ELOSCN APPLICATION FORM

ELOSCN APPLICATION FORM

Please complete the following as fully as possible. Fields marked with an asterisk are mandator and must be complete in order for you to submit this form.

Forenames*

Surname*

Adress*

Postcode*

Contact Number*

Email Address*

Do you hold a current Driving Licence?

Select or enter value

Are you registered with the SSSC?*

Scottish Social Services Council

Select or enter value

Please state the position you would like to apply for

Please list your most recent employer(s)*

If unemployed, a student or other please state below:

Summary of Main Duties and Responsibilities

Please list your responsibilities and duties when in previous employment.

Educational Qualifications

Please list qualification have you gained or are working towards. Please state in order of your most recent level of qualification.

Training Attended in the last 24 months*

Please list any training attended in the last 24 months.

Reference 1*

Please provide a name and contact details of your first referee who know you personally (but who are not related to you) and can provide a reference as to your suitability for the post. One of these should be your present or most recent employer. If this is a problem, please state the difficulty.

Reference 2*

Please provide a name and contact details of a second referee who know you personally (but who are not related to you) and can provide a reference as to your suitability for the post. One of these should be your present or most recent employer. If this is a problem, please state the difficulty

Decleration

I declare, to the best of my knowledge, that the information given by me on this application form and on additional sheets is true and correct. I also understand that if my application is successful my employment will be dependent on the outcome of medical and criminal records checks carried out. All preferred candidates for posts carrying out regulated work with these groups will be required to become a PVG Scheme member, or undergo a PVG Scheme update if they are already a member, prior to any formal offer of employment being made by ELOSCN.

How did you hear about us?*

Please let us know how or who you heard about ELOSCN from.

Send me a copy of my responses

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