Application Form

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Location

Employment Application

APPLICANT INFORMATION

Full Name*

Date*

DD slash MM slash YYYY

Address*

Email*

Phone*

NI No.*

Position Applied for

Yes

Are you a citizen of the United Kingdom?*

Yes

If no, are you authorized to work in the U.K.?

Yes

Can you provide proof of permission to work in the U.K.?*

Yes

If yes, what?

Are you on a restricted hours working visa?*

Yes

If yes, what?

Does your visa have an expiry date?

Yes

If yes, explain:

Share code:

Have you ever worked for this company?

Yes

If yes, when?

Are you driver with access to a vehicle?*

Yes

Comments?

EDUCATION HISTORY

Please complete education history if you are a recent school leaver:

School attended

Date

DD slash MM slash YYYY

Date

DD slash MM slash YYYY

Did you gain any qualifications? If Yes what

List

Location detail

Date

Field of study

Qualification gained

PREVIOUS EMPLOYMENT (PAST 10 YEARS) ADDITIONAL SPACE BELOW IF REQUIRED

Company

Phone

Address

Supervisor

Job Title

Responsibilities

Date from

DD slash MM slash YYYY

Date

DD slash MM slash YYYY

Reason for Leaving

Yes

May we contact your previous supervisor for a reference?*

Yes

Supervisor for reference

Company

Phone

Address

Supervisor

Job Title

Responsibilities

Date from

DD slash MM slash YYYY

Date

DD slash MM slash YYYY

Reason for Leaving

Yes

May we contact your previous supervisor for a reference?

Yes

Supervisor for reference

Company

Phone

Address

Supervisor

Job Title

Responsibilities

Date from

DD slash MM slash YYYY

Date

DD slash MM slash YYYY

Reason for Leaving

Yes

May we contact your previous supervisor for a reference?

Yes

Supervisor for reference

GAPS IN EMPLOYMENT

Gaps in employment

Reasons

REFERENCES (SEE GUIDE AT REAR OF APPLICATION)

Please list three professional references.

Must be your current or most recent employer.

Full Name

Relationship

Company

Phone

Address

Full Name

Relationship

Company

Phone

Address

Full Name

Relationship

Company

Phone

Address

PROFESSIONAL TRAINING / QUALIFICATIONS

Yes

Do you have a professional qualification such as an SVQ?

Yes

If yes, what?

Are you registered with the SSSC?

Yes

Reg. number?

Are there any conditions of registration?

Yes

If yes, what?

Is there any reason why SSSC registration will not be granted?

Yes

If yes, what?

Do you have other relevant qualifications?

Yes

If yes, what?

Tell us why you are applying for this position:

CRIMINAL CONVICTIONS

Yes

Have you ever been convicted of a criminal offence?*

Yes

If yes, explain:

Please note that all positions are subject to a Disclosure Scotland PVG check. You are asked to declare all criminal convictions at this point as full disclosure is obtained from a PVG check. Failure to disclose convictions may result in your application not being accepted.

Data Protection / GDPR

In accordance with the Act, you should be aware that the personal details submitted with this application form will be used only for selection and interview procedures; and for employment records if the application is successful.

ADDITIONAL SPACE FOR EMPLOYMENT HISTORY

Employment History

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I acknowledge that by typing my name in the signature field I am signing this application form.

Signature*

Date*

DD slash MM slash YYYY

NOTE: All employees/potential employees should be given a copy of this policy to read and sign that they have read and understood the document.

The Company works within Disclosure Scotland’s Framework at all times. To this end we will treat all Disclosure applicants who have a criminal record fairly and will not discriminate because of a conviction or other information. A copy of this policy on the recruitment of ex-offenders MUST be given to all candidates at the outset of the recruitment process.

As an organisation currently using the Disclosure Scotland service and Protection of Vulnerable Groups Scheme (PVG) to assess applicants’ suitability for positions of trust, we comply fully with the Disclosure Scotland Framework and undertakes to treat all applicants for positions fairly. It undertakes not to discriminate unfairly against any subject of a Disclosure on the basis of a conviction or other information revealed
We are committed to the fair treatment of its staff, potential staff or users of its services, regardless of race, gender, religion, sexual orientation, responsibilities for dependents, age, physical/mental disability or offending background
We actively promote equality of opportunity for all with the right mix of talent, skills and potential and welcome applications from a wide range of candidates, including those with criminal records. We select all candidates for interview based on their skills, qualifications and experience
A Disclosure or PVG Statement is only requested if one is both proportionate and relevant to the position concerned. For those positions where a Disclosure is required, all application forms, job adverts and recruitment briefs will contain a statement that a Disclosure or PVG Membership will be requested in the event of the individual being offered the position
Where a Disclosure is to form part of the recruitment process, we encourage all applicants called for interview to provide details of their criminal record at an early stage in the application process. We request that this information is sent under separate, confidential cover, to a designated person within the Company and we guarantee that this information will only be seen by those who need to see it as part of the recruitment process
We ensure that all those in the Company who are involved in the recruitment process have been suitably trained to identify and assess the relevance and circumstances of offences. We also ensure that they have received appropriate guidance and training in the relevant legislation relating to the employment of ex- offenders, e.g. the Rehabilitation of Offenders Act 1974
At interview, or in a separate discussion, we ensure that an open and measured discussion takes place on the subject of any offences or other matter that might be relevant to the position. Failure to reveal information that is directly relevant to the position sought could lead to withdrawal of an offer of employment• We make every subject of a Disclosure aware of the existence of the Framework and our Code of Practice and make information available on request
We undertake to discuss any matter revealed in a Disclosure with the person seeking the position before withdrawing a conditional offer of employment
Having a criminal record will not necessarily bar a candidate from working for us. This will depend on the nature of the position and the circumstances and background of your offences. The Risk Assessment – Criminal Disclosure will be completed in these circumstances

This Policy Statement was developed in accordance with Disclosure Scotland Guidance.

I have read and understood this statement ,

I acknowledge that by typing my name in the signature field I am signing this application form.

Signature

Date

DD slash MM slash YYYY

85253343

Apply Today

If you’re looking for work in Aberdeen, Inverurie, Tayside, Dundee, Perth or surrounding areas, apply today for a care worker position at myCare. If you have any questions about our company or vacant roles, please don’t hesitate to contact our team for more information. We look forward to learning more about you!

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