Register Your Details | Sentinel Care Services

Personal Details

First Name*

Surname*

Home Address*

Postcode*

Home Telephone Number

Mobile Number*

Email Address*

About you*

Please tell us about you and why you are applying for this role

Qualifications

List Qualifications

Please give information about any relevant qualifications held.

Qualifications	Year

Enter Job Details

If possible, please include all employment over the last 10 years.

Company

Notice Required (If Current)

Job Title

From

To

Reason for Leaving

Reason for any gaps between jobs

Driver Details

Do you have a full Driving License that allows you to drive in the UK?*

Yes
No

Do you have access to a car that you can use for work?*

Yes
No

Have you ever been banned from driving, or do you have any current endorsements on your licence?*

Yes
No

You will need car insurance to travel between customers. Do you have this?*

Yes
No

Private and Confidential*

Are you permitted to work in the United Kingdom?

Yes
No
I require a work permit

General Data Protection Regulations

GDPR requires that any staff handling personal data on others must follow certain principles in relation to the data that they hold. Detail on how we use and store your data are contained in our privacy statement that can be found on our web site

GDPR*

Our privacy statement contains full details on how we use and store your data. If you are unsuccessful in this application, we will keep this form on file for 6 months and add you to our mailing list. Please tick to show your agreement to this:

I agree

Rehabilitation of Offenders Act 1974

The Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 and the Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) Order 1986 provides that people in employment which is concerned with the provision of care or who carry out their duties wholly or partly on the premises where such provision takes place, are obliged to disclose any convictions which would otherwise be spent.

The Care Home Regulations provide that people in employment which is concerned with the provision of care or who carry out their duties wholly or partly on the premises where such provision takes place are obliged to disclose any criminal convictions, conditional discharges, bind-overs or cautions that they have been subject to at any time in the past.

Please include any ‘spent’ convictions, conditional discharges, bind-overs or cautions. The Sentinel Care Services actively promote equality of opportunity for all as stated in its Equal Opportunities policy. Failure to disclose any information regarding convictions can lead to offers of employment being withdrawn.

Have you ever been convicted of a criminal offence or received a Police Conditional discharge, bind-over, caution, warning,reprimand or penalty notice for disorder?*

Yes
No

Please provide details and dates of the offence(s) below:

Interview Requirements*

This information helps us to cater for your personal circumstances. Please note that we may use personal data relating to any physical or mental health or condition (e.g. disability) that you provide to us in order for us to make reasonable adjustments as necessary during the recruitment process in line with our legal obligations. Do you require any reasonable adjustments to be made or any special facilities to be provided to enable you to attend an interview?

Yes
No

If yes, please state the requirements:

Declaration

Making a false statement or any attempt to conceal information regarding this declaration will lead to the rejection of your application for employment with this company. Any details provided will be treated in the strictest confidence and will not automatically exclude anyone from being considered for any vacancy.By submitting this form you are confirming that all the information given is true and understand that any false or misleading information may result in your removal from Sentinel Care Services register of applicants. You consent to the processing of sensitive personal data as referred to on the top of this form. You can find our Policy by following this link: https://www.sentinelcareservices.co.uk/privacy-cookies/

Signed

Phone

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