If yes, please give further details including dates:



     

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

    If yes, please enter your registration/membership number:

    Please enter your registration/membership number here:

    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 Scheme Membership Number:

    Please give your PVG Scheme Membership Number:

    School / Colleges attended with dates.

    Dates

    Establishment

    Qualifications Gained

    Please give names, designations and addresses 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 state if you do not wish us to contact your current employer at this point of the selection process.

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

    Do you have any family / close relationship to any existing employee(s) and/or relatives of people using the service?

    If YES, please state who that person is, and your relationship with them:

    Name and address of current employer:

    Post held:

    Date appointed:

    Period of notice required:

    Please list your previous employment

    Post held

    Dates

    Employer

    Reason for Leaving

    Hobbies and Interests

    We are committed to being an Equal Opportunities 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.

    Please note any experience which may be useful in supporting your application, include any personal qualities or attributes you think may be relevant to the position.

    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?

    OR

    Are you an overseas worker looking to be sponsored by Streets Ahead (Borders)?

    Have you any convictions, including both spent and unspent convictions under the Rehabilitation of Offenders Act 1974? (A copy of the Company’s Equal Opportunity Policy and Disclosure Information Policy is available on request. These reflect the Disclosure Scotland Codes of Practice.

    If YES, please give full details:

    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?

    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 Opportunity Policy, which includes information relating to the recruitment of ex-offenders.