It is a criminal offence to employ persons whose status prevents them from working in the United Kingdom. Prior to appointment, you will be required to provide evidence of a passport or other documents on the approved list to satisfy YMCA East Surrey that the Immigration, Asylum and Nationality Act 2006 is being complied with.
Please give the name and address of two referees, one of them should be your current or most recent employer, who can comment on your suitability for this post. If you were known by a different name, please also state this.and all subsequent amendments (England and Wales). For these positions you are not entitled to withhold information about police cautions, "bind-overs", or any criminal convictions including any that would otherwise be otherwise considered "spent" under the Act.
The position for which you are applying involves contact with children and/or vulnerable adults and is exempt from the Rehabilitation of Offenders Act 1974 and all subsequent amendments (England and Wales). For these positions you are not entitled to withhold information about police cautions, "bind-overs", or any criminal convictions including any that would otherwise be otherwise considered "spent" under the Act.
For the purposes of the Data Protection Act 1998, I consent to the information contained in this form, and any information received by or on behalf of YMCA East Surrey relation to the subject of this form, being processed by them in adminstratering the recruitment process.
I give my consent for YMCA East Surrey to check my ISA registration and register an interest in me with the ISA as long as I am employed/volunteering with YMCA East Surrey.
I declare that the information I have given on this form is complete and accurate and that I am not banned or disqualified from working with children and/or vulnerable adults nor subject to any sanctions or conditions on my employment imposed by The Independent Safeguarding Authority, the Secretary of State or a regulaatory body.
I understand that to knowingly give false information or to omit any relevant information could result in the withdrawal of any offer of appointment, or my dismissal at any time in the future, and possible prosecution.
YMCA EAST SURREY
Registered Address: Sports & Community Centre, Princes Road, Redhill, Surrey, RH1 6JJ
T 01737 779979 E firstname.lastname@example.org
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