details of your previous employment, commencing with your most recent and accounting for any gaps across a 5 year period.

Please give details of your previous employment.

Please give details of your previous employment.

Please give details of two referees, one of whom should be your current/last employer. Avante Care & Support do expect to write to the formal and recognised address of your last employer.

Avante Care & Support are responsible for the provision of services to vulnerable people. You will appreciate that the Organisation must be particularly careful to enquire into the character and background of applicants for appointment to posts which involve working with these people. Due to the nature of the work for which you are applying, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974, by virtue of the Rehabilitation of Offenders 1974 (Exceptions) Order 1975. Applicants are therefore not entitled to withhold information about convictions which for other purposes are deemed as being ‘spent’under the provisions of the Act. You must therefore disclose whether you have ever been convicted of a criminal offence and if so, state the exact nature of the offence(s). In the event of your employment with Avante Care & Support, any failure to disclose such convictions could result in dismissal. You must therefore tick one of the statements on the declaration form below, at A or B. If the answer is A, then please sign, print your name and date the form at the bottom of the declaration. If you tick answer B, you must give details, which should be enclosed, in a separate sealed envelope marked ‘Confidential’, with your name beneath, and attach the envelope to your application. You must also remember to sign, print your name and date the form at the bottom of the declaration. Please note that your nominated referees will be asked to confirm any relevant information to sections A and B in so far as they are able. In addition, in line with the above, this post will require you to consent to the disclosure of information from the Criminal Records Bureau which will be sent to both yourself and Avante Care & Support. The Organisation have a Criminal Records Bureau Disclosure Policy on the recruitment of ex-offenders which will be made available to all disclosure applicants on request, and will also make a copy of the CRB Code of Practice available on request. Any information given to, or received by, Avante Care & Support will be treated in the strictest confidence with access strictly controlled and limited to those who are entitled to see it as part of their duties. The Organisation complies fully with the Data Protection Act 1998, the Criminal Records Bureau Code of Practice, and other relevant legislation in this regard. The Organisation has a written policy on both data protection and the correct handling, use, storage, retention and disposal of disclosures and disclosure information which are available to those who wish to see them on request. The object of this Notice is not, in any way, to reflect upon an applicant’s integrity, but is necessary to protect both clients and the Organisation. Avante Care & Support are willing to consider persons with a criminal record on their merits and as such, having a criminal record will not necessarily bar you from consideration for this appointment. This will depend on the nature of the position and the circumstances and background of your offence(s).

Our policy is to ensure that no job applicant or employee receives less favourable treatment because of, or is disadvantaged by, any conditions or requirements that cannot be shown to be justifiable. To assist us in checking that this policy is carried out and for that purpose only, it would help if you could complete the following. You are under no obligation to complete this section. It will not affect your application in any way. Avante Care & Support complies fully with the Data Protection Act 1998 and any information will be treated in the strictest confidence