Application form

Application for Employment
Instructions
Please complete this application in block capitals using black ink or typescript.
If you require this application form in alternative format, please contact a member of the Human
Resources Department on 0330 303 0124, email [email protected] or write to Human
Resources Department, Link House, 2c New Mart Road, Edinburgh, EH14 1RL.A
Application details
Please state the order of preference if applying for more than one post.
POSITION(S) APPLIED FOR:
JOB REFERENCE(S):
JOB LOCATION(S):
Personal details
SURNAME:
INITIAL(S):
ADDRESS:
POST CODE:
HOME TELEPHONE NUMBER:
MOBILE TELEPHONE NUMBER:
BUSINESS TELEPHONE NUMBER:
EMAIL ADDRESS:
Please Note: Link correspond with job applicants by
email. In order to ensure you receive our emails, please
add our address to your email safe senders list.
PLEASE GIVE DETAILS OF ANY FRIENDS
OR RELATIVES WHO ARE MEMBERS OF
LINK‟S BOARDS, COMMITTIES OR STAFF?
DO YOU NEED A WORK PERMIT OR
SPONSORSHIP TO WORK IN THE UK?
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Yes
No
Your education and relevant courses
Starting with the most recent, please give details of your education, professional qualifications
and any other relevant training or courses.
FROM – TO
(Month/Year)
INSTITUTION
(Name & Address)
TITLE OF AWARD
(e.g. Scotvec/Higher/BA
Hons. Degree Etc)
RESULTS
(Achieved/Expected)
Scottish Social Services Council (SSSC) membership
ARE YOU A MEMBER OF THE SSSC?
IF YES, PLEASE PROVIDE YOUR
REGISTRATION NUMBER:
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Yes
No
Membership of professional bodies
NAME OF BODY:
DATE JOINED:
REGISTRATION NUMBER:
MEMBERSHIP STATUS:
IS MEMBERSHIP STILL CURRENT?
Yes
No
IF YOU HAVE HAD YOUR MEMBERSHIP
WITHDRAWN FROM A PROFESSIONAL
BODY, PLEASE GIVE DETAILS :
Details of your experience
Use this section to tell us about your current or previous employment, voluntary work, caring
responsibilities or placement experience. (you may continue on a separate sheet if necessary).
FROM – TO
(Month/Year)
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NAME OF
ORGANISATION
JOB TITLE AND
SALARY
REASON FOR
LEAVING
Breaks in Employment History
FROM – TO
(Month/Year)
REASON (PLEASE EXCLUDE ANY BREAKS DUE TO MATERNITY LEAVE)
Match to job requirements
PLEASE REFER TO THE PERSON SPECIFICATION AND COMPETENCIES RELATED TO THE POST
FOR WHICH YOU ARE APPLYING AND PROVIDE EVIDENCE OF YOUR KNOWLEDGE AND
EXPERIENCE AGAINST THESE REQUIREMENTS.
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Match to Link’s Mission Statement
PLEASE DETAIL ANY OTHER RELEVANT EXPERIENCE WHICH YOU FEEL SUPPORTS LINK'S
MISSON STATEMENT: "WORKING TOGETHER, PROVIDING HOMES, BUILDING COMMUNITIES,
VALUING PEOPLE"
Addition Information
DO YOU HAVE A CURRENT DRIVING
LICENCE?
Yes
No
DO YOU HAVE ACCESS TO A CAR?
Yes
No
HAVE YOU EVER HAD A CRIMINAL
RECORD?
Yes
No
PLEASE STATE IF THERE IS ANY
ASSISTANCE YOU REQUIRE SHOULD YOU
BE INVITED FOR INTERVIEW:
Referees
Please provide two referees, one of which should be your current or most recent employer plus an
additional referee.
They should have (or had) some management or supervisory responsibility for your work, and not
be colleagues, subordinates, relatives or friends.
Referee 1
NAME:
JOB TITLE:
ADDRESS:
RELATIONSHIP TO YOU:
TELEPHONE:
EMAIL:
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Referee 2
NAME:
JOB TITLE:
ADDRESS:
RELATIONSHIP TO YOU:
TELEPHONE:
EMAIL:
Vacancy Monitoring
WHERE DID YOU HEAR ABOUT THIS VACANCY?
Data Protection Act 1998
The personal information collected on this form will only be used for the purposes of recruitment
and selection for the post for which you have applied and in accordance with the attached
guidance notes.
The information will not be used for any other purpose nor will it be disclosed to any other party
than those referred to in the guidance notes.
Link‟s policy on retention of information is that recruitment records will be destroyed 6 months after
the recruitment decision has been made other than for the successful candidate whose
information will be retained.
Please confirm, by signing the declaration, that you give consent for your information to be used
by Link for recruitment and selection purposes.
I am aware that:



The contents of this form will be shared with relevant parties during the selection process;
Link will create computer and paper records about me during the recruitment and selection
process;
If successful, Link will create and maintain computer and paper records about me during my
employment and after I leave;
These records will be processed in compliance with the Data Protection Act 1998 or successor
legislation.
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Declaration
I CONFIRM THAT I HAVE COMPLETED THIS FORM HAVING READ AND UNDERSTOOD THE
GUIDANCE NOTES AND THAT TO THE BEST OF MY KNOWLEDGE THE INFORMATION
PROVIDED IN THIS DOCUMENT IS CORRECT AND GIVES A FAIR REPRESENTATION OF
MY QUALIFICATIONS AND EMPLOYMENT HISTORY. IF I AM SUBSEQUENTLY ENGAGED BY
LINK, I ACCEPT THAT I MAY BE LIABLE TO SUMMARY DISMISSAL AND TO FORFEIT ALL
CLAIMS IF THERE HAS BEEN ANY FALSIFICATION OF INFORMATION CONTAINED HEREIN.
SIGNATURE:
DATE:
Completed application forms
Should be returned to the address specified in the covering letter, marked “STAFF - PRIVATE
AND CONFIDENTIAL” or,



Emailed to [email protected] or
Faxed to 0131 624 7801
If you have any queries relating to the completion of the form, please telephone the HR
Department on 0330 303 0124.
Link Group Limited is a Charity registered in Scotland, number SC001026, and an exempt charity under the Cooperative and Community Benefits and Societies Act 2003. Link Group is registered under the Industrial & Provident
Societies Act 1965 with the Financial Services Authority, registration number 1481 R(S), and with the Scottish
Housing Regulator, Number HAL 148. Registered Office: Link House, 2c New Mart Road, Edinburgh, EH14 1RL.
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Equality and Diversity Monitoring
Link is committed to having a diverse workforce. We welcome applications from men and women
irrespective of their ethnic or national origin, disability, age, marital status, sexual orientation, race,
colour, nationality or religion.
In order to assist us to monitor the success of our diversity policy, please complete this section.
This information will only be used for monitoring purposes and will be processed separately from
your application for employment - it will not be used as part of the selection process.
GENDER:
Male
Female
DATE:OF BIRTH
RELATIONSHIP STATUS (TICK THE APPROPRIATE BOX)
Never married and never registered a same sex
civil partnership
Divorced
Married
Formerly in a same sex civil partnership which is
now legally dissolved
In a same sex civil partnership
Widowed
Separated but still legally married
Surviving partner from a same-sex civil
partnership
Separated but still legally in a same sex
relationship
I prefer not to say
Living with partner
RELIGIOUS DEMOMINATION (TICK THE APPROPRIATE BOX)
None
Other Christian
Church of Scotland
Muslim
Roman Catholic
Buddhist
Sikh
Jewish
Pagan
I prefer not to say
SEXUAL ORIENTATION (TICK THE APPROPRIATE BOX)
Bisexual
Other
Gay, Lesbian, or Homosexual
I prefer not to say
Heterosexual
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NATIONAL IDENTITY (TICK THE APPROPRIATE BOX)
Scottish
English
British
Polish
Indian
Other
I prefer not to say
ETHNIC GROUP (TICK THE APPROPRIATE BOX)
White : Scottish
Asian, Asian Scottish, or Asian British : Indian,
Indian Scottish or Indian British
White : English
White : British
White : Polish
African, Caribbean or Black : African, African
Scottish or African-British
African, Caribbean or Black : Caribbean,
Caribbean Scottish or Caribbean-British
White : Irish
White : Northern Irish
African, Caribbean or Black : Black, Black
Scottish or Black British
White : Gypsy – Traveller
Other ethnic group
Asian, Asian Scottish, or Asian British :
Pakistani, Pakistani Scottish or Pakistani British
I prefer not to say
DO YOU HAVE ANY OF THE FOLLOWING CONDITIONS, WHICH HAVE LASTED OR IS EXPECTED TO
LAST, AT LEAST 12 MONTHS? (TICK ALL THAT APPLY)
Deafness or severe hearing impairment
A mental health condition (such as depression
or schizophrenia)
Blindness or severe vision impairment
A physical disability (a condition that
substantially limits one or more basic physical
activities such as walking, climbing stairs, lifting
or carrying)
A learning disability (such as Down's Syndrome)
A learning difficulty (such as dyslexia or
dyspraxia)
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A chronic illness (such as cancer, Human
immunodeficiency virus (HIV), diabetes, heart
disease or epilepsy
Other condition
I have no condition
Criminal Record Declaration
Private and Confidential
Link‟s safe recruitment and selection practice requires that candidates, who have indicated on
their application form that they have a criminal record, complete this declaration. Please read the
following guidance notes, before completing the form.
Guidance Notes
It is vital that you complete this form accurately and honestly. The information you provide will be
used to make an informed decision regarding your suitability for the post to which you have
applied. Please ensure that you sign the declaration at Part 2.
If you are applying for a post working with Vulnerable people (e.g. LinkLiving all posts, Link
Housing Sheltered Housing Officers, LinkWide Welfare Rights Officer) you are required to declare
all criminal convictions regardless of whether they are spent convictions or not. For all other
posts you need only declare convictions which are not yet spent.
Please return this form in a sealed envelope marked as follows:
PRIVATE & CONFIDENTIAL
CRIMINAL RECORD DECLARATION FORM
POST:
REF:
NAME:
If you are applying online this declaration will be removed from your application. Your completed
form will only be seen by those who have a responsibility for recruiting staff. On receipt of your
application form, the envelope containing the Criminal Record Declaration Form will be removed
prior to you being put forward for short-listing.
The short-listing panel will assess your application against the essential and desirable criteria for
the post.
If you are unsuccessful in being short-listed for interview your Criminal Record Declaration Form
will be shredded.
If you are selected for interview, your Criminal Record Declaration Form will be opened and
checked for any relevant convictions. If the interview panel deems those convictions to be
relevant you will be withdrawn from the list of interviewees.
If you are asked to attend interview, the interview panel will consider your declaration prior to
interview. If you have disclosed criminal convictions, they will discuss this further with you at the
interview in order to expand on, and to clarify any information that has been disclosed.
Should your post require a „Disclosure Scotland‟ certificate, we will check the information you have
given us against your Enhanced Disclosure certificate following an offer of employment.
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Part 1 : Details of Previous Convictions
PLEASE INCLUDE SPENT CONVICTIONS FOR THOSE POSTS WHICH INVOLVE WORKING
WITH VULNERABLE PEOPLE
DATE OF CONVICTION(S):
TYPE OF OFFENCE(S):
SENTENCE(S) RECEIVED:
PLEASE GIVE DETAILS OF HOW YOU COMPLETED THE SENTENCE(S) IMPOSED.
For example, did you pay your fine(s) as required; what conditions were attached to your
probation/community service/supervised attendance order(s); did you comply with the
requirements of your custodial sentence(s)
DOES YOUR NAME APPEAR ON ANY
NATIONAL LISTS WHICH WOULD EXCLUDE
YOU FROM WORKING WITH LINK‟S CLIENT
GROUP?
(i.e. Sex Offender Register)
IF YES, PLEASE GIVE DETAILS.
Page 11 of 12
Yes
No
Part 2 : Declaration
PLEASE NOTE THAT THE INFORMATION YOU PROVIDE WILL BE TREATED IN THE
STRICTEST CONFIDENCE.
I HEREBY DECLARE AND REPRESENT THAT, EXCEPT FOR AS DISCLOSED ABOVE, I HAVE
NOT AT ANY TIME, WHETHER IN THE UNITED KINGDOM OR ABROAD, BEEN FOUND
GUILTY AND SENTENCED BY A COURT FOR A CRIMINAL OFFENCE.
I GIVE MY CONSENT TO LINK CARRYING OUT AN ENHANCED DISCLOSURE CHECK (IF
APPLYING FOR A POST WORKING WITH VULNERABLE PEOPLE) AND TO REQUESTING
REFERENCES FOR THE PURPOSE OF VERIFYING THE REPLIES GIVEN IN THIS
DECLARATION, INCLUDING ENQUIRIES OF ANY RELEVANT AUTHORITY.
I AGREE TO INFORM LINK IF I AM CONVICTED OF AN OFFENCE AFTER I TAKE UP ANY
POST WITHIN LINK. I UNDERSTAND THAT FAILURE TO DO SO MAY LEAD TO THE
IMMEDIATE SUSPENSION OF MY WORK AND/OR THE TERMINATION OF MY EMPLOYMENT
SIGNED:
DATE:
PRINT NAME:
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