DISCLOSURE CHECK CONSENT FORM

The job for which you are applying involves substantial opportunity for access to children. It is therefore exempt from the Rehabilitation of Offenders Act 1974.

If you are selected for interview you will be asked at interview if you have any criminal convictions and you will be given an opportunity to discuss the matter at this stage.

Should you be offered the job, the employer is also entitled , under arrangements introduced for the protection of children, to check for the existence of and details of any criminal convictions or pending prosecutions you may have, even if they would otherwise be regarded as “spent” under this Act, and any cautions and bind-overs.

This process is called disclosure. You will be asked to complete a separate disclosure application form which is forwarded to the Criminal Records Bureau for checking. Once complete they will send your employer details of any criminal record. As part of the disclosure process you will receive a copy of the completed check direct from the Criminal Records Bureau.

A disclosure check will not be made without your consent, although you should be aware that refusal to give your consent could result in an appointment being withdrawn.

The disclosure of a criminal record, or other information, will not debar you from appointment unless the employer considers that it makes you unsuitable for appointment. In making this decision the employer will consider the nature of the offence, how long ago, what age you were when it was committed and any other factors which may be relevant.

Information revealed in the disclosure check will be kept in strict confidence and will be destroyed immediately once the recruitment process is completed.

Please complete and sign below:

• I have made an application for employment and I understand that this work is subject to a disclosure check.

• By completing this form I consent to the transfer of my information to the Criminal Records Bureau for the purpose of a Disclosure Application.

• I confirm that the information that I have provided in support of this application is complete and true and understand that knowingly to make a false statement for this purpose is a criminal offence.