The job you are applying for involves substantial opportunity for access to vulnerable adults.   It is therefore exempt from the Rehabilitation of Offenders Act 1974.  You are therefore required to disclose any convictions or cautions you may have even if they would otherwise be regarded as ‘spent’ under this Act.  Please see the back page for further information.  If you wish to speak to someone in confidence at Star care Lodge please telephone 01634 575 521.

Please give details of two referees, one of whom must be your current or most recent employer or, if this is an application for your first job, your school teacher or higher or further education lecturer. Neither referee should be a relative or friend. Both references should have line management knowledge/experience of your work skills/performance.  One of the references must be your current or most recent manager.  If you have previously worked at a health care establishment, we will contact the manager for an additional reference.  Your referees should not be related to you or your family or be a close friend.

I declare that the information I have given on this application form is, to the best of my knowledge and belief, true and complete. I understand that if it is subsequently discovered any statement is false or misleading, or that I have withheld relevant information, my application may be disqualified or, if I have already been appointed, I may be dismissed.   I confirm and understand the declaration.