I understand that if I am appointed the information I have supplied on this form and elsewhere, including information that may be considered sensitive and personal, may be processed by and stored on a computer, and kept in my personal records. I understand that the information may be used for employment checks, equality monitoring and statistical purposes and may be audited by representatives of the Care Quality Commission, the NHS and others with a regulatory or contractual right to do so. I hereby give my consent for my data to be used for these purposes.”

I have a right to ask the company to delete and stop processing my personal data on receipt of my request. I understand that customers and care sector regulators may be given access to documents used in Employment Checks, DBS Update service checks in line with regulatory requirements, including references and qualification certificates”.

Declaration

I confirm that to the best of my knowledge the information I have provided on this form is correct and I accept that providing deliberately false information could result in my dismissal. I acknowledge that any failure to provide accurate information may result in my application not being taken forward or, following recruitment, possible disciplinary action or removal from the company register.