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Additional details

Employment History

Please give details of all jobs held, including part-time and unpaid work, from leaving full-time education. Start with your most recent or current employer. Include details of any periods of unemployment.

Education, Technical and Professional Qualifications

Please give details of all educational establishments that you have attended, and qualifications achieved, starting with current/most recent. Please also include any professional bodies that you are a member of and level of membership.

Please bring original certificates if successful for interview.

Education 1

Education 2

Education 3

Education 4

Additional education

Personal Development

Please give details of any memberships, voluntary work, hobbies or interests that may have relevance to the role you have applied for:

Declaration

Data Protection Statement

The information that you provide on this form and that obtained from other relevant sources will be used to process your application for employment. The personal information that you give us will also be used in a confidential manner to help us monitor our recruitment process.

If you succeed in your application and take up employment with us, the information will be used in the administration of your employment with us and to provide you with the information about us or third party via your payslip. We may also use the information if there is a complaint or legal challenge relevant to this recruitment process.

We may check the information collected, with third parties or with other information held by us.

We may also use or pass to certain third parties’ information to prevent or detect crime, to protect public funds, or in other ways as permitted by law.

By signing the application, we will be assuming that you agree to the processing of sensitive personal data (as described above), in accordance with our registration with the Data Protection Commissioner.

Declaration

I confirm that to the best of my knowledge and belief the information I have given in support of my application is correct and understand that any misleading statement or deliberate omission may result in my dismissal and a claim for damages.

I hereby consent to the processing of sensitive personal data, as defined in the relevant Data Protection legislation, involved in the consideration of this application.

Access NI

Applications from ex-offenders are welcomed and will be considered on their merit. Convictions that are irrelevant to this job will not be taken into account. You are required to disclose any convictions, which are not “spent” by virtue of the Rehabilitation of Offenders (Northern Ireland) Order 1978.

The Rehabilitation of Offenders (Northern Ireland) Order 1978 does not apply to certain specified professions: these are mainly medical, legal or accountancy professions. Neither does it apply to posts which involve contact with children, young people or vulnerable adults. In any of these cases you should state any convictions, cautions, reprimands or final warnings which would not be filtered in line with current guidance below, including any that are spent, giving details of date(s), offence(s) and sentence(s) passed. Dunluce Healthcare Ltd has a policy on the recruitment of ex-offenders. A copy of the policy is available to all applicants on request.

Dunluce Healthcare Ltd adheres to the AccessNI Code of Practice and a copy is available upon request or can be accessed to the following link. https://www.nidirect.gov.uk/publications/accessni-code-practice

Dunluce healthcare Ltd has a policy on the Secure Handling, Use, Storage and retention of disclosure information and a copy can be provide on request.
If you are applying for a post which involves contact with vulnerable adults, please also confirm that you are not listed as below:

I give my on-going consent to the Company that they may do an Enhanced Disclosure with a barred list check and retain the details of the check in accordance with Data Protection provisions, as part of the recruitment process, if I were to be offered employment with the Company.

I give my on-going consent to the Company that I will apply for Enhanced Access NI checks and updates as per Company policy if I were to be offered employment with the Company (where applicable).

Submit your completed application

The information you provide will be treated as strictly confidential and will be considered only in relation to the job for which you are applying.