Worcestershire Driver Safer Recruitment 1 Personal Information 2 Employment History / Education 3 Licensing Authority 4 Safeguarding Policy 5 Legal Declarations 6 Signature 0% First name * Middle name Last name * Gender * Female Male Email * Phone Number * Address Line 1 * Address Line 2 City * Region * Postcode * Previous Next Previous Job Experience List your previous job experience Job title * Company name * Years of service * Responsibilities * Start date of employment * End date of employment * Reason For leaving * Education Qualifications you have received How many GCSEs have you obtained? College qualifications you have received? Previous Next What vehicle do you drive? * Car MPV 6 seater MPV 7 seater MPV 8 seater Black Cab WAV ( Wheelchair Accessible Vehicle) What is your license type? * Private Hire Hackney Carriage Dual PSV (Category D or D1 incl. Driver Qualification Card) Which authority is your taxi licence? * Wychavon Council Worcester Council Malvern Hills Council City of Wolverhampton Council Birmingham City Council Redditch Borough Council Other If other please describe: Have you got a Home to school ID badge * Yes No Previous Next Do you have an enhanced DBS Certificate * Yes No Are you registered with the DBS update service * Yes No if not, do you agree to apply and register once Yes No Do you have any convictions * Yes No If yes, please describe : Is there any reason you may not be suitable to work with children or vulnerable individuals? * Yes No If yes, please describe : Have you been refused, removed or suspended from any transport work by any local authority? * Yes No If yes, please describe : Previous Next This is in line with Section 116A of the Police Act 1997, for the purpose of asking an exempted question within the meaning of Section 113A of the Police Act 1997; or in relation to my Enhanced Criminal Record Certificate, for the purposes of asking an exempted question for a prescribed purpose within the meaning of Section 113B of the Police Act 1997. I understand that safeguarding is a shared responsibility and agree to follow all policies and procedures to protect children, young people, and vulnerable adults. I agree to undertake safeguarding training and ongoing professional development. Safeguarding Policy 5.0.pdf I consent to Green Destinations Ltd obtaining and retaining a copy of my DBS certificate, information obtained as a result of the DBS disclosure, and any other information reasonably required relating to the DBS disclosure I agree to Green Destinations Ltd checking my DBS certificate status online, as and when required, for the duration of my employment with Green Destinations Ltd Data Protection Statement Your information will be processed in accordance with the Data Protection Act 2018 and GDPR. It will be used solely for recruitment purposes and, if successful, for your employment record. I agree for this information to be shared with appropriate third parties where there is a legal obligation to share this information and/or as part of multi-agency safeguarding decision-making, if necessary, in relation to my employment with Green Destinations Ltd. I understand that this role is subject to safer recruitment checks, including references and identity verification I confirm that all the information I have provided is accurate and complete. I understand that providing false or misleading information is an offence and may result in my application being rejected or my employment being terminated. I consent to having this website store my submitted information so they can respond to my inquiry. Learn more in Our Privacy Policy. Previous Next Signature * Sign digitally using your mouse, touchscreen, or a digital pad. Clear Undo Redo Submit Previous Next
