Forms home Candidate form HiddenPosition applied for Personal detailsTitlePlease selectMissMrMrsMsMxProfRabbiRevSirSrLast name* First name* Middle name Contact detailsEmail address* Home phone number Mobile phone number Preferred method of contact Email Home phone number Mobile phone number EligibilityAre you eligible to work in UK/ EEA ?* Yes No Do you require a work permit?* Yes No Preferred employment Full time Part time If the role requires Social Work England registration, please confirm if you have a registration number (if this does not apply to the position you're applying for please select non-applicable)* Yes No N/A How many years have you been qualified for?* Newly qualified 1 year 2 years Over 3 years Please provide your Social Work England Registration Number Application detailsPlease upload your CV*Max. file size: 10 MB.Please write a supporting statement*Maximum characters is 4000Please confirm you current notice period Rehabilitation of Offenders Act 1974The post you are applying for is exempt from the Rehabilitation of Offenders Act 1974. You must give details on this from of all offences, convictions, cautions or bind overs you have or any cases that you have pending subject to the condition set out below. In May 2013, legislation came into force that provides that certain old and minor cautions and convictions will no longer be subject to disclosure under the Exceptions Order 1975. 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 taken into account.I have offences to declare* Yes No Please list details of offence(s), place and date of judgement(s) and sentence(s)*Equality and Diversity monitoringLondon Borough of Redbridge is committed to ensuring that all job applicants and members of staff are treated equally, without discrimination on the grounds of gender, sexual orientation, marital or civil partner status, gender reassignment, race, colour, nationality, ethnic or national origin, religion or belief, disability or age. This form is intended to help us maintain equal opportunities best practice and identify barriers to equality and diversity. You can be assured that this information will be treated in confidence and will not be made available as part of the recruitment process. Please indicate your gender* Male Female Prefer not to say Please state your date of birth* Day Month Year Sexual orientation* Hetrosexual/Straight Gay man Gay woman/lesbian Bisexual Other Prefer not to say Disability - Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months?* Yes – limited a little Yes – limited a lot No Prefer not to say List of ethnic groups ASIAN / ASIAN BRITISH Bangladeshi, Pakistani, Indian, Chinese, Japanese, Any other Asian ethnicity BLACK / BLACK BRITISH Caribbean, African, Any other Black ethnicity MIXEDWhite & Black African, White & Black Asian, Any other Black & White ethnicity WHITEWhite British, White Irish, Any other White ethnicity OTHER ETHNIC GROUPArab, any other ethnic group Ethnic group* Asian or Asian British Black, African, Caribbean or Black British Mixed or Multiple ethnic groups White Other ethnic group Prefer not to say Religion* Christian Catholic Buddhist Hindu Jewish Muslim Sikh No Religion Other Prefer not to say Thank you for taking the time to complete this – the information is so important for us to create a wonderfully diverse and inclusive working environmentDeclarationSubmitting this form, you certify that all the information provided is true and you acknowledge that if any of the information is found to be false by virtue of statement or omission after any appointment, you may face disciplinary action, which could result in your dismissal without notice. You give consent to process the enclosed personal data under the Data Protection Act 1998 on the understanding that it is used to determine your suitability for the post applied for.Acknowledge that you understand and accept these terms* I accept and understand these terms
