Application for Employment

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Application for Employment NOTE: Please use black ink and BLOCK LETTERS if handwriting, word processed applications are preferred. A POSITION DETAILS Service: Position Designation: Advert Reference No. Location/Section: B PERSONAL DETAILS Surname: Initial(s): 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 NO NO 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: Brief description of your main duties and responsibilities with an emphasis, where possible, on those areas most relevant to the job applied for. Notice Required: Current Salary: F PREVIOUS EMPLOYMENT (List in order, with most recent employer first) Please list all your previous employment, 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 reckonable service for annual leave and other entitlements. From DD/MM/YY Dates To DD/MM/YY Name and Address of Employer Job Title and Nature of Work Reason for Leaving

REFEREES: Name, Address and Occupation of two referees. They should know you in a work capacity, if previously employed. One of these referees should be your current or most recent employer. *Please tick the box if you have any objections to a referee being contacted prior to interview. Name & Address of Referee: Name & Address of Referee: Phone No. Occupation: Phone No. Occupation: G RELEVANT SKILLS, EXPERIENCE AND ABILITIES Study the job description and provide specific examples of your work, or other activities, which demonstrate your ability or aptitude to undertake the duties of the post. You may also include any other information that you feel is relevant to your application e.g. personal qualities, achievements at work, non-work related or voluntary work experience. Continue on a separate sheet if necessary.

H III ENTITLEMENT TO WORK IN UK If you are successful in obtaining employment with the organisation, you will be required to provide evidence of your entitlement to work in the United Kingdom. DISABILITY The Indigo Group welcomes applications from applicants who self-assess themselves as having a disability and guarantees an interview to those individuals who meet the essential criteria for the job. To help you, a disability is defined as a physical (e.g. mobility difficulties, hearing or sight impairments) or mental impairment (e.g. 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, in order to attend an interview (e.g. Interpreter for the Deaf)? IJ PVG Are you a PVG scheme member? YES NO K REHABILITATION OF OFFENDERS ACT 1974 The Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975, as amended applies to many posts within The Indigo Group, particularly within departments that provide Education or Social Services. Successful applicants for specific posts identified under the above legislation within The Indigo Group which have been identified as being included under the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 will be required to submit an Enhanced Disclosure, the results of which might impact on your suitability to work in a particular job. L M ABSENCE MANAGEMENT The Indigo Group recognises its responsibility for the health, safety and welfare of its employees; however, it is also essential that The Indigo Group identify health problems at an early stage to allow it to respond effectively to actual and potential problems with service delivery. Therefore, all employees are expected to maintain an acceptable level of attendance and each department has a target attendance level, details of which will be discussed if you are appointed. 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. ALL POSTS ARE SUBJECT TO A SUCCESSFUL ENHANCED DISCLOSURE. Signature....... Date....... N Completed applications to be returned by e-mail, marked with the job title you are applying for as the Subject Heading, to: jobs@indigogrp.com Signed applications should then be sent, marked Private & Confidential, to: Human Resources The Indigo Group 29 Dunagoil Road Castlemilk Glasgow G45 9UR

Glasgow City 1-Business MONITORING FORM In order to help The Indigo Group to ensure that its equal opportunity policy is being carried out, would you please provide the information requested below. This information will be kept in strictest confidence separate from your application form and used for statistical purposes only. 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 Department: Position Designation: Advert Reference No. Location/Section: PERSONAL DETAILS Age Group please tick to indicate which age group you fall within: UNDER 18 YEARS OLD 18 TO 64 YEARS OLD 65+ YEARS OLD Please tick the appropriate box to indicate your sex Sex Female Male Are you currently in paid employment? YES NO Please show your ethnic origin by ticking one of the boxes below. White Scottish Other British Irish Mixed Any other White background, please write in:... Any Mixed background, please write in:... Asian, Asian Scottish or Asian British Indian Bangladeshi Pakistani Chinese Any other Asian background, please write in:... Black, Black Scottish or Black British Caribbean African Any other Black background, please write in:... Other ethnic background Any Other background, please write in:..... Are you an employee of The Indigo Group? YES NO Do you consider yourself to have a disability? YES NO Where did you see this post advertised? Version: 30/09/14