Self-declaration and disclosure form for regulated activity roles eligible for a DBS, that involve contact with children (under 18 years old) or vulnerable adults (over 18 years old).
Private and confidential
All information will be treated as confidential and managed in accordance with relevant data protection legislation and guidance. You have a right of access to information held on you under the Data Protection Act 2018.
Note: As the position you have applied for involves work with children and young people or vulnerable adults it is not covered by the provisions in the Rehabilitation of Offenders Act 1974. When answering questions 1 to 4 you must declare criminal convictions and/or cautions that are not ‘protected’ under the Exceptions Order (as amended). This includes UK, overseas and armed forces convictions, cautions and relevant service discipline convictions where it would be considered an equivalent offence in England and Wales.
Free, confidential advice can be sought from the organisations below to help you understand whether to disclose certain criminal record information:
Nacro – Tel: 0300 123 1999, or email: helpline@nacro.org.uk
Unlock – Tel: 01634 247350, email advice@unlock.org.uk or complete the online form on the Unlock website.