Application Please review the application form and gather all the required information before starting the application process Thank you for your message. It has been sent. Application for post of Vacancy reference number Please complete ALL sections of this form; your application will be forwarded to the prospective employer. Personal information Title Full Name* Address Postcode Home / mobile telephone no. Preferred daytime contact number N I Number E-mail address Date of birth (Optional) Current Employment Employer Position Start Date Description of main duties and responsibilities Reason for leaving Notice required/ date left Employment History Previous occupations, paid or unpaid. Continue on additional sheet if necessary. Employer Position Start/finish dates Main duties and responsibilities Reason for leaving -+ Qualifications and training From To Establishment Qualifications gained -+ Please give details of any other skills and experience you have relevant to this post. Include voluntary work, unpaid experience, hobbies and interests. Additional information Please give details of your interest in this job and what your skills, abilities and experience would bring to the post. Please give details of your availability for work (days and times) Transport Do you hold a current full driving licence? yesno Do you have your own fully insured transport? yesno Do you have business insurance? yesno Declaration of criminal convictions and disciplinary actions Have you had any criminal convictions? yesno If "Yes", please give details on a separate sheet and place in an envelope marked "Confidential". N.B. Because of the nature of the work for which you are applying, this post is exempt from the Rehabilitation of Offenders Act 1974 and subsequent amendments. Applicants are not entitled therefore to withhold information about convictions which, for other purposes, are ‘spent’ under the provisions of the Act. Any information given will be completely confidential. Are you currently the subject of any outstanding disciplinary investigations? yesno If "Yes, please give details on a separate sheet and place in an envelope marked Confidential" Declarations should be posted to our office; address at the end of this form. Please include your name and the reference number of the vacancy that you are applying for. Proof of identity and entitlement to work in the United Kingdom Are you a PVG Scheme member? yesno If YES, you must state the date of issue and Scheme/Disclosure number below: Issue date Number Have you been barred from working with Vulnerable Groups yesno References Please provide the names, addresses and telephone numbers of two people, who are not family members, who are willing to act as referees. One referee must be your most recent employer. Please state your relationship to referees. Name Address Email: Telephone no: Relationship Name Address Email: Telephone no: Relationship Can these references be taken up before interview? yesno General Data Protection Regulation This application will be shared with prospective employers.Your application information is required to determine your suitability for the position applied for.Encompass may retain your information for future reference. Please indicate if you agree to Encompass retaining your information. AgreeDon't agree I confirm that to the best of my knowledge, the information on this form is accurate and that I have not omitted any facts which may have any bearing on my application. Signed Date Where did you hear about Encompass? —Please choose an option—Through a friendIndeedMy Job ScotlandAdvertised in publicOther (Please specify) Reset 4070
