DBS Application Form

Position applied for

Full Name (Including Surname)

Address

Postcode

Email Date of Birth

National Insurance Number

Email Address

Availability (Please tick as applicable)

Do you currently hold a DBS certificate?

Do you hold a UK Driving Licence?

Do you have access to a car?

Please give details of your qualifications.

Work Experience

Bank Details

Next of kin details (Full name, address and contact numbers)

Reference 1

Name

Address

Postcode

Email Address

Telephone

Relationship

Reference 2

Name

Address

Postcode

Email Address

Telephone

Relationship

Legal Obligations

I agree that in line with data protection, I confirm I am happy for you to share my personal data such as name, contact details, address with clients, and bank details with our payroll company.

I agree that the WTD regulations 1998, requires the company to limit my working hours to 48 per week. I may agree to opt out. The company proposes an agreement with you that will apply until terminated by notice

I agree that the Information I have provided is correct and I agree to the company's guidelines, health and safety policies and uniform policies

Tick if you are you Human?