Apply to Ontrak

Fill in your information below to apply for Ontrak. We'll look over it and get back to you. * is a required field.

Right to work

Are you eligible to work in the UK? * Yes No

You don't need to continue with the application at this stage.
Thank you for your interest in Ontrak and welcome back if
matter changes and you are eligible to work in the UK.

The children act 2004 (part X)

Have you ever
Yes No	Been convicted of any offences involving a child? *
Yes No	Has a child ever been removed from your authority by order of any court or Local Authority? *
Yes No	Had registration under Part X of the Children Act 1989 been refused or cancelled? (including childminding)? *
Yes No	Had your rights and duties removed with respect to any child vested in a local authority? *
Yes No	Had a prohibition on you at any time? *
Yes No	Been disqualified from acting as a foster parent? *
Yes No	Had any criminal convictions? *
Yes No	Had an order made against you at any time in respect of a child who has been in your care? *
Yes No	Had a requirement imposed on you at any time with respect to any child who has been in your care? *
Yes No	Had to obtain the written consent of a Local Authority for registration under Part X of the Children Act 1989 (including for childminding)? *
Yes No	Lived in the same household as a person who is disqualified from registration under Part X of the Children Act 1989 or lived in a household at which any such person is/was employed (including for childminding)? *
Yes No	Been served with a notice for failing to be registered when acting as a childminder. *
Yes No	Acted as a carer of children/childminder without registration? *

We note you have said yes to some of the questions.
We will require further information after you have submitted the application.

Address

Address Line 1

Address Line 2

Post Code

County

Country

Contact

Mobile Number

Telephone Number

Emergency

Emergency Contact Name

Emergency Contact Telephone

Identification

Identification (choose one of the 4 alternatives):

UK Birth Certificate Passport Work Permit/Residence Permit/Biometric Card Biometric Residence Permit (BRP)

Identification number

Identification number valid to

National Insurance

Please upload a .pdf, .txt, .doc or .docx

Bank details

Name on bank account

Sort code

Account number/building society number

Bank name

Equality and diversity

Ontrak UK Ltd is dedicated to equality and the monitoring of diversity. The information you provide within this section will only be used for monitoring and improving our procedures as a company. The information you provide will have restricted access and will not be visible to colleagues. The information you provide may be produced for clients, but only in a format that will not identify you as an individual.

Please state your ethnic origin

Placements at Ontrak may involve lifting, placing and removing heavy disability ramps, the use of stairs and escalators within the station environment and involves exposure to a high Health & Safety risk environment. We are asking this question so that we may make any reasonable adjustments.

Do you have a disability that would affect your ability to do the job or attend our selection process? * Yes No

How did you hear about us?

Please state if you have a unspent convictions? * Yes No

Personal referee

You must have known personal referee for over 5 years and must NOT be a family member or partner.

I confirm personal referee is NOT a family member or partner * Yes No

Relationship to you

Contact Name

Tel No

Email Address

Education information

Educational Institution Name

Address

Subject/Field of Study

Referee Name

Referee Email

Referee Contact Number

Grade

Start Date

End Date (if applicable)

Medication

Do you take any medication? * Yes No

Password

Confirm Password

Procedure information

Do you understand that after attending an interview and being successful, the employment offer by the railway company is ONLY approved once the Medical Test for Alcohol and Drug screening has returned as negative? *

Yes No

Declaration

I confirm that the information that I have provided during my registration with Ontrak is true and correct. Should any of this information change while searching for employment through Ontrak, it is my responsibility to inform Ontrak immediately. *

Yes No

Read and accept policies/declarations/regulations

To accept: Click the link, read the document and then press button "I Accept".

Registration declaration

Drugs and alcohol regulations

Fill out your application

List of references:

List of medications: