Application for Employment

Post applied for(Required)

Where did you see this post advertised?

Personal details

Title(Required)

Forename(s)(Required)

Surname(Required)

Address(Required)

Street Address Address Line 2 City Postcode

Telephone no.

Mobile no.(Required)

Email address(Required)

Involvement with Leuchie

Have you worked, volunteered or been involved with Leuchie previously?

Yes

No

Please provide details

Disclosure

Are you currently registered with Disclosure Scotland (or equivalent)?

Yes

No

Please provide your PVG Scheme ID:

Education and Qualifications

Your education and qualifications

Name of institution (School/College/University)

Date from

Date to

Subjects/Examinations taken

Result/Grade

Professional memberships

Please list membership of any professional bodies together with registration and expiry dates:

Membership

Registered date

Expiry date

Training and development

Please give details of any training courses or events you have attended which are relevant to this post:

Date

Course title

Course provider

Employment/volunteering history

List

Job title

Employer

Start date

End date

Reason for leaving

Key duties

Supporting statement

Please write a brief statement below on how you meet the requirements of the job (referring to the job description / person specification) and why you are applying:(Required)

Employment references

Referee 1

Name of referee(Required)

Job title(Required)

Company name(Required)

Relationship to you(Required)

Address(Required)

Street Address Address Line 2 City Postcode

Email(Required)

Phone(Required)

Can we contact this referee now?(Required)

Yes

No

Referee 2

Name of referee(Required)

Job title(Required)

Company name(Required)

Relationship to you(Required)

Address(Required)

Street Address Address Line 2 City Postcode

Email(Required)

Phone(Required)

Can we contact this referee now?(Required)

Yes

No

Further information

Do you need a work permit or sponsorship to work in the UK?(Required)

Yes

No

If you currently hold a work permit or Visa please give details including its type and expiry date:

Equal opportunities

Leuchie is proud to be an equal opportunities employer and we treat all job applicants, employees and volunteers fairly and equally. We are committed to creating an inclusive working environment, promoting and providing equal opportunities in employment, respecting diversity and avoiding unlawful discrimination at recruitment and in all contact. We welcome applications from all individuals.

If selected for interview, please inform a member of our HR team if you require any reasonable adjustments to be made.

The Protection of Vulnerable Groups (Scotland) Act 2007

The post that you have applied for is regulated work with protected adults. You are therefore required to disclose all unspent convictions. Disclosure Scotland offers guidance on which spent convictions must be declared. Please record below details of any unspent and relevant spent convictions, cautions and any relevant non-conviction information.

Have you been convicted of any criminal offence?(Required)

Yes

No

Please provide details

Declaration

The information on this form will be used for recruitment and selection purposes only and if your application is successful it will form part of your employment record. All unsuccessful applications will be destroyed 12 months after the closing date for the positions advertised.

If it is discovered that you have given any information which you know to be false, or withhold any relevant information, your application may be rejected or any subsequent employment terminated.

I confirm that the information contained in this application form is correct. I consent to my data being processed for this purpose.

Declaration(Required)

I confirm that the information contained in this application form is correct. I consent to my data being processed for this purpose.

Application for Employment

Personal details

Involvement with Leuchie

Disclosure

Education and Qualifications

Professional memberships

Training and development

Employment/volunteering history

Supporting statement

Employment references

Referee 1

Referee 2

Further information

Equal opportunities

The Protection of Vulnerable Groups (Scotland) Act 2007

Declaration

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