ACDT Employment Application FormPlease enable JavaScript in your browser to complete this form.Job Post DetailsPost Designation *Position Applied ForLocation / Department *Job Location / DeptPersonal Details (A)Name *FirstLastAddress *Address Line 1Address Line 2CityState / Province / RegionPostal CodeNational Insurance Number *Mobile Telephone Number *Home Telephone Number *Business Telephone Number *Your Email Address *Current Employment Status *EmployedUnemployedDo you have Children Under The Age of 16? *YesNoRelationship To Any Other Employee Of The Organisation (B)Relationship To Any Other ACDT Employee *As far as you know, are you related to either a staff or committee member of the Trust? If YES, please provide details. If NO please type N/AEducation Details (C)List all Colleges, Polytechnics or Universities attended (give details of examinations taken and results awarded or awaiting). Non-UK educated applicants please specify country where study took place.Name Of Secondary School Attended *Enter Secondary School Name HereSecondary Education *Qualifications Obtained, Grade(s) and Major Subjects Studied. Non-UK educated applicants please specify country where study took place.Professional Qualifications (D)Professional Qualifications *Qualification Obtained, Membership of Professional Institution etc. Write N/A if not applicableName of Awarding Body *Name of Awarding Body Here. Write N/A if not applicableTraining Courses (E)Training Courses *(Please give details of any relevant short courses or training undertaken and the training providers) Write N/A if not applicable Voluntary Work (F)Organisation Name & Position Held *Organisation Name & Position Held.Write N/A if not applicable Nature Of Involvement With This Organisation *Nature Of Involvement With This Organisation.Write N/A if not applicable Please Check This Box If You Require To Add Additional Voluntary WorkI Require To Add Additional DetailsOrganisation Name & Position Held (2)Organisation Name & Position Held Nature Of Involvement With This Organisation (2)Nature Of Involvement With This Organisation Present Employment (G)Do We Have Permission To Contact Your Current Employer Prior To Interview? *Yes, you can contact my current employerNo, do not contact my current employerCurrent Employers Name (Company) *Present Company Name Here. Write N/A if not applicableAddress Of Current Employer.Write N/A if not applicable *Address Line 1Address Line 2CityState / Province / RegionPostal CodeDate Employment Commenced.Write N/A if not applicable *Position Held With Current Employer *Position Held With Current Employer.Write N/A if not applicablePresent Salary.Write N/A if not applicable *i.e £20,000 paPresent Company Benefits *i.e Company Car, Employee Health Scheme etc.Write N/A if not applicableNotice Period Requiredi.e 2 weeks, 4 weeks, 6 months etc. Write N/A if not applicableNature Of Post *Please describe your main duties and achievements. Write N/A if not applicableWhy Are You Looking To Leave This Employment? *Why Are You Looking To Leave This Employment? Write N/A if not applicablePrevious Employment (H)List in order, with your most recent employer first. Please Leave This Section Blank If Not Applicable. Employment Dates with Employer (1)from DD/MM/YYYY to DD/MM/YYYYPrevious Employer Company Name (1)Address Of Previous Employer (1)Address Line 1Address Line 2CityState / Province / RegionPostal CodePosition Held With Previous Employer (1)Brief Description Of DutiesReason For Leaving This EmploymentPlease Check This Box If You Require To Add Additional Previous Employer DetailsI Require To Add Additional Previous Employment DetailsPrevious Employment (continued)Employment Dates with Employer (2)from DD/MM/YYYY to DD/MM/YYYYPrevious Employer Company Name (2)Address Of Previous Employer (2)Address Line 1Address Line 2CityState / Province / RegionPostal CodePosition Held With Previous Employer (2)Brief Description Of Duties Reason For leaving This EmploymentPlease Check This Box If You Require To Add Additional Previous Employer Details (2)I Require To Add Additional Previous Employment DetailsPrevious Employer Company Name (3)Employment Dates with Employer (3)from DD/MM/YYYY to DD/MM/YYYYAddress Of Previous Employer (3)Address Line 1Address Line 2CityState / Province / RegionPostal CodePosition Held With Previous Employer (3)Reason For leaving This EmploymentPlease Check This Box If You Require To Add Additional Previous Employer Details (3)I Require To Add Additional Previous Employment DetailsPrevious Employer Company Name (4)Employment Dates with Employer (4)from DD/MM/YYYY to DD/MM/YYYYAddress Of Previous Employer (4)Address Line 1Address Line 2CityState / Province / RegionPostal CodePosition Held With Previous Employer (4)Reason For leaving This Employment (4)Please Check This Box If You Require To Add Additional Previous Employer Details (5)I Require To Add Additional Previous Employment DetailsPrevious Employer Company Name (5)Employment Dates with Employer (5)from DD/MM/YYYY to DD/MM/YYYYAddress Of Previous Employer (5)Address Line 1Address Line 2CityState / Province / RegionPostal CodePosition Held With Previous Employer (5)Reason For leaving This Employment (5)Please Check This Box If You Require To Add Additional Previous Employer Details (6)I Require To Add Additional Previous Employment DetailsPrevious Employer Company Name (6)Employment Dates with Employer (6)from DD/MM/YYYY to DD/MM/YYYYAddress Of Previous Employer (6)Address Line 1Address Line 2CityState / Province / RegionPostal CodePosition Held With Previous Employer (6)Reason For leaving This Employment (6)In Support Of Your Application (I)ACDT wishes to compare your experience, skills and knowledge with our requirements. You should therefore, try to show in the following part of the form how you satisfy these. This does not have to be from paid work, but can be from other experience. Please given relevant information on the following:(a) Explain what attracted you to this post and why you have applied for the post? *(b) Describe the qualities you have which you feel make you suitable for the position you are applying for. Include any skills, knowledge or experience relating to the requirements of the post. *Job References (J)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 (ACDT does not accept references from family members). Please tick the box if you have any objections to a Referee being contacted prior to interview. *I do not objectI objectDetails Of Referee (1)Name Of Referee (1) *Occupation Of Referee (1) *Address of Referee (1) *Address Line 1Address Line 2CityState / Province / RegionPostal CodeTel No of Referee (1) *Email Of Referee (1) *Details Of Referee (2)Name Of Referee (2)Occupation Of Referee (2)Address of Referee (2)Address Line 1Address Line 2CityState / Province / RegionPostal CodeTel No of Referee (2)Email Of Referee (2)Interview Details (K)We are committed to being an Equal Opportunities Employer and do not discriminate in any way.If you consider yourself to have a disability, are there are arrangements that we can make to assist / adapt, for you, if you are called to interview? *Yes, I have a disabilityNo, I do not need any special requirementsDisability Arrangements For Interview (Please provide details)Availibility for Interview *Please state any dates that you would be unable to attend the interview and selection process in Ardrossan in the next 8 weeks.Rehabilitation Of Offenders Act 1974 (N)Have you ever been convicted of a criminal offence, other than a spent conviction under the Rehabilitation of Offenders Act 1974? *YesNoConviction DetailsConviction DateDeclaration (Please Read Carefully) (Q)The information you provide on this form will be used for the purposes of assessing your suitability for appointment; this may involve contacting referees, previous employers, or educational establishments, to confirm the validity of information provided. If your application is unsuccessful we will dispose of this information in line with our Data Protection and Employment Policies. We will use the information you provide to fulfil our legal requirement to monitor equal opportunities; however, this will be used for statistical purposes only. I have read this application form fully and I declare that the information I have given in support of my application is, to the best of my knowledge and belief, true and complete. I understand that if it is subsequently discovered that any statement is false or misleading, or that I have withheld any relevant information my application may be disqualified or, if I have already been appointed, I may be dismissed without notice.Declaration Agreement *I AgreeBy clicking "I Agree" you agree to the declaration above, and that all information submitted is factually correct to the best of your knowledge.Signature *By typing your name in this box you are digitally signing this application form.Application Form Submission Date *Todays DateEligibility to Work in the United Kingdom QuestionnaireIn order to comply with current UK Legislation, ACDT requires that all potential employees provide certain documents concerning their eligibility to work in the United Kingdom. Listed below are some examples of common documents to prove your eligibility (this list is not exhaustive): British Passport. Passport from the EEC. Passport showing you are a British Citizen or that you have the right to abode in the UK. Passport with working visa. Full UK Birth Certificate WITH National Insurance Number Work permit issued by Work Permits UK along with a letter issued to you by the Home Office confirming that you are able to stay in the UK and can take the work permit employment in question. A passport or other travel document endorsed to show that you can stay indefinitely in the UK or that has no time limit on your stay Note: Under relevant United Kingdom Legislation you should note that a Work Permit, a Visa, or both, may be required if you are not a citizen of a European Economic Area (EEA) Country. It is an offence to employ an individual who is subject to immigration control, and who does not have permission to reside in the UK.Post Applied For *Are you able to provide the relevant documentation to prove your eligibility to work in the UK? *Yes, I can provide documentationNo, I cannot provide documentationSignature *By typing your name in this box you are confirming that you are eligible to work in the UK.Eligibility to Work in the United Kingdom Questionnaire Submission Date *Todays DateBy signing and returning this form you acknowledge and understand the above legal requirement and that you recognise the restrictions on recruitment with which ACDT is required to follow. Please note you will be required to produce the documents / declarations required by legislation if short-listed for interview (if requested to do so). Submit Job Application Form
