(Text boxes will expand with your text, so you may provide as much information as you feel necessary)

Please list ALL previous addresses (to cover the LAST 5 YEAR PERIOD)

(In line with Home Office guidance on the prevention of illegal working we will need to verify and take a copy of your right to work in the UK if you are to be engaged by LTS Group for work).

If no, within the last year, we will send you a link to a course (on a separate email) which you will be required to complete and then provide us with a copy of your digital certificate, when completed.

SAFEGUARDING TRAINING MUST BE COMPLETED & PROOF PROVIDED PRIOR TO UNDERTAKING ANY ASSIGNMENTS WITH LTS

Please provide a full education and employment history below from when you left secondary school.

Please include any gaps in education/employment i.e:

The following questions on health and disability are asked in order to find out your needs in terms of reasonable adjustments to access our recruitment service and to find out your needs in order to perform the job or position sought.

I confirm that the above information is true and accurate to the best of my knowledge.

• You must provide at least 2 referees.
• Please list your 2 most recent employers and/or School Head, Tutor or Head of Department if you are or have recently been a student.
• If you have not worked with children in your last two roles please list a third referee from the employer where you were most recently working with children.
• If these three references do not cover the last three years with no gaps please provide a character referee.
• In any role where you are/have worked with children, on either a paid or unpaid basis, your referee will be asked about disciplinary offences relating to children and/or child protection concerns you may have been subject to. This will include any instances in which the penalty time is expired.
• Please note that references will not be accepted from relatives or from referees writing solely in the capacity of friends.

This post is covered by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 because it is a post which involves working directly with children or young people. You are therefore required to declare whether you have any criminal convictions (or cautions or reprimands) including those which are ‘spent’. The amendments to the Exceptions Order 1975 (2020) provide that certain spent convictions and cautions are ‘protected’ and are not subject to disclosure to employers and cannot be taken into account.

1. In accordance with statutory requirements certain pre-employment checks are conducted for positions that involve work with vulnerable groups, specifically children and vulnerable adults.

2. The information obtained from these checks is used to help safeguard these groups. It will not be used to discriminate unfairly against those with convictions which we consider unrelated to working with vulnerable groups. We ask for this information in order to facilitate an honest and open dialogue with prospective employees and we encourage all prospective employees to provide contextual information regarding any convictions disclosed.

3. Having a criminal record will not automatically bar you from employment or voluntary work with us.

As the position you are applying for gives you privileged access to vulnerable groups, you are required to disclose all spent convictions and cautions under the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975 unless it is a “protected” conviction/caution under the amendments made to the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975 (in 2020) and, therefore, not subject to disclosure.

This means that you must disclose all spent and unspent convictions on this form other than those which are so “protected”. This may include any driving offences. Guidance on the filtering of “protected” convictions and cautions can be accessed on the Disclosure and Barring Service website;

https://www.legislation.gov.uk/ukdsi/2013/9780111537718

Failure to disclose any disclosable criminal convictions could lead either to your application being rejected or, if you are appointed, to summary dismissal if it is subsequently discovered that you have had any criminal convictions and a referral to the Police may be made.

It is an offence to knowingly apply for, offer to do, accept, or do any work in a regulated position if you have been disqualified from working with children.

Any offer of employment will be subject to checks being carried out in order to ensure that you are not subject to a prohibition order or an interim prohibition order.
Failure to complete these questions may render your application invalid.

If answered ‘Yes’ to the questions above, please provide the following details:

• Date of each conviction/pending hearing/reprimand/warning
• The offence
• The sentence; and
• The Police Force/Court involved

I hereby certify that the information given above is true and accurate:

SECTION 1

• The information collected on this form will be used in full compliance with the General Data Protection Regulation. By supplying information, you are giving your consent to the information being processed under a Legitimate Interest for all employment purposes as defined in the General Data Protection Regulation. The information may be disclosed to third parties as required by law or deemed necessary e.g. Schools/ educational organisations/LEAs, the Department for Education and relevant statutory bodies, the Criminal Records Bureau or Payroll Services etc. You should also note that checks may be made to verify the information provided and may also be used to prevent and/or detect fraud. This form will be kept strictly confidential but may be photocopied and may be transmitted electronically for the use by those entitled to see the information as part of the recruitment process. The form will be retained for 1 year from the last date of supply or introduction to a Client. If you are employed as a result of your application or we feel that we may be able to find you employment in the future and you are happy for us to continue to seek employment for you then this application will be retained as part of your personnel record. Should you no longer wish us to seek employment for you then you must notify us in writing.
• Certain data attracts a higher level of safeguards than other data. Such data is known as ‘sensitive data’. Examples of sensitive data include information relating to e.g. criminal records, health, race, ethnic origin etc.
• LTS Group will process sensitive data with special care and consideration. Extra safeguards are incorporated within our systems to ensure compliance with GDPR. Please note that a limited but necessary verification exercise as to your background will be undertaken in order to discharge statutory obligations.

SECTION 2

• Subject to you providing your specific and explicit consent personal data may also be transferred to an LTS Group company, linked supplied or sub-contractor, person acting as our agent in another country or direct marketing companies, including course providers and other organisations for the purposes of providing you with details of events, courses, special offers and/or other promotional opportunities and relating to the potential participation and/or purchase by you of such services and/or merchandise. Any such third parties must agree that your personal information will receive the same level of protection as LTS Group provide and/or we are required to give in the UK.
• In providing your consent for your personal data to be used in this manner, you can be advised by mail, electronic mail, telephone, fax or other on-line or interactive media about offers, promotions and services available to you unless you write to the address below or mark the box below with a cross to state that you do not wish to be contacted in this manner.
• All data processed as above will be kept safe and secure and will have limited rights of access by trained LTS Group staff. Data will only be shared/released to the parties as identified in this document and upon your agreement to these terms.

By opting out you will not in any way be discriminated against or disadvantaged.

By opting out we will not be able to proceed with your application, as information contained within your application must be disclosed to third parties in relation to your employment as defined in the General Data Protection Regulation.

• Under the General Data Protection Regulation, you are entitled to a copy of your personal information held by us. In this instance, please write to the Data Protection Office at the address contained within this form.

• Note: I understand that I may at any time notify the LTS Group Data Protection Officer in writing of my desire to withdraw the consent given either under (a) and/or (b) above and for my information to be deleted (save for that information that is required to be retained by law or regulation). You can learn more about how your data is processed and protected by reading our Privacy Policy at www.ltsg.co.uk

I also consent to the agency processing my personal data with third parties including the APSCo for the purposes of audits and investigations carried out on the agency to ensure that the agency is complying with all relevant laws and obligations.

• I confirm that the above information is true and accurate to the best of my knowledge.
• I confirm that I am not on the Disclosure and Barring Service barred lists, disqualified under the Childcare Act 2016 set out in the DfE guidance, nor subject to any sanctions or conditions on my employment imposed by the Disclosure and Barring Service, the Secretary of State or a regulatory body e.g., Teaching Regulation Agency (TRA) and either have no convictions, cautions, reprimands or bind-overs, or have attached details in a sealed envelope marked Confidential.
• I understand that providing false information is an offence which could result in my application being rejected or (if the false information comes to light after I have started employment) summary dismissal from my place of employment and may amount to a criminal offence.
• I consent to LTS Group and any employer/potential employer processing the information given on this form, including any ‘sensitive’ information, as may be necessary during the recruitment and selection process and I am aware that checks may be carried out to verify the contents of my application form.
• I agree to abide by the terms of engagement with LTS Group upon accepting any assignment offered.
• If, during the course of a temporary assignment, the Client wishes to employ me direct, I acknowledge that LTS Group will be entitled either to charge the client an introduction/transfer fee, or to agree an extension of the hiring period with the Client (after which I may be employed by the Client without further charge being applicable to the Client).