Whole Family Support Worker Application

Application for Employment

The submission of applications is being administered by CALA on behalf of the partnership between Community Planning Partnership, Thriving Families and Home Start East.
Please state the post for which you wish to be considered for*
DATA PROTECTION LEGISLATION

Before proceeding, please read the following information carefully. We require you to then provide your electronic signature to indicate that you have read and understood.

The personal information collected on this form will only be used for the purposes of recruitment and selection for the post(s) you have applied for with the organisation. The information will not be used for any other purpose nor will it be disclosed to any third party Our policy on retention of information is that all recruitment records are destroyed 6 months after the unsuccessful applicant is advised of the outcome of their application. Please confirm, by signing below, that you give consent for your information to be used in our recruitment and selection process.

I am aware that:
- The organisation will create computer and paper records on me during the recruitment and selection process;
- If successful, the organisation will create and maintain computer and paper records on me during my employment and after I leave; and
- These records will be processed in compliance with Data Protection Legislation.* Data Protection Legislation means all applicable privacy and data protection laws including the General Data Protection Regulation (EU 2016/679) (“GDPR”) or any successor legislation to the GDPR and any national implementing laws, regulations and secondary legislation, as amended or updated from time to time.
On occasion, the organisation considers applicants from one recruitment exercise for another post within theorganisation. Please indicate below if you consent to this or not.*

I consent to the organisation using my application for consideration for other posts within the organisation.I do not consent to the organisation using my application for consideration for other posts within the organisation.
IMPORTANT

Please note that if you are successful in your application for employment with this organisation you will be required to:
- Complete a Medical Questionnaire
- Provide proof of your right to work in the UK in terms of the Asylum and Immigration Act 1996
- Complete a Protecting Vulnerable Groups (PVG) Scheme Membership Application Form (where applicable)
Signature*

Clear
Date*

DayMonthYear
Date
Personal Details
Please provide us with your full name*

First NameLast Name
Are there any previous names you are known by:
Address*

Street Address

Street Address Line 2

City/TownLocal Authority

Post Code:
Home Phone Number
Please enter a valid phone number.
Mobile Number*
Please enter a valid phone number.
Email*
example@example.com
Do you hold a UK driving licence?*

YESNO

Education and Qualifications*

	Qualifications Achieved	Grades	Name of course/study	Full/Part-time	Date from	Date to
1
2
3
4
5
6
7
8
9
10

RELEVANT REGISTRATION
Are you registered with the Scottish Social Service Council?*

YesNo
Please state your SSSC Registration Number

Are you registered with any other professional assosiation?

	Name of Professional Association	Level of Membership

Are you registered with the Protecting Vulnerable Groups (PVG) Scheme??*

YesNo
Please state your PVG Scheme Membership Number:
Date of PVG issue:

MonthDayYear
Date
VOLUNTARY WORK: we would like to know about any voluntary work that you may have undertaken, e.g. community activities, serving on committees, caring for dependants, etc.*
Employment History

Please give details of your current employment or your most recent employment if you are not currently employed*

	Dates from	Dates to	Employer's Name, Address & Business	Job Title and Main Duties	Reason for Leaving

Current Employer's Telephone Number (or most recent employer)*
Please enter a valid phone number.
Employment History (cont )

Please give details of your current employment or your most recent employment if you are not currently employed*

	Dates from	Dates to	Employer's Name, Address & Business	Job Title and Main Duties	Reason for Leaving
1
2
3
4
5
6
7
8
9
10

Please state why this post interests you: *
What personal skills and qualities do you think you can bring to this post? *
References

Please give details of 2 referees, one of whom must be from your current employer/last employer. Please note: Family members or acquaintances may NOT be used as referees.*

	Referee 1	Referee 2
Name
Address
Postcode
Telephone
Email
Relationship

If applicable, may we contact your current employer prior to interview?*

YesNo
Declaration
The details of this application form are correct to the best of my knowledge. If I am subsequently engaged, I accept that I am liable to instant dismissal and to forfeit all claims to superannuation or cash benefits if there has been any falsification of information contained herein.
Signature

Clear
Date

DayMonthYear
Date
Please state how you became aware of this vacancy*

IndeedHighland Council Social MediaThriving Families Social MediaHome Start Social MediaCALA Social MediaOther

Application for Employment

Personal Details

RELEVANT REGISTRATION

Employment History

Employment History (cont )

References

Declaration

Care and Learning Alliance Equal Opportunities Form

Disability