Application Form

Workers registered with We Kare Ltd may be required to undergo a Disclosure and Barring Service (DBS) check in accordance with current legislation and the requirements of the role.

Please declare all criminal convictions, whether spent or unspent, together with any pending charges, cautions, warnings, reprimands, conditional cautions or other relevant information that may be disclosed on a DBS check where applicable.

The information you provide will be treated in the strictest confidence and will only be considered where it is relevant to the position applied for and in accordance with applicable legislation and DBS guidance.

Failure to disclose relevant information may result in your application being withdrawn or, where applicable, the termination of your employment or assignment if such information later comes to light.

I declare that any answers to the above questions are true and complete to the best of my knowledge and belief. I give permission for a member of We Kare Ltd occupational health team to communicate with my own General Practitioner, or any other Health Professional, if further information is required and for that GP or Healthcare Professional to give details of my clinical condition or other relevant information to your Occupational Health Advisor at We Kare Ltd.

I understand that I shall be contacted to obtain my fully informed consent before any report is requested and that under the Access to Medical Reports Act 1988:

• I have the right to see the report before it is sent.

• I am entitled to ask the doctor to amend or modify information which I consider is inaccurate.

• I have 21 days from notification to seek access.

I declare that to the best of my knowledge and belief the information given by me in this application is true, and I understand that the above information forms the basis of my contract of employment. I understand that if any of the information supplied by me is found to be falsely declared, my contract may have been fundamentally breached and my employment may be terminated immediately.

I agree to We Kare Ltd holding information electronically in line with the GDPR policy (available upon request).

I understand that I may not be offered a post until a satisfactory response has been received with respect to my DBS Register status, and that should I subsequently be offered a post, that offer will be subject to receipt of two satisfactory references, one of which must be from my previous employer, and that confirmation of the employment will be subject to a satisfactory criminal record check from the DBS.

I understand that until a satisfactory response is received from the DBS, and my employment is confirmed, I will be always supervised at work and will not seek or have unsupervised access to vulnerable people. If the post I have applied for is as a Registered Nurse, my confirmation of employment will also be subject to a satisfactory search of the Nursing and Midwifery Council records and registers. By signature, I authorise We Kare Wales to request a DBS Register check and a criminal records check from the DBS, on initial employment and at any time during my employment thereafter. I undertake to inform my employer immediately if my DBS Register status or criminal status changes at any time during my employment, such as by being charged with an offence (other than motoring offences), the administering of a warning, criminal conviction, referral to any register of barred care workers, or withdrawal of any registration required by my employment status.