Please provide the company name, position held, start and end date and your reason for leaving. Please also detail any gaps in employment.
Please provide full names and addresses of two professional employment referees covering between 5-10 years employment history and one character referee. Your first reference must be from your current or previous last place of work and addressed to your line manager. Lone Care Services Ltd cannot use friends or relatives for any employment references. Employment references cannot be sent to private or personal home addresses. You must provide workplace addresses and the referee must be a higher grade of staff than you yourself i.e. your line manager.
You are not exempt from the provisions of the Rehabilitation of Offenders Act 1974, you are not therefore entitled to withhold information requested by the company about any previous convictions in this country or abroad you may have, even if in other circumstances these would appear spent. I confirm that the information I have given is true. I understand that if information given on the application form is found to be false it may result in disciplinary action which could include dismissal. Should I be offered employment, I accept that I will be required to notify the company of any changes to my DBS status.
