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Before you can be consideredappointment in a position of trust with Starsafe Care Limited we need to be satisfied about your character suitability.
Please read the following notes carefully before completing this Confidential Declaration Form. If you require further information, please contact.
Starsafe Care Limited
Bedford Heights
Brickhill Drive
Bedford
MK41 7PH
Tel: 01234 822610/ 07762234295/ 07928173494
info@starsafecare.com
All enquires will be treated in confidence.
Starsafe Care Limited aims to promote equality of opportunity is committed to treating all applicantspositions fairly on merit regardless of race, gender, marital status, religion, disability, sexual orientation, age or offending history. We undertake not to discriminate unfairly against on the basis of criminal conviction or other information declared.
Prior to making a final decision concerning your application, we shall discuss with you any information declared by you that we believe has a bearing on your suitabilitythe position. If we do not raise information with you, this is because we do not believe that it should be taken into account. In that event, you remain to discuss any of that information or any other matter that you wish to raise. As part of assessing your application, we will only take into account relevant criminal record other information declared.
The Data Protection Act 1998 requires us to provide you with certain information to obtain your consent before processing sensitive data about you. Processing includes obtaining, recording, holding, disclosing destruction retaining information.
Sensitive personal data includes any of the following information: criminal offences, criminal convictions, criminal proceedings, disposal or sentence. The information that you provide in this Declaration Form will be processed in accordance with Data Protection Act 1998 will only be usedthe purpose of determining your applicationthis position.
This Declaration Form will be kept securely in confidence, access to it will be restricted to designated persons within Starsafe Care Limited and other persons who need to see it as part of the selection process who are authorised to do so.
Please ensure that you read the “Guidance NotesApplicants” that accompanied your application form carefully before completing this Declaration Form. They provide you with further more detailed information concerning how your application will be processed include detailswhich information about you will be processed, the persons to whom it will be disclosed the checks that will be undertaken to verify the information provided before you are offered a position if your application is successful.
Please answer all of the following questions? If you answer ‘Yes’ to any of the questions, please provide full details in the space indicated. Please also use the space below to provide any other information that may have a bearing on your suitabilitythe positionwhich you are applying. You may continue on a separate sheet if necessary you may attach supplementary comments should you wish to do so.
The positionwhich you have applied is exempted from the Rehabilitation of Offenders Act 1974. This means that you must declare all criminal convictions, including those that would otherwise be considered “spent”.
With the exception of question 8 answering ‘Yes’ to any of the questions below will not necessarily bar you from appointment. This will depend on the nature of the positionwhich you are applying the particular circumstances.
Note: You do not need to tell us about parking offences.
If YES, please include details of the order bounding you over/or the nature of the offence, the penalty, sentence or order of the court the date place of the Court hearing.
If YES, please include details of the caution, reprimand or final warning, including the date reason administered
Please note you must inform us immediately if you are charged with any offence in the United Kingdom or in any other country after you complete this form before taking up any position offered to you. You do not need to tell us if you are charged with parking offences.
If YES, please include details of the nature of the offence with which you are charged, date on which you were charged details of any on-going proceedings by a prosecuting body.
If YES, please include details of the nature of the allegations made against you if known to you, any action to be taken against you by the police.
If YES please include details of the employment, office or position held, the date that you were dismissed the nature of allegations of misconduct made against you.
If YES please include details of the nature of the disqualification, limitation or restriction, the date the name address of the licensing or regulatory body concerned
If YES please include details of the nature of the prohibition, restriction, or limitation when by whom it was made.