Application for Employment

Post Applied For:

Reference:

Date of application:

Name:

Address:

Telephone No:

Email:

Relevant Qualifications, including further training
Main Subjects
/
Institution
/
Grade/
Qualification
/
Dates

Present Employment (or most recent employment)

Name and address of Employer:

Job Title:

Date Started:

Date Left(if applicable):

Salary and other benefits:

Grade:

Main duties and responsibilities

Previous Employment

Employer / Dates / Job title & responsibilities

Please give your reasons for applying for this post, what experience/knowledge you have relevant to the post and anything you may wish to add in support of your application

Do you hold a full and current driving licence?Yes / No

Do you have daily access to a car?Yes / No

Have you any penalty points and if so how many?Yes / No

Do you have any criminal convictionsYes / No

If so, please give details. You are obliged to give details of those convictions which are not yet spent under the Rehabilitation of Offenders 1974.

This post is considered Regulated Work with Children and Adults, under the Protection of Vulnerable Groups (Scotland) Act, 2007. Therefore, it is an offence to apply if you are barred from working with children and adults. Preferred candidates will be required to join the PVG Scheme, or undergo a PVG Scheme Update check, prior to a formal offer of employment being made.

Are you a member of the PVG Scheme?Yes/No

If yes, please provide membership number

Other Information

Please add any further information you wish to be considered in support of your application

Reference (present or last employer)

Name:

Address:

Occupation/Work Title:

Telephone No:

Email:

Do you give permission for referee to be contacted prior to interview?

Yes / No

Reference (previous employer or other, exclude personal friends or family members)

Name:

Address:

Occupation/Work Title:

Telephone No:

Email:

How did you find out about this vacancy?

I certify that the information and details I have given are true and correct.

Signed:

Dated:

Please send applications to:

email:

fax: 01236 613495

post: Lanarkshire Carers Centre, Unit 1a Princes Gate, 60 Castle Street,

Hamilton, ML3 6BU

Lanarkshire Carers Centre Ltd.

Unit 1a Princes Gate, 60 Castle Street, Hamilton, ML3 6BU

Charity No: SCO29160 Company No: SC209296