📄Employment History Review Form

As part of our recruitment checks and in line with CQC safer recruitment standards, please provide your full employment history for the past 3 to 5 years. We will review and follow up on any gaps of more than 28 days, and may request supporting evidence (e.g. travel, personal circumstances, or study).

👤Applicant Details

Full Name

Phone

📅Employment History (past 3-5 years)

Please start with your most recent role and work backwards. If you were not employed at any time, please indicate the reason (e.g. travel, study, caring responsibilities) and the dates.

Please include: job title, employer name, start date, end date and reason for leaving. If you were not employed at any time, please indicate the reason (e.g. travel, study, caring responsibilities) and the dates.

📂Supporting Evidence for Gaps (if applicable)

If there are any periods of 28 days or more where you were not in employment, please upload any supporting documents to explain the gap (e.g. university enrolment letter, travel documents, medical letter).

File Upload

✍️Declaration

I confirm that the information provided is true and complete to the best of my knowledge. I understand that any unexplained gaps may delay the processing of my application.

Yes

Signature

Clear

Date