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Are you entitled to work in the UK?

Do you require a visa?

Are you able to drive?

Skills & interests

Educational background: (please tick appropriate boxes)



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Is there a client or group with whom you are particularly interested in working?






Availability

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Do you have a geographic preference as to where you do work?

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Disclosure and Barring Check

Do you have a current DBS?

Equality and Diversity Information

Disclaimer - This information is recorded and used for reporting purpose only and will not be used as part of the selection process.

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Declaration

I consent to Leading Lives using the information provided to carry out checks from this application form and understand that this will be used when making a decision about my suitability to work with or be in regular contact with vulnerable adults.

I understand that Leading Lives will share any information they obtain about me with other organisations where the law requires them to, including where information raises concerns of an adult/ child protection nature.

To the best of my knowledge, the information I have supplied on this form is correct.

I understand that giving false information or omitting relevant information could disqualify my application and, if I am appointed, could lead to an offer being withdrawn or my dismissal.

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