Application Form

Vancancy Application Form
Rehabilitation of Offenders Act 1974 and exception order 1975
Because of the nature of the work for which you are applying, you must provide information about any convictions. Our power to require this lies in the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975, which removes the normal operation of the Act in relation to specific occupations, including the provision of Home Care Services. In the event of being employed in connection with this application, any failure to disclose such convictions could result in dismissal or disciplinary action. Crossroads Care Rotherham follows a Code of Practice about the fair use of disclosure information, and a copy is available on request. If you do have any previous or outstanding convictions, details of the type of offence, date, sentence, fine etc. should be placed in a separate, sealed envelope which will subsequently be returned to you. It will only be opened if you are considered for the appointment. Such information will be completely confidential to the appointing panel. A criminal record will not necessarily be a bar to obtaining a position.
Education & Training
Professional Qualifications/Higher Education
Previous Employment
Present/Last Employer
Employer Reference
Further Information
Please tell us about yourself and why you would like to work for Crossroads Care Rotherham. What skills do you have to offer and why do you think these skills would support your application for the role.
Your details will be kept secure and we will never pass your details onto third parties. For full details, see our Privacy Policy below.
Crossroads Care Rotherham strives to operate a policy of equality and diversity and not discriminate against any person. The information you provide will be treated in the strictest confidence and is for monitoring purposes only and in no way forms any part of the selection process.