Job Application Form

Personal Details
Work Permit / Working in the UK
Do you need a work permit to take up this post? *
Are you eligible to work in the UK? *

(Documentary evidence will be required at interview)

Education & Training

Qualifications gained on leaving School / College / University

Subject

Type of qualification
e.g. Standard Grade, Higher, BSc, S/NVQ

Grade achieved

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Subject

Type of qualification
e.g. Standard Grade, Higher, BSc, S/NVQ

Grade achieved

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Subject

Type of qualification
e.g. Standard Grade, Higher, BSc, S/NVQ

Grade achieved

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Subject

Type of qualification
e.g. Standard Grade, Higher, BSc, S/NVQ

Grade achieved

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Subject

Type of qualification
e.g. Standard Grade, Higher, BSc, S/NVQ

Grade achieved

Professional Qualifications / Memberships

Professional Body / Membership

Registration Number

Date joined

Renewal date

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Professional Body / Membership

Registration Number

Date joined

Renewal date

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Professional Body / Membership

Registration Number

Date joined

Renewal date

Current / Most Recent Employment
Previous Employment

Date employed from and to

Employer’s name and address and nature of business

Job title and brief description of main duties and responsibilities

Reason for leaving

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Date employed from and to

Employer’s name and address and nature of business

Job title and brief description of main duties and responsibilities

Reason for leaving

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Date employed from and to

Employer’s name and address and nature of business

Job title and brief description of main duties and responsibilities

Reason for leaving

Supplemental Information
References

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

Details of First Referee
May we contact this referee prior to interview? *
Details of Second Referee
May we contact this referee prior to interview? *

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).

Driving Licence
Do you hold a current driving licence? *
Do you have penalty points? *
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:

Have you any criminal convictions? *
Have you had any allegations made against you? *
Have you received any cautions? *
Data Protection

The information provided by you on this form and 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 and 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.

Agree *

Please contact us if you need the application form in an alternative format or if you need any adjustments for the interview.

Care Inspectorate
Scottish Social Services