Application Form

MF Care application form

Personal Details

Position applied for(Required)

Name(Required)

First Last

Post title

Previous name (if applicable)

First Last

Address(Required)

Street address City Postcode

Telephone number(Required)

Email(Required)

National insurance number

Full current, clean driving licence?

Yes

Car owner?

Yes

Where did you hear about MF Care agency?(Required)

Why do you want to work for Margarot Forrest Care Management Limited Edinburgh?

Upload your CV

Accepted file types: doc, pdf, Max. file size: 5 MB.

Regulatory body details

Are you registered with the PVG Scheme?(Required)

Yes

PVG Scheme membership number

(If no PVG please complete the information below)

Disclosure application number

Cost

Date PVG sent

Date PVG recieved

MM slash DD slash YYYY

Date of issue

Disclosure number

PVG number

Are you registered to work with

Adults

Children

Both

Are you registered with the SSSC? (Scottish Social Services Council)

Yes

SSSC certificate No.

Are you registered with the NMC (Registered nurses only)

Yes

NMC pin number

NMC expiry date

MM slash DD slash YYYY

Eligibility to work in the UK

(UK legislation requires all candidates to provide appropriate evidence)

Do you have legal right to work in the UK?

Yes

Do you hold a current EU Passport?

Yes

If no, do you hold a Visa?

Yes

Visa type

Visa number

If no to all of the above, what documentation do you hold for your Right to Work?

Health and safety information

Next of Kin Name

First Last

Relationship to applicant

Address

Street address City Postcode

Telephone number

Mobile number

Do you require any reasonable adjustments to be made for any interview or assement?

Yes

If yes, please provide further information

Do you require any reasonable adjutments to be made for any interview or assement?

Education history

Education History

Name of Institution attended

Qualification/grades gained

Start date

End date

Work History

Name of company

Position

Start date

End date

Salary/Hourly rate

Reason for leaving

Breif description of duties

Please detail any gaps in your employment

References

(Please detail your most recent 2 employers / recent place of study. The first one should be your present (or most recent) employer. If only I can be provided then please detail a professional character referee for the second reference. Additional references will be obtained where required. We cannot accept two references from the same company. Any offer of employment with MF care is subject to the receipt of satisfactory references)

References

Name

Position

Company name

Telephone number

Email address

Your Position within the company

Start date

End date

Resubmission / Issue with references

Do you give MF Care permission to contact your employer prior to interview for reference?

Yes

Before an offer of employment is considered, references from current employer must be checked

Yes

Due to the nature of confidentiality of the post you applied for, we may need to contact the service user prior to any offer of employment

Yes

Rehabilitation of offenders act 1974

Due to the nature of the work for which you are applying, this post is exempt from the provisions of section 4 (2) of the Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order 2003 (As amended) Applicants are therefore required to provide information about convictions, cautions, reprimands, warnings or any other criminal record information which for other purposes are "spent" under the provisions of the Act Any information provided will be treated completely confidentially and will be considered only in relation to positions to which the order applies.

Have you ever been convicted, or are currently under investigation for any criminal offence(s)

Yes

If yes, please provide details

Date protection act 1998

Data Protection Act 1998 MF care will use the information you provide in this application form for the purpose of processing your application and monitoring the recruitment process. Should your application be successful, we may be required to share some of the information you provide with statutory bodies including the Care Inspectorate and the Department of Work and Pensions. The information you provide in this form will be stored securely and will not be retained longer than necessary. Unsuccessful applications will not normally be kept for longer than a year. You have the right to access the information that MF care holds on you. If you would like to do this, please contact the HR department. MF care has a written policy on the recruitment of ex-offenders, which is available to all applicants. Having a criminal record will not necessarily bar you from working, this will depend on the nature of the position together with the circumstances and background of any particular offences. DECLARATION I certify that the information contained within this application form, my CV and any attachments provided are truthful and accurate. I understand that withholding, or providing Taise information may attect my application. I understand that any oter of employment will be subject to the verification of my Right to Work in the UK including verifications of any qualifications. I agree to the information for which I have provided (which may include sensitive or personal data) being used or shared as necessary for the legitimate purposes connected with recruitment and selection. The information supplied above may be verified by MF care. I consent to the processing of date in accordance with the current Data Protection legislation.

I agree to inform MF Care of any changes to my information / circumstances which may affect my application(Required)

I agree

Print name

Full name

Date(Required)

MM slash DD slash YYYY

Important information, please read

MF care is committed to the promotion of equal opportunity in all services provided and is committed to ensuring all staff employed will equally promote this policy. We welcome all applications from people who feel they are able to carry out the required duties regardless or previous experience. If there is any way we can support you to apply for this post, please contact us on Edinburgh: 0131 332 4914 Falkirk: 01324 602 630. MF Care has adopted the two tick's disability symbol and will interview all applicants who meet the minimum criteria for a job vacancy. Successful applicants will be required to join the PVG scheme - The Protecting Vulnerable Groups Scheme (PVG Scheme), which delivers on the provisions outlined in the Protection of Vulnerable Groups (PVG) (Scotland) Act 2007 will: · Help to ensure that those who have regular contact with children and protected adults through paid and unpaid work do not have a known history of harmful behaviour. Disclosure information will not be used for any other purpose than in connection with this application and a criminal record will not necessarily be a bar to employment. We will check professional registers: SSSC, NMC and other professional bodies. All successful applicants will be required to join the PVG scheme. The fees to join this scheme are £59 for a new member and £18 for an exisiting member. The fees must be paid by the successful applicant prior to employment. PLEASE COMPLETE THE DETAILS BELOW IF YOU AGREE TO THE ABOVE AGREEMENT.

Name(Required)

First Last

Date(Required)

MM slash DD slash YYYY

If your application is unsucessful and you wish a reply, please supply your email address

This is part of MF care drive to become more environmentally friendly and save waste.

Data Protection

I agree to the handling and storage of this data by MF Care

Communication preference

I would like to receive information by email

I would like to receive information by telephone

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Application Form

MF Care application form

Personal Details

Regulatory body details

Eligibility to work in the UK

Health and safety information

Education history

Work History

References

Resubmission / Issue with references

Rehabilitation of offenders act 1974

Date protection act 1998

Important information, please read

Need toGet in Touch?

Edinburgh

Falkirk

Email

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