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Application Form

First Name *

Last Name *

Email *

Mobile number *

Date of Birth *

Address *

Postcode *

NI Number

Qualifications *

Social Work Degree
DipSW
NVQ level 3
Other

Social Work England number

Other professional Registrations

Additional Information

Referee Name

Company Name

Relationship

Tel number

Referee Name

Company Name

Relationship

Tel number

Referee Name

Company Name

Relationship

Tel number

Other reference details

Because of the nature of the work for which you are applying, it is considered to be exempt from the provisions of the Rehabilitation of Offenders Act 1975. Applicants are required to give all convictions for criminal offences including those which would otherwise be considered 'spent by virtue of the said Act. Failure to give details of convictions, cautions or bindovers could result in de-registration. Information given will be considered only in relation to this application and is mandatory. *

I have read and understood the Rehabilitation of Offenders Act 1974 statement

Convictions

Disciplinary Action

Any present convictions

DBS number

DBS date of issue

Consent for storing submitted data *

Yes, I give permission to store and process my data

By submitting this application it is the equivalent of an e-signature *

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Our address

Entrust Social Care Ltd
International House
Stubbs Gate
Newcastle-under-Lyme
Staffordshire
ST5 1LU

Phone: 0333 1234 530
info@entrustsc.co.uk

We are an equal opportunities employer

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