Please provide names, addresses and telephone numbers for referees below whom we may approach for a
reference. In line with CQC requirements, we require references (or other satisfactory evidence as the employer may
determine) from all previous employers concerned with the provision of services relating to health or social care, or children
or vulnerable adults which should include details of why their employment came to an end (note that this is not time
limited). If your previous employment does not concern the provision of services relating to health or social care, or children
or vulnerable adults, you must provide references from your two most recent employers.
Please provide two character references if you are unable to obtain two professional references, e.g. in the case of an
applicant who has been raising children for ten years. All will be contacted. Therefore, please inform the referees of the fact
that you have used their name. If you are unable to provide the required references, please discuss the matter with
us.

Privacy Statement

We will only collect data for specified, explicit and legitimate use in relation to the recruitment process. By signing this application form, you consent to us holding the information contained within
this application form. If successfully shortlisted, data will also include shortlisting scoring and interview records. We would like to keep this data until the vacancy is filled. (We cannot estimate the exact time period, but we will consider this period over when a candidate accepts our job offer for the position for which we are considering you). When that period is over, we will either delete your data or inform you that we would like to keep it in our database for future roles.
We have privacy policies that you can request for further information. Please be assured that your data will be securely stored by the Registered Manager- Beth Kimani and only used for the purposes of
recruiting for this vacant post.
You have a right for your data to be forgotten, to rectify or access data, to restrict processing, to withdraw consent and to be kept informed about the processing of your data. If you would like to discuss this further or withdraw your consent at any time, please contact the Registered Manager-
Beth Kimani to discuss.

Declaration

The information in this application form is true and complete. I agree that any deliberate omission, falsification or misrepresentation in the application form will be grounds for rejecting this application
or subsequent dismissal if employed. Where applicable, I consent that can seek clarification regarding professional registration details.