Please give the names of people who could provide a reference regarding your suitability for the post for which you are applying. One of these should be your present or most recent employer, who is able to provide a reference on behalf of the employing organisation. School/College leavers should give the name of lecturers/tutors/head teachers.
In order to protect the public, the post you have applied for is exempt from certain provisions of the Rehabilitation of Offenders Act 1974. You are therefore required to disclose all and any past or pending cautions or convictions, whether spent or otherwise, unless it is either a “protect caution” or a “protected conviction” under the terms of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. All information provided will be kept in the strictest of confidence and only used for the purpose of assessing your suitability for the post you have applied for.
Please specify below details of all and any past or pending cautions or convictions, whether spent to otherwise, except for protected cautions or convictions. If you have no past or pending cautions or convictions, please specify “None”.