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Job Application Form

Current Driving License
Employment History:

 For each previous position held please include:

1. DATE FROM AND TO

2. NAME AND ADDRESS OF EMPLOYER

3. JOB TITLE & DUTIES

4. RATE OF PAY

5. REASON FOR LEAVING

Criminal Record
Please note any criminal convictions except those ‘spent’ under the Rehabilitation of Offenders Act 1974. If none please state. In all circumstance employment is dependent upon obtaining a satisfactory Protection of Vulnerable Groups Scheme Record (PVG) from the Criminal Records Bureau/Disclosure Scotland.

In the space below please detail here your reasons for this application, your main achievements to date and the strengths you would bring to this post. Specifically, please detail how your knowledge, skills and experiences meet the requirements of this role (as summarised in the person specification).

References
Please note here the names and contact details (Referees will not be approached until after an offer of employment) of two persons from whom we may obtain both character and work experience references.

I agree that the organisation reserves the right to require me to undergo a medical examination. (Should we require further information and wish to contact your doctor with a view to obtaining a medical report, the law requires us to inform you of our intention and obtain your permission prior to contacting your doctor). I agree that this information will be retained in my personnel file during employment and for up to six years thereafter and understand that information will be processed in accordance with the Data Protection Act.

I agree that should I be successful in this application, I will,
1) Apply to the Criminal Records Bureau/Disclosure Scotland for a PVG. I understand that should I fail to do so, or should the PVG not be to the satisfaction of the company any offer of employment may be withdrawn or my employment terminated.
2) Apply to register with the Scottish Social Services Council.


Declaration (Please read this carefully before signing this application)

I confirm that the above information is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered.

Confirm?
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