SIGNATURE and DECLARATION – IMPORTANT – READ BEFORE SIGNING
I declare that to the best of my knowledge and belief the information given by me in this application is true, and I understand that the above information forms the basis of my engagement with Linday Medicare Services.
I understand that if any of the information supplied by me is found to be falsely declared, my engagement may have been fundamentally breached and my services may be terminated immediately.
I understand that I cannot be offered a post until a satisfactory response has been received with respect to my DBS Register status, and that should I subsequently be offered a post, that offer will be subject to receipt of two satisfactory references, one of which must be from my previous employer.
It will also be subject to a satisfactory criminal record check from the DBS. I understand that until a satisfactory response is received from the DBS, I will be supervised at all times at work, and will not seek or have unsupervised access to vulnerable people.
If the post I have applied for is as a Registered Nurse, my engagement will also be subject to a satisfactory search of the Nursing and Midwifery Council records and registers.
By my signature, I authorize the organisation to request a DBS Register check and a criminal records check from the DBS, on initial engagement and at any time during the course of my relationship with Linday Medicare Services thereafter.
I undertake to inform Linday Medicare Services immediately if my DBS Register status or criminal status changes at any time during engagement, such as by being charged with an offence (other than motoring offences), the administering of a warning, criminal conviction, referral to any register of barred Care workers, or withdrawal of any registration required by my employment status.
