Application Form for Employment

Position applied for and indicate full or part-time*

Location applied for*

Where did you see the vacancy advertised?*

If you were introduced to New Boundaries by a current member of staff, please state their name:*

Personal Details - Important, Please Complete

Title*

Forename*

Surname*

Address*

Street Address Address Line 2 City County Postcode

Home Telephone*

Work Telephone

Mobile Telephone

Home Email*

National Insurance No.*

Current Notice Period*

May we contact you at work?*

Yes
No

Do you have use of a vehicle?*

Yes
No

Do you hold a current driving licence?*

Yes
No

Have you had the Covid 19 vaccine?*

Yes
No

If yes, you will be asked to provide evidence if selected for interview. Please note that we can only progress your application if you have had the vaccine, or can provide evidence that you are medically exempt.

Employment History - Important, Please Complete

Please complete fully including an explanation of any gaps with your current or most recent job first. Simply copy paste the questions to add additional employment records.

Have you been subject to disciplinary action or investigation by an employer or professional organisation?*

Yes
No

Education and work-related qualifications - Important, Please Complete

Please list all qualifications. Simply copy and paste the questions to add additional qualifications records.

Interests and Hobbies

Please give details of pastimes, sports, voluntary or community experience which may be relevant to the post.

References - Important, Please Complete

Please give names and addresses of two persons, one of whom must be your present or most recent employer (or personal tutor in the case of a student) from whom confidential references may be obtained. Please state if the second reference is personal. We cannot accept family members or current employees of New Boundaries Group as referees. Simply copy and paste the questions to add additional references.

Convictions and 'spent' convictions of a criminal nature - Important, Please Complete

Any employment or offer of employment with New Boundaries Group may be subject to a satisfactory enhanced Disclosure and Barring Service check. Failure to provide complete and truthful information below will render you liable to an offer of employment being withdrawn or dismissal if you have already been employed.

Do you have any convictions, cautions, reprimands, or final warnings that are not "protected" as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013)?*

Yes
No

The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are 'protected' and are not subject to disclosure to employers, and cannot be take into account. Guidance and criteria on the filtering of these cautions and convictions can be found on the Disclosure and Barring Service website.

Have you ever been entered on either the temporary or permanent Barred lists?*

Yes
No

Please provide the details of your conviction (if any):*

Simply copy and paste the questions to add additional conviction records.

Disabilities

Do you require any special arrangements to be made for your interview on account of a disability?*

Yes
No

If "yes", please give brief details of the effects of your disability on your day-to-day activities, and any other information that you feel would help us to accommodate your needs during your interview and thus meet our obligations under the Equality Act 2010:*

The following abilities are intrinsic to the job you are applying for (ie. something which if it could not be performed would mean the job could not be carried out):

• Manual handling tasks • Dealing with complex behaviours which may challenge • Flexibility to work day or night shifts

Please say whether you have a disability or health condition which would affect your ability to do or cope with the above and give further details.

Other Details

Are you undertaking any course of study at present? (if so, please give details)*

Is your present post your sole regular employment?*

Yes
No

If No, please give further details:

Are you a British subject or a National of an EU country?

Yes
No

If not, do you have the right to work in the UK and a current working permit:

If so, please state the expiry date of our right to work in the UK and/or your work permit.

Supporting Statement - Important, Please Complete

Please tell us why you would like this job and what skills and experience you have that will help.*

It is only information contained in this application which will decide whether you are shortlisted for interview.

I certify that the answers I have given on this form and the Supporting Statements are, to the best of my knowledge, true and complete and, if I am appointed, will form part of my contract of employment. I understand that any false statement could result in summary dismissal. I authorise and consent to checking any portable or transportable DBS certification I have supplied to the Company.

Signed:*

Date*

Phone

This field is for validation purposes and should be left unchanged.