Candidate Registration Step 1 of 6 16% Name* Prefix MrMrsMissMsDrProf.Rev. First Last Date of Birth:*dd/mm/yyyy National Insurance Number:*Have you ever used or been known by any other name?*Please list any forenames/surnames previously used (Please put N/A if this doesn't apply to you.)CANDIDATE VETTING PROCEDURECassidy Education places teachers and support staff within the UK education sector. Due to the nature of work involving access to children, it is exempt from the Rehabilitation of Offenders Act 1974, subject to the filtering rules for criminal record check certificates (please ask for these guidelines if needed). You are required to disclose any spent or unspent convictions, subject to the filtering rules. Any person who refuses the vetting procedure cannot be appointed or engaged by Cassidy Education Ltd in any capacity, including in a voluntary role. Please note it is an offence to apply for work with children, or young people under the age of 18, if you have been convicted of certain offences, or are considered unsuitable to work with children by the Department of Education, the Department of Health, or the Secretary of State. Note you are not required to disclose any filtered convictions or cautions. I CONFIRM I HAVE READ AND UNDERSTOOD THIS DECLARATION:*YesNo CONTACT DECLARATIONI authorise Cassidy Education Ltd to contact my previous employers and educational institutions to obtain references and verify any of my qualifications. I hereby consent to Cassidy Education Ltd passing on all relevant personal data to schools or any end-using client for recruitment and compliance purposes. I also hereby consent Cassidy Education Ltd to check my DBS Update Service up to four times per annum and/or every time I start a new placement (if applicable): Please confirm contact authorisation:*YesDBSI understand that if I am not registered for the DBS Update Service, Cassidy Education Ltd will process another DBS check for me and I will sign up to the DBS Update Service. If I subsequently sign up to the Update Service, it is my responsibility to inform Cassidy Education Ltd, or an additional DBS may be processed and charged for. I authorise Cassidy Education Ltd to deduct the DBS payment of £44.00 (for paper form) or £51.20 (for online form) from my first pay for this check to be processed. This will be refunded to me once I have completed 20 days of work AND I have provided the new Cassidy Education Ltd's DBS Certificate. Cassidy Education Ltd will also refund the annual DBS Update Service subscription fee if I am in continuous employment with Cassidy Education Ltd. I understand it is my responsibility to keep my Update Service subscription active and up-to-date whilst I am employed by Cassidy Education Ltd Please confirm DBS authorisation:*Please note. We will only process a DBS and deduct payment if you do not hold a valid DBS on the DBS Update Service. If this is the case, please choose YES below and inform your consultant when you attend the interview.YesNo MEDICAL CONSIDERATIONSAre there any health/medical reasons that will affect or impair your ability to perform the key duties required for the role applied for?* Please provide details or type 'NO':Do you suffer from alcohol or drug addiction, or have any mental health issues?* Please provide details or type 'NO':Do you suffer from any contagious disease that is listed as notifiable by the UK Government?* Please provide details or type 'NO':Do you consider yourself to have a disability?* Please provide details or type 'NO':Doctor or G.P. details:Name, address and telephone if known.Emergency Contact.*Please provide name and contact details of at least one person.DECLARATION - I confirm all answers given above are true and correct:*YesNo FILTERING RULES FOR CRIMINAL RECORD CHECK CERTIFICATES For those 18 or over at the time of the offence: An adult conviction will be removed from a DBS criminal record certificate if: 11 years have elapsed since the date of conviction; and it is the person's only offence, and it did not result in a custodial sentence. Even then, it will only be removed if it does not appear on the list of offences relevant to safeguarding. If a person has more than one offence, then details of all their convictions will always be included. An adult caution will be removed after 6 years have elapsed since the date of the caution – and if it does not appear on the list of offences relevant to safeguarding. For those under 18 at the time of the offence: The same rules apply as for adult convictions, except that the elapsed time period is 5.5 years The same rules apply as for adult cautions, except that the elapsed time period is 2 years. Filtering Rules As of 29 May 2013 you are no longer required to disclose information about any ‘filtered’ offences. You are not required to disclose on any part of this form any convictions or cautions that have been ‘filtered’. Subject to the filtering rules failure to declare a conviction that you must disclose may require Cassidy Education to exclude you from our register or terminate an assignment if the offence is not declared but later comes to light.Full Name Provide your full name, including middle name(s) if applicable. Do you have any spent/unspent criminal convictions?*If yes, please list your criminal convictions and their dates in the space provided. The information you give will be treated in confidence and only taken into account where, in the reasonable opinion of Cassidy Education and DfE guidelines, the offence is relevant to the post for which you are applying. Please answer Yes or No to the above question:YesNoCriminal Convictions:Please list any criminal convictions together with dates in the field provided. DECLARATION - Please provide your full name and today's date and confirm all answers given on this form are true and correct: Provide your full name, including middle name(s) if applicable. Today's Date I confirm all answers provided are correct:*YesNo REFERENCESFirst Referee Name:*Current or most recent Employment/Education Referee First Last Name of school/organisation:*Position held:*Contact Telephone Number:*Contact Email:*Please ensure email address is correct as a reference request will be sent automatically once you submit this registration form. Second Referee Name:* First Last Name of school/organisation:*Position held:*Contact Telephone Number:*Contact Email:*Please ensure email address is correct as a reference request will be sent automatically once you submit this registration form. Character Referee Somebody in employment who has known you for 3+ years and is not related:Character Referee's Name: First Last RelationshipContact Telephone Number:Contact Email: CommentsThis field is for validation purposes and should be left unchanged.