putting the pieces together for a brighter future

Application Form

Please select from the following list of positions currently available.
Name *
Date of Birth *
Date of Birth
If yes, please specify in the box below.
Schools, College, University etc. and qualifications gained.
Please also note any other employment you would continue with if you were to be successful in obtaining this position.
Reference #1 *
Reference #1
Please provide details of two referees who can provide information relating to your competancy in a caring role, one of whom must be your present or most recent employer. If you are a student, please give an academic referee.
Reference #2 *
Reference #2
Please detail here your specific reasons for this application, your main achievements to date and the strengths you would bring to this post.
Because of the nature of the work for which you are applying, this post is exempt from provisions of Section 4 (2) of the Rehabilitation of Offenders Act 1974, by virtue of the Exceptions Order 1975 as amended by the exceptions Amendment Order 1986, which means that convications that are spent under the terms of the Rehabilitation of Offenders Act 1974 must be disclosed, and will be taken into account in deciding whether to make an appointment. Any information will be completely confidential and will be considered only in relation to this application. In addition, you are required to submit to a Disclosure and Barring Service check. Any Standard or Enhanced disclosure made by the DBS/SCRO will remain strictly confidential.
If referred by someone currently employed by the company, please name them below.
Declaration *
Please read carefully before submitting your application. 1) 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. 2) 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 the organisation reserves the right to require me to undergo a medical examination. In addition, 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. 3) I agree that my previous employers may be approached for references. I also agree that should I be successful in this application, I will apply to the Disclosure and Barring Service / Disclosure Scotland for a Disclosure and Barring Certificate / PVG Scheme Record or Scheme Record Update. I understand that should I fail to do so, or should the disclosure or reference not be satisfactory, any offer of employment may be withdrawn or my employment terminated. 4) I agree I have read and understood the Privacy Notice of the company in line with GDPR Regulations.