Vacancy details

Personal details

If you are a foreign national do you have a UK work permit/right to remain?:
Do you hold a current driving licence:


Please give details of two referees. This must be your present or most recent employer.)

First Referee

May we contact the above prior to interview?:

Second Referee

May we contact the above prior to interview?:

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.

Rehabilitation of offenders act 1974

The provisions relating to the non-disclosure of criminal convictions do not apply to certain occupations. The position for which you are applying may be included in the excepted type of employment under the Rehabilitation of Offenders Act (Exceptions) 1974 order 1975. A routine Enhanced Disclosure will be requested through the Criminal Records Bureau for all posts. Please answer the following questions, read carefully and sign the declaration below.

Have you ever been convicted of any criminal offence(s) currently and/or do you have any criminal charge(s) pending?:

In the event of employment any failure to disclose convictions could result in dismissal or disciplinary action by IAS Services. Any information given will be completely confidential and will be considered only in relation to an application for positions where such an exception is appropriate.

 How we use this information