DC-043 Rehabilitation of Offenders Declaration Form
The post for which you have applied involves working with people who are considered to be vulnerable and, as such, the post is exempt from the provisions of the Rehabilitation of Offenders Act 1974. This exemption requires that you must declare ALL CONVICTIONS regardless of time passed including those convictions which would otherwise be regarded as ‘spent’.

No application for employment will be processed unless this declaration has been completed.

A criminal record will not necessarily be a bar to any applicant obtaining the position for which they have applied.


Have you ever been convicted of any offence? *
I declare that the information that I have given is correct and that there are no convictions that have not been included.

I understand that if I am offered the post and it is subsequently found that the information given is incorrect, this will be treated as gross ‘misconduct’ and I will be liable to be dismissed without notice.