Criminal Background Check Page 3

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NOTE TO APPLICANT:
1.
Failure to disclose any conviction, cautions, reprimands, final warnings or impending criminal
actions or court hearings, may result in your application for casual work being rejected or, not
being offered further work from the Council.
2.
If successful, in addition to this self-disclosure, you will be required to obtain a satisfactory
Enhanced Criminal Records Bureau (CRB) Disclosure Certificate, the cost of which will be met
by the Council. A copy of the CRB Code of Practice is available on request. Further
information about the Disclosure process can be found at
3.
If between completion of this application form and taking up work with the Council, you are
convicted of a criminal offence, you must inform the Council immediately.
INSTRUCTIONS TO INTERVIEWING OFFICER:
1.
If the Application for Casual Work Form was received electronically, please ensure that, if
called for interview, the applicant makes the declaration as stated above in “Note to
Applicant”. Also ensure that the applicant signs the Application for Casual Work Form.
2.
This supplement to the Application for Casual Work Form MUST be issued to applicants for
any post that is subject to Criminal Records Bureau Disclosure.
Type of offence
(ie conviction, caution):
Date:
Offence:
Court or police force:

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