All sections of this application form must be completed.CVs will only be considered as additional information to a maximum of 2 sides A4, and only if the application form has been fully completed.

POST DETAILS

Post Title:_____Supply Manual Worker______

Post Reference Number:_____ CME09999 ______

Where did you see this post advertised?:______

EDUCATION/QUALIFICATIONS

Secondary Education:

Subject/Module Title / Level achieved (Standard, Int 2, Higher, SVQ etc) / Category of Award (1,2,A,B etc) / Date obtained

University or Further Education:

Dates From / To / Name of University / College etc. / Courses and subjects studied / Degrees, Diplomas or certificates obtained / Class of Pass / Date obtained

Memberships of Professional Bodies:

Name of Institution / Class of Membership / Date Elected

Specialised Training:

Training Organisation / Course Title / Date completed

EMPLOYMENT DETAILS

Current Employment:

Employer’s Name:
Employer’s Address:
Post Held:
Date commenced present post:Present Salary:
Notice required: Name of supervisor:
Details of duties and responsibilities:

Previous Employment:

For the purposes of calculating continuous service for annual leave and other entitlements, please ensure that all previous continuous local authority employment is listed. Continue on a separate sheet if necessary. CV’s will not be accepted. List in order with most recent employer first.
Employer’s Name:
Employer’s Address:
Post Held:
Dates of employment:
Reason for leaving:
Details of duties and responsibilities:
Employer’s Name:
Employer’s Address:
Post Held:
Dates of employment:
Reason for leaving:
Details of duties and responsibilities:
Employer’s Name:
Employer’s Address:
Post Held:
Dates of employment:
Reason for leaving:
Details of duties and responsibilities:
Employer’s Name:
Employer’s Address:
Post Held:
Dates of employment:
Reason for leaving:
Details of duties and responsibilities:
Employer’s Name:
Employer’s Address:
Post Held:
Dates of employment:
Reason for leaving:
Details of duties and responsibilities:
Employer’s Name:
Employer’s Address:
Post Held:
Dates of employment:
Reason for leaving:
Details of duties and responsibilities:

DRIVING LICENCE

Do you hold a current Driving Licence?YES / NO
(If an HGV Licence, specify groups etc)
Does your licence have penalty point endorsements?YES / NO

LEISURE TIME ACTIVITIES OR INTERESTS

EMPLOYEE CODE OF CONDUCT

Please provide the name of any person with whom you have a relationship or close friendship who is an Elected Member, or who is currently employed by the Council. If applying for joint-funded posts or posts which are linked to an external organisation, you must also provide the name of any person with whom you have a similar relationship or close friendship, and who is employed within that organisation.

INFORMATION IN SUPPORT OF YOUR APPLICATION

Further information and relevant experience, achievements to date and what you could bring to this position. Continue on a separate sheet if necessary. A maximum of 2 additional sheets of A4 will be accepted.

DISABILITY – GUARANTEED INTERVIEW SCHEME / REASONABLE ADJUSTMENTS FOR INTERVIEW
Argyll and Bute Council is an Equal Opportunities employer and we have a guaranteed interview scheme for those who have a disability and who hold at least the minimum requirements for the post advertised. We will also make any reasonable adjustments to the interview process to assist you wherever possible.
If you have a disability and wish this to be taken into consideration in relation to the guaranteed interview scheme, or to request a reasonable adjustment, please contact
us on 01369 708506 for further information.
For your information, the Disability Discrimination Act defines a disability as “A physical or mental impairment which has a substantial and long term adverse effect on a person’s ability to carry out normal day to day activities”.

PERSONAL DETAILS

Surname: / Initials
National
Insurance Number:
Address:
Postcode:
Contact Telephone Numbers:
Home:
Work:
Mobile:
Which number would you prefer that we contact you on?
Email:

REHABILITATION OF OFFENDERS ACT 1974

The Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order 2003 as amended applies to many posts within Argyll and Bute Council, particularly within Departments that provide Education or Social Services. If selected for interview, you will be required to complete a Criminal Convictions Declaration Form.

CANVASSING

Canvassing of Members or employees of Argyll and Bute Council directly or indirectly in connection with any appointment under the Council shall disqualify employment.

IMPORTANT – READ CAREFULLY BEFORE SIGNING THE DECLARATION

I certify that all statements given above by me on this form are true and correct to the best of my knowledge. I realise that if I am employed and it is found that such information is false or that I have withheld information, I am liable to dismissal without notice. In accordance with the Data Protection Act 1998 I hereby consent to Argyll and Bute Council retaining and processing, as required, all information provided by myself in respect of this application for employment and any subsequent employment within the Council, for the purposes of statutory, statistical and contractual obligations. I understand that, if necessary, the Council may disclose this information to other recognised contractors for the purposes of recruitment.

I agree to allow Argyll and Bute Council to store my details for up to 1 year after the vacancy closes, in the event that my application is unsuccessful.

Signed……………………………………………………………………
Date………………………………

REFEREES

Please provide the names of 2 referees, at least one of whom should know you in a work capacity. If you are employed this should be your present employer. If you are unemployed, please provide details from your most recent employer.

Referee 1
Name:
Address:
Postcode:
Daytime telephone number:
Occupation:
Reference type: PROFESSIONAL / PERSONAL
Post Reference No:
Post Title:
I provide my consent to Argyll and Bute Council approaching the above-named to obtain an employment reference.
Signed…………………………………………………………………..
Referee 2
Name:
Address:
Postcode:
Daytime telephone number:
Occupation:
Reference type: PROFESSIONAL / PERSONAL
Post Reference No:
Post Title:
I provide my consent to Argyll and Bute Council approaching the above-named to obtain an employment reference.
Signed…………………………………………………………………..

1 APPLICATION FORM - Supply Oct 2010- 1 -