CCA Application Form

CENTRAL CARERS ASSOCIATION

APPLICATION FORM

Please ensure application is completed in full.

Applicants should understand that any misstatements or omissions will lead to disqualification of application or dismissal if appointed.

Please note, you can save and return to your application at any point. To save your application, click 'Save' at the bottom of the page. You do not need to have a Jotform account in order to save your application form.
Which country are you applying from?*

United KingdomOther
This form is not currently available to anyone outside of the United Kingdom. If you would like to apply for this position but are applying from outside the United Kingdom, please email recruitment@centralcarers.co.uk.

Position Applying For*
Applicant number
PART 1 - Please note, part 1 is not shared with shortlisting/recruiting panel

PERSONAL DETAILS
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Post Code
Contact Telephone Number*
Email Address*

Confirmation Emailexample@example.com
Are there any restrictions on you taking up employment in the UK?*

YesNo
Please give details.*
OTHER EMPLOYMENT/TRAINING/EDUCATION/VOLUNTEERING
Please note any of other employment/training/education/volunteering you would continue with if you were to be successful in obtaining this position.
Where did you hear about this vacancy?

Carers Centre websiteSocial MediaMy Job Scotland (MJS)GoodmovesOther
If invited for interview, do you have any accessibility requirements?*

YesNo
Please give details.*

REFERENCES

Please give the names and contact details of two referees, one of whom should be your present or most recent employer. Please note that that you may not give the name of someone who is related to you, and we would prefer two business reference, however one personal referee will be accepted if necessary.

Reference 1
Full Name*

First NameLast Name
Job Title*
Contact Telephone Number*
Email Address*
example@example.com
May we contact referee if shortlisted?*

YesNo

Reference 2
Full Name*

First NameLast Name
Job Title*
Contact Telephone Number*
Email Address*
example@example.com
May we contact referee if shortlisted?*

YesNo

Section End
DECLARATIONS

1.     I confirm that the information contained in this Application Form (part 1 and 2) is to the best of my knowledge, true and complete.

2.     I agree that any untrue or misleading information will give Central Carers Association the right to terminate any employment contract offered.

3.     I understand that this post may require a satisfactory Enhanced Disclosure Certificate from Disclosure Scotland, or an approved umbrella body, or provision of a Protecting Vulnerable Groups Scheme Record/Scheme Record update. If so, an unsatisfactory disclosure or record may lead to the withdrawal of any offer of employment or termination of employment.
Signature*

Clear
Please write your signature using either your mouse (desktop) or finger (smartphone or tablet).

SUITABILITY FOR THE POST

Please use this space to show how you match the skills, knowledge and experience required for the post, as outlined in the job profile. This is an opportunity to draw attention to aspects of your education (including relevant qualifications), career, interests etc. relevant to this post.
Skills (max 200 words):*

0/200
Knowledge (max 200 words):*

0/200
Experience (max 200 words):*

0/200
Thank you for completing this application form. The information you give us in this form will be treated in the strictest confidence.

CENTRAL CARERS ASSOCIATION

CRIMINAL CONVICTIONS DECLARATION

Strictly Private and Confidential – Central Carers Association would like to assure applicants that this page will be detached from the Application Form before short-listing takes place.
Position Applied For (read only)
Applicant number
Please note below any criminal convictions except those ‘spent’ under the Rehabilitation of Offenders Act 1974.

If the post you have applied for requires a Protecting Vulnerable Groups Scheme Record, this will be detailed in the Application Pack. This means Central Carers Association is exempt from the Rehabilitation of Offenders Act 1974 and all criminal convictions, either spent or unspent, must be disclosed below.

If appointed, you may also be required to provide us with an Enhanced Disclosure Certificate or PVG Scheme Record/Scheme Record Update.

Although this form will be removed before short-listing, any convictions declared will be given due consideration to determine the applicant’s continued suitability before being invited for interview. This decision will be based solely on the relevance of the conviction to their ability to carry out the duties of the post.
Based on the information provided above, do you have any criminal convictions to declare?*

YesNo
Please give details of any convictions below.
When did the offence take place? *
What were you charged with? *
What were your circumstances at the time? i.e., family, financial etc.*
What have you learned from the experience?*
What is your present situation and your future expectations?*
Declaration

I certify that all information contained in this form is true and correct to the best of my knowledge and I understand that false information or omissions may lead to withdrawal of any offer of employment or dismissal.
Full Name*

First NameLast Name
Signature*

Clear

CENTRAL CARERS ASSOCIATION

APPLICATION FORM

PERSONAL DETAILS

REFERENCES

DECLARATIONS

ADDITIONAL PERSONAL DETAILS

DIGITAL SKILLS

CURRENT OR MOST RECENT EMPLOYER

SUITABILITY FOR THE POST

CENTRAL CARERS ASSOCIATION

CENTRAL CARERS ASSOCIATION