Application Form for Job Reference RW IMC

Please complete the following application form as accurately and in as much detail as possible.  Shortlisting for interview will be based on the information you supply on the application form read in conjunction with the job description.
If you require more room please keep typing to include more details in each section..
Personal Details

First Name
Surname
Telephone Number
Mobile Number
Email Address
Postal Address including postcode

Declaration
I agree that the information I have supplied in this application form is true and accurate to the best of my knowledge.  I understand that any deliberate falsification on my part will be viewed as gross misconduct and may lead to my dismissal without notice.
Signature of applicant: 				 Date:

History of education and training- please include name of educational establishment and qualification gained

Work history including voluntary work- please include employer name, period of employment and reason for leaving

Additional information
After reading the Job Description carefully, consider what skills and experience you have that are suited to this post.  They need not have been gained in paid employment and may include special interests relevant to the post.  

Work availability
Please indicate which days of the week you are available and what times of day, i.e. “Wednesday mornings, afternoons and evenings” Please also indicate if you are interested in the 7 hour per week role or for occasional/relief work.

Supporting information
Are you a member of the Protection of Vulnerable Groups (PVG) scheme?
What is your possible start date if offered the role?

References
Please provide details of two people who can provide a reference for you. Please include their full-name and job title, their relationship to you and at least two methods of contacting them; postal address, email address, phone number

Application forms may be returned by email to: pajobs@lothiancil.org.uk or can be posted to:  PA Recruitment, Lothian Centre for Inclusive Living, Norton Park Centre, 57 Albion Road. Edinburgh, EH7 5QY
Please ensure that you have paid adequate postage to send any application forms by mail as LCIL does not accept postage otherwise.