Highlandhearts Homecare

Educational History

Interests, Achievements, Leisure Activities & Volunteering

Please tell us about your interests, achievements, leisure activities, and any volunteering experience:

Professional Registrations

Are you or have you ever been a member of any professional regulatory body (i.e. SSSC or NMC)? *

Yes

No

Employment History

(Please provide your most recent employment history from age 18)

Are you currently employed? *

Yes

No

Name of present or most recent employer: *

Job Title *

Nature of Business

Address *

City *

Phone Number *

Email

Brief Description of your Duties *

Date Started *

Date Left (if applicable)

Reason for Leaving (if applicable)

Salary

Salary Period

Notice Period

Please confirm whether this is your only job? *

Yes

No

References

Please give the names and contact details of your two most recent employers (one of which must be your current employer and one must be a previous employer) whom we will approach for a reference.

Reference 1 (Most Recent / Current Employer)

Full Name *

Company Name *

Job Title *

Phone Number *

Email *

Address Line 1 *

City *

Reference 2 (Previous Employer)

Full Name *

Company Name *

Job Title *

Phone Number *

Email *

Address Line 1 *

City *

Do you give permission for referees to be contacted prior to any offer of employment? *

Yes

No

Additional Information

Please detail any relevant experience you can bring to this role and why you feel you are the best candidate for this position. Please also give details of your aspirations, personal strengths and goals for the future. *

Rehabilitation of Offenders Act 1974

The Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order 2013 as amended, The Police Act 1997 and the Protection of Vulnerable Groups (Scotland) Act 2007 Remedial Order 2015”. As providers of care services HighlandHearts HomeCare are exempt from the provisions of the Rehabilitation of Offenders Act 1974 under section 4(2) of said 1974 Act. The role that you have applied for is regulated work with protected adults and HighlandHearts HomeCare will therefore undertake a PVG check as part of the application. You are therefore required to disclose any unspent convictions or cautions and any spent convictions for offences included in Schedule A1, ‘OFFENCES WHICH MUST ALWAYS BE DISCLOSED’ of the Rehabilitation of Offenders Act (Exclusions and Exceptions) (Scotland) Amendment Order 2015 No.2. You are not required to disclose spent convictions for offences included in Schedule B1, ‘OFFENCES WHICH ARE TO BE DISCLOSED SUBJECT TO RULES’ until such time as they are included in a higher level disclosure issued by Disclosure Scotland.” These lists of offences are available on the Disclosure Scotland website or at www.legislation.gov.uk

I have read and understand the above statement *

Yes

No

Have you ever been the subject of disciplinary action with the H.M Forces and/or Professional Bodies, including the Police Force? *

Yes

No

Do you have any unspent convictions? *

Yes

No

Do you have any spent convictions for offences on the always disclose list? *

Yes

No

Do you have any pending charges you wish to declare to us? *

Yes

No

Are you currently subject to a referral/investigation by any regulatory body? *

Yes

No

Have you any current conditions/warnings attached to your registrations? *

Yes

No

Driving Information

Do you have a current UK Driving License? *

Yes

No

Do you have access to a car? *

Yes

No

Do you have any endorsements? *

Yes

No

Driving license no.

Supporting Statement

In this section you need to demonstrate that you have read the published person specification and how you meet the essential and (where relevant) desirable criteria for this particular post, if this has not been fully covered in the previous sections. Please include your reasons for applying and take the opportunity to highlight your particular talents and strengths, (what you feel you can personally offer - what is unique to you - what sets you apart from your peers). Please DO NOT include personal details or duplicate information already provided elsewhere in your application.

As part of your application to work with us, we will collect and process personal data about you. We will use this data for the purposes of assessing your suitability for the role, conducting background checks, and communicating with you throughout the recruitment process. We will also retain your data for a reasonable period after the recruitment process, in case we need to contact you for future opportunities (at your request) or deal with any legal claims. We are committed to protecting your privacy and respecting your rights under data protection laws. You can find more information about how we use your data, what rights have, and how to contact us in our online privacy notice at https://highlandheartshomecare.co.uk/privacy-policy/ By submitting your application, you consent to us processing your data for the purposes of employment. We're an Equal Opportunity Employer and committed to excellence through diversity. The Application must be fully completed to be considered. Please complete each session, even if you attached a resume. You can withdraw your consent at any time by contacting us at highlandhomecare.co.uk

I have read and agree to the Privacy Policy *

Yes

No

Care Practitioner – Full-Time or Part-Time (Elgin/Inverness)

Educational History

Interests, Achievements, Leisure Activities & Volunteering

Professional Registrations

Employment History

References

Reference 1 (Most Recent / Current Employer)

Reference 2 (Previous Employer)

Additional Information

Rehabilitation of Offenders Act 1974

Driving Information

Supporting Statement