Global Recruitment Form

Lothian Trading Services – Social Care Services

+44 131 313 2003
+44 755 179 7574
[email protected]

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Post applied for

Full name *

Gender

Home Address *

Are you applying from UK?

Daytime Contact Number *

Email Address *

National Identity Number *

Day Contact Number *

Date of Birth *

Day

Month

Year

Present Nationality *

Do you have a current driving licence?

Current Employment

Name of your most recent/last employer *

Address of employer *

Nature of business *

Position Held *

Reasons for leaving *

Employment History

Name and address of employer *

Date *

Position held and main duties *

Reasons for leaving *

Name and address of employer *

Date *

Position held and main duties *

Reasons for leaving *

Qualifications and Training

Name of Institution *

Course *

Qualification *

Date completed *

Name of Institution *

Course *

Qualification *

Date completed *

Please give details of relevant experience. This may be taken from the work situation, voluntary work and placement/attachment *

Assistance with interview questions

Do you require us to make any special arrangements in order for you to participate in the recruitment process? For example, large print forms? Or additional time to complete forms? *

If yes, please give details

Employment References

Please provide 2n professional referees details

Referee Name *

Position *

Company Name *

Telephone number *

Email Address *

Full company address *

Referee Name *

Position *

Company Name *

Telephone number *

Email Address *

Full company address *

Character Reference

Full name *

Address *

Relationship to you *

Phone Number *

Requirements Checklist

Kindly take note of the statement below; To ensure that you qualify for the Health and Social Care Visa please refer to the eligibility criteria below. Do not make any contact if you do not meet any of the requirements.

Where did you complete your placement/attachment? *

Duration of attachment? *

Upload Red Cross Nurse Aid training Level 3 here *

Drag and Drop (or) Choose Files

Upload IELTS General UKVI Level B1 with minimum score 5.0 or a Degree validated by ECCTIS UK here *

Drag and Drop (or) Choose Files

Upload Drivers License here *

Drag and Drop (or) Choose Files

Upload TB Test in an approved Home Office test centre - Diagnostic Imaging (Not more than 3 months) here *

Drag and Drop (or) Choose Files

Upload Traceable References here *

Drag and Drop (or) Choose Files

Upload Passport here *

Drag and Drop (or) Choose Files

Upload Police Clearance (Not more than 3 months old) here *

Drag and Drop (or) Choose Files

Upload Degree here

Drag and Drop (or) Choose Files

Upload General Secondary Certificate here *

Drag and Drop (or) Choose Files

Declaration of Criminal

REHABILITATION OF OFFENDERS ACT 1974 (EXCEPTIONS AND EXLUSIONS (SCOTLAND) ORDER 2003. You are not entitled to withhold information about convictions which for other purposes are spent under the provisions of the Act and in the event of employment any failure to disclose such convictions could result in dismissal.

Have you ever been convicted of a criminal offence or cautioned, or are you at present subject of criminal charges or proceedings? *

If you have answered yes please give details:

Nature of Offence

Date of Conviction

Penalty/Sentence

Signature And Declaration

I declare that to the best of my knowledge and belief the information given by me in this application is true, and I understand that the above information forms the basis of my contract of employment. I understand that if any of the information supplied by me is found to be falsely declared, my contract may have been fundamentally breached, and my employment will be terminated immediately. I understand that I may not be offered a post until satisfactory response has been received with respect to my PVG register status, and that should I subsequently be offered a post, that offer will be subject to receipt of two satisfactory references. By my signature, I authorise LTS Social Care Services to request PVG background check. I undertake to inform my employer immediately of any change to my PVG, such as being charged with an offence, referral to any register of barred list, or withdrawal of any registration required by my employment status.

Full name *

Signature *

Date *

Consent *

Yes, I agree with the privacy policy and Service User Privacy Statement.

Lothian Trading Services is a regulated care and support provider registered by the Care Inspectorate. We provide different care services to older people, people with physical learning disabilities and people with mental health support needs living in their own homes.

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Please Take Note!

Warning to website visitors.

Lothian Trading Services DOES NOT charge for COS Certificates!

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