Personal Details

Work Permit / Working in the UK

Education & Training

Qualifications gained on leaving School/College/University

Professional Qualifications/Memberships/Registration Numbers (where applicable)

Current/Most Recent Employment

Previous Employment

Please give details of the posts you have held, with the most recent first. Please include any gaps in employment with explanation.

Supplementary Information

References

Details of first referee:
(This should be your current or most recent employer. Personal references & references from relatives are not acceptable.)

Details of second referee:

When we request references for applicants applying to work with vulnerable adults, we have a compulsory question that asks referees to comment whether there have been any disciplinary issues (e.g. conduct and/or behaviour) which may have a bearing upon an applicants' suitability to work in such a field. We will ask whether there are any penalties, which we call 'time expired' (e.g. whether there has been a disciplinary matter in the past which may have expired).

Additional Information

Driving Licence

Convictions

Convictions which are deemed 'spent' under the Rehabilitation of Offenders Act (1974) need not be disclosed. However, if the post for which you are applying is regarded as exempt you must declare all 'spent' as 'unspent' convictions. You may wish to enclose the details in a separate sealed envelope marked confidential & marked for the attention of the person dealing with the vacancy.

If you answer Yes to the questions below, please give details:

Data Protection

The information provided by you on this form & supplementary forms will be used to assist with the process of recruitment. If you are successful in your application the information provided will be used for HR purposes. By agreeing to the declaration below it is understood that you consent to the use of your personal information for the stated purpose.

Declaration

I declare that the information given on this form is complete & accurate. I grant permission for the Home to check my name at Disclosure Scotland (PVG), SSSC and any other appropriate regulatory bodies. I understand that any false information, deliberate omissions or appearance on the SSSC Register will lead to the offer of employment being withdrawn or may render me liable to summary dismissal.