Job Application Form (Page 2 of 8) in pdf

Job Application Form Page 2

Disability

The Equality Act 2010 defines disability as a physical or mental impairment which

has a substantial and long term adverse effect on a person’s ability to carry out

normal day to day activities.

Do you have a disability as defined by the Equality Act?

Yes

Do you have any requirements that would aid you at interview or at work?

Yes

If Yes, please give details:

Disclosure of Criminal Convictions and Police Cautions, Warnings and

Reprimands including spent items.

Unless documentation provided in this pack states to the contrary, this post is

exempt from the provisions of section 4(b) of the rehabilitation of offenders act by

virtue of the rehabilitation 1974 (exemptions) order 1975 because of the nature of

work involved. You are therefore not entitled to withhold information and in the event

of employment, any failure to disclose such convictions could result in dismissal or

disciplinary action. We will be required to obtain a Disclosure and Barring Service

Check for individuals appointed to certain posts.

Have you any convictions or cautions?

Yes

If Yes, please specify on a separate sheet of paper and attach to the application

form.

Job Application Form Page 2