Please give details of two referees. This must be your present or most recent employer.)
For each item please include:
- Employer's Name and Address
- Job Title and Brief Details of Responsibilities
- Start Date
- Leaving Date
- Reason for Leaving
For each item please include:
- Areas of Training / Development & Qualifications
- Level/Grade
- Full Time, Part Time or Distance Learning?
- Date Achieved
* A person has a disability if he/she has a physical or mental impairment, which has a substantial and long term adverse effect on his/her ability to carry out normal day to day activities.
Data Protection Act 1998
IAS Services will use the information you provide on this application form for the purpose of processing your application and monitoring the recruitment process, and, if your application is successful, for the purpose of facilitating your employment with IAS Services. If your application is successful, IAS Services may be required to share some of the information you provide with statutory bodies including the Care Quality Commission and the Department of Work and Pensions
The information you provide in this pack will be stored securely and will not be retained longer than necessary. Unsuccessful applications will not normally be kept for longer than a year. You have a right to access the information that IAS Services holds on you. If you would like to do this, please contact the HR department.
Read the information you have entered on this screen, if the details that you have entered are both accurate and truthful please tick the box below.