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Embed code for: APP1 - Application For Employment
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A POSITION DETAILS Position: Advert Reference No. Location: Area of Business:
B PERSONAL DETAILS Surname: Initial(s): SAP/Contract No.
(Cordia and GCC staff only) Address:
Telephone (Home): Telephone (Mobile): Telephone (Business):
May we contact you at work? YES/NO Postcode: E-mail address: If asked for in the advertisement please confirm if:
a) you hold a full current driving licence? YES b) your licence has penalty point endorsements? YES
C QUALIFICATIONS AND/OR TRAINING AND/OR APPRENTICESHIPS (Only enter those qualifications and/or training and/or apprenticeships necessary or relevant to the job) Qualification and/or Training and/or Apprenticeships Subject Grade (if applicable) Date Gained
D MEMBERSHIP OF PROFESSIONAL INSTITUTES (only complete if necessary or relevant to the job) Name of Institute Current Status Date Awarded
E PRESENT EMPLOYMENT Name and Address of Employer:
Date Commenced Employment Job Title: Notice Required: Current Salary: Brief description of your main duties and responsibilities with an emphasis, where possible, on those areas most relevant to the job applied for.
F PREVIOUS EMPLOYMENT (List in order, with most recent employer first) Please list all your previous employment, starting with your most recent employment first, detailing any gaps between employments with reasons (Continue on separate sheet if necessary). Please ensure all previous local authority employment is listed, with full dates, in order to calculate service for certain entitlements. Dates Name and Address of Employer Job Title and Nature of Work Reason for Leaving From
G RELEVANT SKILLS, KNOWLEDGE AND EXPERIENCE Study the person specification and provide specific examples of your work, or other activities, which demonstrate your ability to meet the key competencies required to undertake the duties of the position. You may also include any other information that you feel is relevant to your application (for example, personal qualities, achievements at work, non-work related or voluntary work experience). Continue on a separate sheet if necessary.
H ENTITLEMENT TO WORK IN UK If you are successful in obtaining employment with Cordia you will be required to provide evidence of your entitlement to work in the United Kingdom. I DISABILITY Cordia welcomes applications from applicants who assess themselves as having a disability and guarantees an interview to those individuals who meet the minimum criteria for the job. To help you, a disability is defined as a physical (for example, mobility difficulties, hearing or sight impairments) or mental impairment (for example, learning disabilities), which has a substantial and long-term adverse effect on a person’s ability to carry out normal day-to-day activities.
Do you consider yourself to have a disability? YES NO
If yes, what, if any, type of aids, adaptations, equipment or special arrangements, would you require, to attend an interview (for example, Interpreter for the Deaf)? Please indicate below:
…………………………………………………………………………………………………………………………………………. J REHABILITATION OF OFFENDERS ACT 1974 (EXCLUSIONS AND EXCEPTIONS) (SCOTLAND) ORDER 2003 The Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order 2003 applies to many positions within Cordia. Successful applicants for specific positions identified under the above legislation within Cordia which have been identified as being included under the Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order 2003 will require to complete a relevant Disclosure Check, the results of which might impact on your suitability to work in a particular job. K THE PROTECTION OF VULNERABLE GROUPS (PVG) (SCOTLAND) ACT 2007 The Protection of Vulnerable Groups (PVG) (Scotland) Act 2007 introduces a new concept of ‘regulated work’. Regulated work with children supersedes the definition of child care position in the Protection of Children (Scotland) Act 2003 (“POCSA”) and regulated work with adults supersedes contact with an adult at risk.
It is an offence for an individual who appears on either the children or adult lists to apply for, offer to do, accept or do any work in a childcare or protected adult position, where this is applicable to the position applied for.
It is also an offence for Cordia to permit such an individual to undertake such work. L ATTENDANCE MANAGEMENT Cordia recognises its responsibility for the health, safety and welfare of its staff, however, it is also essential that Cordia identify health problems at an early stage to allow it to respond effectively to actual and potential problems with service delivery. Therefore, all staff are expected to maintain an acceptable level of attendance and Cordia has a target attendance level - details of which will be discussed if you are appointed. M DECLARATION (Read carefully) I certify that all the information contained in this form and any attachments is true and correct to the best of my knowledge. I realise that false information or omissions may lead to dismissal without notice and that canvassing Elected Members of the Council, directly or indirectly, in connection with this job will disqualify me.
Signature: _____________________________________________ Date: _____/_____/_____
Please Note: If you choose to submit your application for employment electronically (for example, via the Cordia website or e-mail), you will be required, at interview, to physically sign Sections M (Declaration) and N (How We Use Your Information). N HOW WE USE YOUR INFORMATION (Read Carefully) Cordia is a Data Controller in terms of the Data Protection Act 1998 and you have the right to ask for a copy of the information held by us in our records in return for payment of a small fee. You also have the right to require us to correct any inaccuracies in your information.
Cordia is under an obligation to manage public funds properly. Accordingly, if you are the successful candidate the information that you provide will be used to ensure all sums due to Glasgow City Council are paid timeously, (for example, by identifying persons who are non-payers of Council Tax and to improve uptake of Benefits). The information may also be used to prevent and detect fraud. It is also possible that this information may be shared for the same purposes with public bodies, including other Local Authorities or other organisations, which handle public funds.
If you do not want your details shared with the Department for Work and Pensions please tick this box
If you are successful in your application, Cordia will use the information you have provided on this form and any other attachments for Human Resource administration, learning, discipline, absence management, career development, statistical and payroll purposes. If you are not offered the job, all documentation related to your application for employment will normally be confidentially destroyed after a period of six months.
Signature: _____________________________________________ Date: _____/_____/_____
In order to assist Cordia in monitoring Equality and Diversity data and ensuring the Equal Opportunity Policy is being adhered to, we request that you provide the information below.
This information will be kept in strictest confidence separate from your Employment Application Form. Please be assured that this information will be kept in strictest confidence and used for statistical purposes only. Please note the provision of information in this section is entirely voluntary.
Please note, the provision of information in this section is entirely voluntary and, if you choose not to do so, this will not be held against you when considering your suitability for the job.
Thank you for your co-operation.
POSITION DETAILS Position: Advert Reference No: PERSONAL DETAILS Age Group 16 – 25 26 – 35 36 – 45 46 – 55 56 – 65 66 – 75 76 – 85 86 – 95 If your age does not fall in to a category above, please write it in the space provided. How would you describe your ethnicity? Please select a maximum of one option below by putting an X next to which is applicable British OR Scottish English Welsh Northern Irish Please select the option or options below by putting an X next to which is applicable African Irish American Japanese Arabic Korean Australian Malaysian Bangladeshi New Zealander Canadian Pakistani Caribbean Polish Chinese Punjabi Filipino Thai Gypsy/Romany/Traveller Vietnamese Indian Prefer not to disclose Any other/mixed ethnicity - please provide details: Do you consider yourself to have a disability or health condition which is long-term for which you require and/or receive adjustments or support at work?
No Prefer not to disclose If yes, please provide details:
How would you describe your Gender?
Female Transgender Prefer not
to disclose How would you describe your Sexual Orientation?
Bisexual Homosexual Prefer not to disclose How would you describe your Marital/Civil Status?
Married Registered in a
civil partnership Not married and
not registered in a
civil partnership Prefer not to disclose Do you have dependants and/or caring responsibilities? Yes
No Prefer not
to disclose If yes, please provide details: How would you describe your religion and/or beliefs? None Buddhism Church of England Church of Ireland Church of Scotland Church of Wales Hinduism Islam Judaism Paganism Roman Catholic Church Sikhism Prefer not to disclose Other - please provide details
V3.0 – Issue: 14 January 2013 Page 6 of 6
V3.0 – Issue: 14 January 2013 Page 1 of 6
This form and accompanying information is available, on request, in large print, Braille, on audiotape or computer disc.
Please use black ink and BLOCK LETTERS or typescript. Please refer to the ‘Notes for Guidance’ before completing this form.
RECRUITMENT AND SELECTION EQUALITY AND DIVERSITY
may also be used to prevent and detect fraud. It is also possible that this information may be shared for the same purposes with public bodies, including other Local Authorities or other organisations, which handle public funds.
This information will be kept in strictest confidence separate from your E