Confidential Application Form

Please fill out our application form below online or download PDF form, print & post to:

Fields marked with an asterisk (^*) are required to register.

The Group Administrator
Riverview Lodge
111 Tay Street
Newport-On-Tay
Fife
DD6 8AR

Personal Details

^*Position Applied For:
Locations Considered:

Dundee
Newport
Arbroath
Lawrencekirk
Inverbervie
Broughty Ferry

^*Surname:
^*Initials:
^*1st line address:
2nd line address:
^*Country:
^*Post Code:
^*Home Telephone:
Work Telephone:
^*Mobile Telephone:
^*Email:

Work Permit / Working in the UK

^*Do you need a work permit to take up this post? Yes No

^*Are you eligible to work in the UK? Yes No

(Documentary evidence will be required at interview)

Education & Training

Qualifications gained on leaving School/College/University

Subject

Type of Qualification
e.g. Standard Grade, Higher, BSc, S/NVQ

Grade Achieved

Professional Qualifications/Memberships/Registration Numbers (where applicable)

Professional Body / Membership

Registration No.

Date Joined

Renewal Date

Employment

Name & Address of Employer:

Nature of business:

Job Title:

Date Employment started and (if applicable) finished:

Reason for leaving (if applicable):

Notice period:

Current/Most recent salary:

Role purpose/summary of responsibilities:

Previous Employment

Please give details of the posts you have held, with the most recent first. Please include any gaps in employment with explanation.

Date Employment from & to

Employer's name, address & nature of business

Job title & brief description of main duties and responsibilities

Reason for leaving

Supplementary Information:

Please set out below, any further information to support your application, e.g. personal qualities, skills & attributes, experience & any major achievements.

References

Details of First Referee:

(This should be your current or most recent employer. Personal references & references from relatives are not acceptable.)

Name:
Position:
Address:
Telephone:
May we contact this referee prior to interview? Yes No

Details of Second Referee:

Name:
Position:
Address:
Telephone:
May we contact this referee prior to interview? Yes No

When we request references for applicants applying to work with vulnerable adults, we have a compulsory question that asks referees to comment whether there have been any disciplinary issues (e.g. conduct and/or behavior) which may have a bearing upon an applicants' suitability to work in such a field. We will ask whether there are any penalties which we call "time expired" (e.g. whether there has been a disciplinary matter in the past which may have expired).

Additional Information

Driving Licence

Do you hold a current driving licence? Yes No
Do you have penalty points? Yes No
If yes, how many?

Health

How many days absence have you had as a result of ill-health over the last year?

Availability

Please provide any information you feel relevant about your availability:

Convictions

Convictions which are deemed "spent" under the Rehabilitation of Offenders Act (1974) need not be disclosed. However, if the post for which you are applying is regarded as exempt you must declare all "spent" as "unspent" convictions. You may wish to enclose the details in a separate sealed envelope marked confidential & marked for the attention of the person dealing with the vacancy.

If you answer Yes to the questions below, please give details:

Have you any criminal convictions? Yes No
Have you had any allegations made against you? Yes No
Have you received any cautions? Yes No

Data Protection

The information provided by you on this form & supplementary forms will be used to assist with the process of recruitment. If you are successful in your application the information provided will be used for HR purposes. By agreeing to the declaration below it is understood that you consent to the use of your personal information for the stated purpose.

Declaration

I declare that the information given on this form is complete & accurate. I grant permission for the Home to check my name against the GSCC Register. I understand that any false information, deliberate omissions or appearance on the GSCC Register will lead to the offer of employment being withdrawn or may render me liable to summary dismissal.

^*Agree? Yes