Recruitment Form

If you are interested in working with us then please fill out the form below.

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Personal Details

Secondary Education

Name & Addresses of Schools/Colleges
Subject, all qualifications (e.g. Standard Grades, Highers, A Levels) grade and result (pass/fail)

Vocational / Higher Education or Other Formal Training

Apprenticeship / Formal Training
Dates

Employment History

Present (or most recent) Employment If you are currently unemployed, state (unemployed)

Employment History for last 10 years

Employer 1
Dates (Months & Year)
Name & Address of Company/Employer
Description of Duties & Responsibilities
Reason For Leaving

Do you hold a UK driving Licence?
Do you have access to a car?
If yes, do you have any endorsements?

Are there any restrictions on you taking up employment in the UK?

Please note any professional bodies you are a member of (i.e. SSSC, NMC, CIPD)
Please include registration/membership numbers, renewal dates, expiry dates and any conditions for each body.

Rehabilitation of Offender Act 1974

Because of the nature of work for which you are applying, this post is exempt from the provision of Section 4(2) of the Rehabilitation of Offenders Act 1974, by virtue of the exceptions Order 1975 as amended by the exception (Amended) Order 1986, which means that conviction that are spend under the terms of the Rehabilitation of offenders Act 1974 must be disclosed, and will be taken into account in deciding whether to make an appointment. Any information will be completely confidential and will be considered only in relation to this application.

Because of the nature of our business you are required to submit a Criminal Records Brureau check. Any Disclosures made by the CRB will remain strictly confidential.

Do you authorise us to obtain any necessary information from the CRB in connection with this application for employment?

Have you ever been convicted in a Court of Law and/or cautioned in respect of any offence?

General Comments

Referees

Please supply details of 2 referees. 1. Business Referee, 2. Personal or Business Referee.

Please provide contact details (i.e. name and telephone number) of your current or most recent employers.

Data Protection Act

I understand that some data contained in this form may be classified as "sensitive" by the Data Protection Act 2998. I hereby give my consent for this related personal to be held and processed in accordance with data protection principles, but solely for purposes of employment.

Declaration

The information that I have provided on this application form is correct to the best of my knowledge and belief. Any false statement may be suggicient cause for rejection or, if employed dismissed.

If invited for an interview you'll be asked to sign a copy of this document. For now please type your name to confirm your agreement.

Equal Opportunities

We are an equal opportunities employer. The aim of our policy is to ensure that no job applicant or employee receives less favourable treatment on grounds of race, colour, creed, nationality, ethnic or national origin, religious belief, political opinion or affiliation, gender, marital status, sexual orientation, disability or disadvantaged by conditions or requirements which cannot be shown to be justified.

Our selection criteria and procedures are frequently reviewed to ensure that individuals are selected, promoted and treated on the basis of their relevant merits and abilities.

All employees are given equal opportunity and are encouraged to progress within the organisation.

We are committed to an on-going programme of action to make this policy fully effective. To ensure that this policy is fully and fairly implemented and monitored, and for no other reason, would you please provide the following information:

Nationality
White
Irish
Black Caribbean
Black African
Black other (please specify)
Bangladeshi
Indian
Pakistani
Chinese
Polish
Other (please specify):

Which gender identity do you most identify with?
Male
Female
Transgender Female
Transgender Male
Gender Variant/Non-Conforming
Prefer not to say

Health Questionnaire

This questionnaire forms an integral part of the Employment Application Form. Please circle the appropriate response when applicable.
Do you currently suffer, or have you suffered, from any of the following:

Back/Spinal problems or pains?: Fainting attacks or fits?: Hearing or sight defects?: Irritable Bowel Syndrome or Similar?: Psychiatric problems/depression?: Kidney problems?:

Gynecological problems?: Diabetes mellitus?: Heart problems?: Respiratory problems?: Blood pressure irregularities?: Allergies?:

Alcohol dependency?: Drug dependency?: Serious illness/medical condition or injuries?: Epilepsy or any other disease of the nervous system?: Physical and/or limb disorder?:

Please also answer the following questions

Do you smoke cigarettes, cigars, pipes etc?: do you experience repeated throat infections?: Have you ever been refused a life insurance policy?:

Have you received any treatment or medication?: Have you had any current vaccinations or immunisations?: Can you provide evidence of BCG immunisation?:

Do you consider yourself to have a disability?: Are there any other health matters that may affect your ability to perform your duties?:

May we contact your GP with regard to any of your answers?

Declaration

I can confirm that the information on this form is, to the best of my knowledge, true and accurate and gives a full and complete picture of my health in every respect. I understand that any offer of employment may be immediately terminated if any of the information is found to be misleading or untrue.

I am prepared to undergo a medical examination if this is required.

Our Mission Statement:
We provide a bespoke service enabling you to live well at home.

Our Vision Statement:
To be your first choice of care provider in Scotland.

Baillieston Accreditations

Get in Touch

Head Office:
Parkhead School House, 135 Westmuir Street,
Parkhead, Glasgow, G31 5EX.

 0141 771 6478
 Email us

Opening Times:
Mon – Fri: 9am – 5pm
Sat & Sun: 8am - 4pm

Out of Hours:
Our out of hours service operates outwith the hours above. Out of these hours we have a dedicated 24/7 on call service which is automatically directed to the on call Manager via our main office number.