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On-Line Jobs Application Form

This is where you can apply on-line for one of our current vacancies. If you have not yet read the job description for the job you wish to apply for, then please visit the vacancies page and take a note of the Reference Number and Job Title.

Please ensure that the correct Job Reference Number for the job that you are applying for is entered into the box below, and then complete the application form. When you have answered all the questions on the form, please click on "Submit" to send in your application.

Required fields will be marked with an asterix *

Position Applied for: *
Job Reference Number: *
Full Time or Part Time:
Workplace: *
Closing Date: *

Your Contact Details

Title: *	First Name: *	Surname: *

Email Address: *

Home Address: *		Telephone: *
		(Home)

		(Business)

Postcode: *		(mobile)

Do you hold a current Driving Licence?: *	Yes		No
Are you a car owner/Do you have access to a car?: *	Yes		No

Where did you learn of this vacancy? (Name of publication if appropriate)
If offered this position do you intend to work in any other capacity? : *	Yes	No
If Yes, please give details:
Are you in good health?: *	Yes	No
Do you have any disabilities or health problems which may affect your application?: *	Yes	No
Describe these and: a) Any reasonable adjustments which you feel should be made to the recruitment process to assist you in your application for this position. b) Any reasonable adjustments which you feel should be made to the job itself which should enable you to carry out the associated duties for this position.

Secondary Education

Name of School		Qualifications Gained (Subjects and Grades)

Further Education

College/University Examining Body	Course of Study (Full/Part-Time)	Qualifications Obtained

Professional Membership/Registration

Are you currently a member of (tick as appropriate):

SSSC - or the UK equivalent GTC NMC
Registration Number: Expiry Date:
Details of other professional membership relevant to your application:

EMPLOYMENT HISTORY

Present or most recent employment

Employer's Name and Address	Dates	Title of Post
	From:
		Salary
	To:
		Notice Required

Please give a brief description of your duties:

Please give details for leaving or wishing to leave the above post:

Previous Employment

Please enter details of your previous employment, most recent first, in the boxes below.
Please note that for adult and childcare posts, a full employment history with respective dates is required. For all other posts you need only provide details of the last 15 years of your employment history (if applicable).

(1) Employer's Name and Address	Dates	Brief Summary of Duties
	From:
	To:
Job Title:
Reason for Leaving

(2) Employer's Name and Address	Dates	Brief Summary of Duties
	From:
	To:
Job Title:
Reason for Leaving

(3) Employer's Name and Address	Dates	Brief Summary of Duties
	From:
	To:
Job Title:
Reason for Leaving

(4) Employer's Name and Address	Dates	Brief Summary of Duties
	From:
	To:
Job Title:
Reason for Leaving

Please give details of any other previous employment which you would like to include:

FURTHER INFORMATION

Please give any other particulars about yourself which you would like to be taken into consideration.

PROTECTING THE VULNERABLE BY SAFER RECRUITMENT

As this employment is excluded from the provisions of the Rehabilitation of Offenders Act 1974, you have to declare details below of all criminal convictions, including those which otherwise might be regarded as "spent".

Please answer YES or NO to the following questions:

(a)	Have you been convicted of an offence (other than a motoring offence not resulting in disqualification) in any criminal proceedings in any Court of the United Kingdom or elsewhere?	Yes	No
(b)	Have you been found guilty of violent, cruel, indecent or dishonest behaviour in any Armed Forces disciplinary proceedings?	Yes	No
(c)	Has any action ever been taken against you by a Local Authority in regard to a child/children under 18 years of age?	Yes	No
(d)	Are you listed on the 'Disqualified from Working with Children List'	Yes	No
(e)	Do you have a provisional listing on the 'Disqualified from Working with Children List'	Yes	No

If the answer is Yes to any of the above questions please give full details.

Please note that before making an offer of employment we shall ask the candidate to apply for a Disclosure Scotland Certificate which will reveal any previous convictions.

We undertake, however, not to discriminate unfairly against any candidate on the basis of conviction or related information. All procedures relating to recruitment ensure that individuals are selected and treated on the basis of their relevant merits and abilities, in relation to essential job related criteria.

REFERENCES

Please give the names, addresses and telephone numbers of TWO people who are in a position to comment on your suitability for this employment: at least one reference must normally be from/on behalf of your most recent employer. The onus is on your self to ensure the referees are available to comply with our request.

Unless you indicate otherwise references will be requested after shortlisting has taken place but before interviews are held.

Please give Name, Position, Full Address (including postal code), Contact Number, Email Address (if known)

Reference One *

Reference Two *

Can we contact now? *

Yes

Can we contact now? *

Yes

EQUAL OPPORTUNITIES

Our policy affirms that no job applicant or employee will receive less favourable treatment on the grounds of race, colour, nationality, sex, sexuality, marital status, religion, age or disability or be disadvantaged by any conditions or requirements which cannot be shown to be justifiable.

To make sure that our policy is being carried out, it would be helpful if all applicants would answer the following questions on a confidential basis. The information will be used for statistical purposes only, and will NOT be used by those involved in the selection process.

I declare that the information supplied by me is, to the best of my knowledge, true.

I agree that this personal information may be processed by the Chief Executive of VSA for recruitment purposes only, and may be used for personnel administration purposes should my application be successful.

Ethnic Origin

A White Scottish Other British Irish Any other white background please specify	D Black, Black Scottish, Black British Caribbean African Any other black background, please specify
B Mixed Mixed	E Other ethnic background Any other background, please specify
C Asian, Asian Scottish or Asian British Indian Pakistani Bangladeshi Chinese Any other Asian background, please specify
Do you have a disability? * Yes No	Date of Birth (YYMMDD): *
Domestic Circumstances Please give details of: Number and ages of dependent children Other dependents:	Marital Status Married Single Divorced Separated Widowed	Sex Male Female

I agree that the above information may be processed by the Chief Executive of VSA for the purpose of monitoring VSA's equal opportunities policy

Name : *
Date : *

N.B. You will be asked to sign this form if invited to interview.

CAPTCHA *

Please enter the letters and numbers you see displayed in the above image (What is a CAPTCHA?).

If you experience any difficulties in Submitting this form, then please check that you have filled in all the relevant fields and try re-submitting. If problems persist, then please e-mail hr@vsa.org.uk with a description of the problem and any error messages that you receive.

If you are having difficulty submitting your application, you can Download an application form or contact Job Line on 01224 358589 (please quote Reference Number).