Section A

Post/Ref: DS23

Please let us know if you would like the application form to be provided in an alternative format (e.g. large print, Braille etc.)

Volunteer Scotland is an Equal Opportunities Employer. We actively encourage applications from all sectors of the community.The information you provide in the first 2 pages is for monitoring and administration purposes only and will not be used in any part of the selection process.

In compliance with the Data Protection Act, Volunteer Scotland will treat all information contained within this form as confidential. No information will be divulged to other parties and will be used only for those purposes expressed.

Personal Details / App Ref No (office use):
Full name / E-mail
Address / Home tel:
Work tel:
Postcode / Mobile:
We will not contact you at work without your prior consent. To consent please tick this box
Do you consider yourself to be disabled?
Yes No
If ‘yes’, please provide details of any reasonable adjustments we can make for the interview process:
Are you entitled to work in the United Kingdom? (Please note, if you are called to interview you will be asked to produce supporting evidence for this).
Yes No
Unspent Convictions
Have you ever been convicted of a criminal offence, other than a spent conviction under the Rehabilitation of Offenders Act 1974 (as amended)?
Yes No
If Yes, please provide details:
Where did you find the advert?

I certify that the information contained within this form is true and accurate to the best of my knowledge and belief. I understand that any information that is knowingly withheld, suppressed, deliberately misleading or false, may make me liable, if employed, to dismissal.

Signature:______Date:______

Print:______

Section B

Post Details
Post title: / Ref:DS23 / App Ref No:
(office use)
Qualifications
Please list your relevant qualifications, starting with those awarded most recently
Qualifications / Awarding Body/Establishment / Result
Relevant training
Please provide details of any relevant training courses.
Professional Membership
Please list details of any relevant professional memberships. Please include details of level of entry, date membership commenced, expiry and membership number.
Present/Most Recent Employment
Name & Address of present/most recent employer:
Job Title:
Key Responsibilities:
Key Achievements:
Start Date: / Date of Leaving:
Reason for Leaving:
Current Salary:
Additional Benefits:
Career History
Please provide details of your full employment history, starting with the most recent job and accounting for any periods of time not spent in further education or employment. You should also indicate any service or work overseas and state the country. Please continue on a separate sheet if required.
Employer:
Job Title:
Start Date: / Date of Leaving:
Key Responsibilities:
Final Salary & Additional Benefits:
Reason for Leaving:
Employer :
Job Title :
Start Date: / Date of Leaving:
Key Responsibilities:
Final Salary & Additional Benefits:
Reason for Leaving:
Employer:
Job Title:
Start Date: / Date of Leaving:
Key Responsibilities:
Final Salary & Additional Benefits:
Reason for Leaving:
Time spent abroad
Prospective employees are required to give a reasonable account of any significant time spent abroad (six months or more in the last three years). Please provides as much information as possible:

Potential conflicts of interest

Do you have any business commitments which makes demands upon your time or which have the potential to represent a conflict of interest with the job you are applying for? Is so, please give a brief description

Statement of Experience
Please outline how your skill, knowledge and professional experience relates to the requirements for the post for which you have applied.
Make a Positive Difference
In what way do you think your contribution would be most noticed if you were employed by Volunteer Scotland?
References
Please provide details of two relevant referees, one of which should be your current or most recent employer.
1. Name:
Address:
Relationship:
Email:
Tel: / 2. Name:
Address:
Relationship:
Email:
Tel:
Note to all applicants
Please do not include any additional material or CV’s, with your application unless this has been requested. This does not include any continuation sheets from this application.

Please return this form to William Brown at:

Or by post to:

William Brown, HR Manager, Volunteer Scotland, Jubilee House, Forthside Way, Stirling, FK8 1QZ

Volunteer Scotland – Application form Page | 5