Employment Application Form

The use of AI tools is not prohibited but please indicate at the bottom of your supporting statement if you have used AI in completing this application and describe the context in which it was used.

Due to changes in government policy, we are not able to consider applications from candidates who require sponsorship

Human Resources
Unit 2, Annfield Mills
1 Teviot Crescent
HAWICK
TD9 9RE

Post Applied For:

Please indicate which service you are applying for:

As part of our safer recruitment process, application forms must be completed in full. Failure to do so may mean your application will not be considered for shortlisting.

Full Name:

Address

Town/City

Postcode

Phone (Mobile)

Phone (Home)

Email Address

Please indicate if you are interested in a full time / part time / relief post

Support Workers at Streets Ahead may work varying hours, including weekends, waking night cover, or sleepovers. Please let us know if you have any preferred hours or days for working:

Supporting Statement:

Please look at the job description and person specification and explain why you applied for a job at Streets Ahead and why you might be a good match for this role. Include any previous experience, personal qualities and values you think may be relevant to the position. Please provide as much information as possible.

Please list your hobbies and interests

Please provide details of any training that is relevant to the post.

Education and Qualifications: Please add your qualifications in descending order starting with the most recent qualification

Rows	Establishment	Qualification gained	Date
1
2
3
4
5
6
7
8

Work History (This could be paid or voluntary work)

Name of current/most recent employer:

Name of organisation:

Address of current employer:

Post held:

Date(s) of employment (from)

Date(s) of employment (to)

Period of notice required:

Please detail the reason for leaving (if applicable):

Employment History. Please list your previous employment. Any gaps or periods of unemployment should be noted.

Rows	Post held	Dates from - to	Employer/Voluntary organisation	Reason for leaving
1
2
3
4
5
6
7
8

Sources of Reference:

Please give the name, job title, address and email address of two people who are prepared to give you a reference, one of whom should be your present employer. We will accept one character reference.

Please note: we DO NOT accept references from friends or family members.

You must ask the people you name if they are willing to supply a reference. We will only contact your referees if your interview is successful and you have agreed for us to do so.

Reference 1

Name

Job Title

Address

Phone no

Email

Reference 2

Name

Job Title

Address

Phone no

Email

Relationship to staff members/people we support

Do you have any family/close relationship to any existing employee(s) and/or people we support:

If Yes, please state who that person is and your relationship to them.

Disabilities:

We are a Disability Confident Employer and do not discriminate in any way.

If you consider yourself to have a disability, are there any arrangements that we can make to assist/adapt for you if you are called to interview or if successfully employed? Please give details below.

Full Driving Licence:

Does your licence allow you to drive the following types of vehicle:

Endorsements

If Yes, please give further details including dates:

Dates:

How/where did you hear about this vacancy?

Regulatory Bodies:

Are you now, or have you ever been registered with any regulatory body (eg SSSC, GTC, NMC, etc)?

If yes, please enter your registration/membership number here.

All employees of Streets Ahead (Borders) are required to be Protecting Vulnerable Groups Scheme members (PVG) and are subject to the receipt of a satisfactory disclosure. This is a requirement of the Care Inspectorate who registers and inspects the services we provide. It is a criminal offence for barred individuals to apply to work with children or vulnerable adults in Regulated Work.

Are you a PVG (Protecting Vulnerable Groups) Scheme member?

If Yes, please give your PVG Membership Number:

You must provide evidence of your right to work in the United Kingdom if you are offered employment.

Can you provide proof of your entitlement to work in the United Kingdom

Will you now or in the future, require sponsorship for a work visa to work in the UK?

If yes, does your visa permit additional or part-time employment outside your sponsored role?

If you would like to provide additional information about your visa status, i.e. you have a dependant visa, please do so below:

Rehabilitation of Offenders: Have you any convictions, including both spent and unspent convictions under the Rehabilitation of Offenders Act 1974? (A copy of the Company’s Equal Opportunities and Diversity Policy and Disclosures and Disclosure Information Policy is included. These reflect the Disclosure Scotland Codes of Practice. You must tell us about any offences.

If Yes, please give full details:

Disciplinary Actions: Are you currently, or have you ever been, subject of or involved in, any disciplinary or grievance procedures?

Do you currently have any ‘live’ formal warnings on your personnel record?

Declaration:

I declare that the information given in this form is complete and accurate. I understand that any false information or deliberate omissions will disqualify me from employment or may render me liable to summary dismissal. I understand these details will be held in confidence by the Company, for the purposes of assessing this application, ongoing personnel administration and payroll administration (where applicable) in compliance with the Data Protection Act 1998. I undertake to notify the Company immediately of any changes to the above details.

Given the nature of the organisation, I understand that any offer of employment will be subject to receipt of a satisfactory PVG Scheme from Disclosure Scotland. I have been given a copy of the Company’s Equal Opportunities and Diversity policy and Disclosures and Disclosure information policy which includes information relating to the recruitment of ex-offenders

Print

Signed

Date

The use of AI tools is not prohibited but please indicate at the bottom of your supporting statement if you have used AI in completing this application and describe the context in which it was used.

Job Application Form

Due to changes in government policy, we are not able to consider applications from candidates who require sponsorship

Supporting Statement:

Work History (This could be paid or voluntary work)

Sources of Reference:

Reference 1

Reference 2

Relationship to staff members/people we support

Disabilities:

Regulatory Bodies:

You must provide evidence of your right to work in the United Kingdom if you are offered employment.

Declaration: