Accolade

Application and Profile Form

(Please complete in BLOCK CAPITALS, mark non-applicable sections with “N/A”)

SECTION 2: WORK & EMPLOYMENT HISTORY

5 Year Employment History

• For each previous employer please provide the information requested below.
• If you have been unemployed, please supply details of the unemployment benefit office and dates that dealt with your claim & any reference number you may have.
• Please do not leave gaps in dates – we must have a continuous record for the last FIVE years.
• Any gaps in history will result in a delay in processing your application
• Please include full school & college details if attended within the last FIVE years.
• Please continue on a separate sheet if necessary.

NOTE: YOU MUST HAVE COMPLETED THIS SECTION AS FULLY AS POSSIBLE – EVEN IF YOU WERE OUTSIDE THE UK FOR ANY PERIOD IN THAT TIME YOU MUST GIVE US DETAILS.

SECTION 3: OTHER QUALIFICATIONS

SECTION 4: REFERENCES

PERSONAL REFEREES

These must be persons who have known you for last two years at least of the past last FIVE years and can vouch for your good character – They may NOT be a previous employer or relative and should not be resident at the same address as of the applicant

SECTION 5: DECLARATIONS

Subject to the Rehabilitation of Offenders Act please answer the following questions YES or NO

SCREENING & VETTING DECLARATIONS:

By signing below, I certify that to the best of my knowledge, the information that I have given by me in this application is true and complete to the best of my knowledge and belief. I understand that any false statement or omission may render me liable to prosecution or dismissal without notice. I fully understand the consequences which may arise as a result of knowingly making a false declaration to gain employment or pecuniary advantage. (Theft Act 1968, Section 16) I accept that I may be required to undergo a medical examination where requested by the Company and I consent to the results of such examination being given to a Company Director. I further understand that a credit agency check may be carried out on me and I give my consent to this.

I understand and agree that if so, required I will make a Statutory Declaration in accordance with the provisions of the Statutory Declarations Act 1835, in confirmation of previous employment or unemployment. I authorize the company to approach Government agencies, former employers, and personal referees for verification of my employment/unemployment record.

DISCLOSURE:

You may be employed in a position of trust by a company or one of its subsidiary companies we may have to apply for a Disclosure from the Criminal Records Bureaux. However, having a criminal record does not necessarily bar you from employment. If you wish to obtain more information, please ask The Company Personnel Department for their Code of Practice or their policy statement regarding ex-offenders. Disclosure information is treated in a sensitive way and is restricted to those who need to see it to make a recruitment decision. The Disclosure information is not retained i.e. it is disposed of within the timescales; recommended in the CRB Code of Practice. By signing below, you agree to this process.

DATA PROTECTION ACT 1998:

We will use the information you have given on this form (together with any information which we obtain with your consent from third parties) for assessing your suitability for employment within certain contracts managed by your employers. It may be necessary to disclose your information to our agents and other service providers.

By returning this form to us you consent to our processing sensitive personal data about you where this is necessary, for example, information about your past employment, finances, ethnic origin, or criminal offenses. You also consent to the transfer of your information to your employers where this is necessary.

Your information will be held on our computer database and in our paper filing systems. You have the right to apply for a copy of your information (for which we may charge a small fee) and to have any inaccuracies corrected.

DECLARATIONS

General Data Protection Regulation (GDPR) opt out Agreement

1. I agree that the GDPR, shall not apply to my records in so far as the Company requires to disclose it to the relevant Company for use during my employment.

3. Notwithstanding my agreement to dis-apply the GDPR in these specific circumstances, I am fully aware that I can opt back in at any time.

4.  I agree that I have entered into this agreement voluntarily and understand I am under no obligation to sign this agreement and that it is illegal for me to be subject to any detriment if I decline to sign.

Accolade Security

 Post Offer Employee-Health questionnaire

1. Guidance notes for completion

The purpose of this form is to provide us with information about your past and present health that may affect your ability to undertake certain tasks whilst you are employed by us.

This questionnaire is designed to help us understand your health and for us to make provision for any special requirements you may have. You do not have to answer any of these questions if you do not wish to, however answers will help us to make any adjustments in your role if you need. This information will be treated in confidence and only information that is relevant to your employment will be taken into account. 

No information that is contained in the form will be disclosed to anyone other than to those who will need this information to make decisions about your employment.  Full account will be taken of any reasonable adjustments that can be made either to your duties or your working environment should a specific health issue arise.

Please complete the following questionnaire.  Where appropriate, and if applicable, please expand on your answers in the relevant sections by addressing the following:

• Any diagnosis or any long-term prognosis you have been given by your GP or consultant for your physical or mental impairment.
• The approximate date when this happened.
• What form of treatment, if any, did you receive?
• Any current medications or treatments you are receiving or being prescribed.
• Whether you were admitted to hospital, unable to work or prevented from carrying out your normal duties and activities because of the problem?
• Does the condition continue to affect you in anyway?
• How long did you have this problem for? Or how long have you continued to suffer.
• If you are currently undergoing treatment or have any operations planned in.

Please write down details below for any of above questions which matches your situation.

Declaration    *

I, confirm that all of the answers that I have given are true and to the best of my knowledge have been correctly recorded.  I have not knowingly withheld any medical information.

I also agree to Accolade Security holding personal information and sensitive personal data (as defined in the Data Protection Act 1998) about me for the purpose of my employment.

Signature(name) ..................................................