Application For Employment Form Page 5

CRIMINAL RECORD

Please give details of any criminal convictions except those spent under the

Rehabilitation of Offenders Act 1974.

Criminal Records Bureau (CRB) – Disclosure Document

Any position which requires, as part of normal duties, caring for, training, supervising

or being in sole charge of children or vulnerable adults will require a Criminal Records

Bureau (CRB) check to be undertaken and provision of a suitable disclosure

document. The Protection of Children Act and the Protection of Vulnerable Adults Act

will apply in this case.

Please confirm your acceptance of this check by signing below.

For the purpose of this post you

are not required to undertake a CRB check therefore

must not sign below.

Signed: …………………………………………………… Date: ……………………………..

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