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Confidential Character Enquiry Form

Applicant No:
Job Number:

Please read the following information carefully and then answer the question overleaf.
The form should be completed by all applicants and returned in the envelope
provided.

Commitment to Fair Selection

Interface Europe Ltd is an Equal Opportunity Employer. Unprejudiced consideration


will be given to candidates who declare criminal conviction(s) unless the offence(s)
is/are manifestly incompatible with the post in question. Any disclosure will be seen
in the context of the job criteria, the nature of the offence and the responsibility for the
care of existing clients and employees.

Disclosure of Criminal Convictions

Overleaf you will be asked to disclose any criminal conviction(s) that is/are not
spent under the Rehabilitation of Offenders Order (NI) 1978. Details of the
rehabilitation periods for different sentences are provided below.

Please seal the completed form in the envelope provided and return with the
application form.

Rehabilitation Periods
Type of Sentence Under 17 Over 17
Custodial sentence up to 6 3 years 7 years
months*
Custodial sentence between 6 5 years 10 years
months and 2 years*
Fines, community service, 6 months 6 months
combination & curfew orders
Absolute discharge 6 months 6 months
Probation, supervision, care 1 year or until the order 1 year or until the order
order, conditional discharge expires expires
or bind-over
Attendance centre order 1 year or until the order 1 year or until the order
expires expires
Hospital order (with or 5 years or 2 years after order 5 years or 2 years after order
without restriction order) expires expires

* Including suspended sentences


Note: Custodial sentences of 2 years or more are never spent.

For confidential advice about disclosing convictions please contact: The


Employment Equity Unit @ NIACRO, Telephone 028 9023 0157.
Please give details regarding any conviction(s) currently held other than those
that would be considered spent under the terms of the Rehabilitation Order
(NI) 1978:
Date Conviction Type of Sentence

NA

Please provide any other information you feel is relevant:


This may include a description of your circumstances at the time, how your situation
may have changed, positive outcomes arising from the conviction such as training
received during a period of custody and/or why we should disregard the conviction.

(Please continue on a separate sheet if necessary)

I can confirm that to the best of my knowledge, the information given in this form is
true and complete.

Name: James Greene 24-06-2015

Warning: Failure to provide correct information may affect your application.


We do not wish to exclude ex-offenders but we must ensure that the offence(s) that
lead to conviction(s) is/are not manifestly incompatible with the post in question.

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