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Application Form
  1. ELCAP is striving to be an equal opportunities employer. This form has been designed to seek only information which is essential and consistent with our recruitment and selection procedures.

    Please complete the form as fully as possible and return it to ELCAP.
    Please do not include a CV.

  2. Post: SUPPORT WORKER
  3. Please indicate preferences(*)
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  4. Surname(*)
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  5. Initial(*)
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  6. Telephone Number(Day)
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  7. Telephone Number(Evening)
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  8. Email(*)
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  9. Address(*)
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  1. EDUCATION, TRAINING AND DEVELOPMENT

    Give details of qualifications taken which you feel are relevant to this application.
  2. Year Qualification Grade
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  3. Are you registered with SSSC or other Regulatory Body? If yes, please enter your SSSC number:
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  1. CURRENT EMPLOYER

  2. Employer
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  3. Position
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  4. Basic Salary
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  5. Additional Payments
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  6. Date you started this job
  7. From
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  8. To
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  9. Reason for leaving
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  10. Notice required
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  1. PREVIOUS EXPERIENCE

    It is important that we know all your employment history from leaving school. Please start with most recent position and include any periods of voluntary work, unemployment and any gaps from when you left school.
  2. From To Employer Position Held Reasons for Leaving
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  1. HOBBIES/INTERESTS

    It would be helpful if you could let us know your hobbies and interests. This would help us to match you to individuals with similar interests.

  2. HOBBIES/INTERESTS
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  1. STATEMENT IN SUPPORT OF APPLICATION

    Please use this section to outline your experience, skills and knowledge relevant to the job.
  2. (*)
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  1. REFEREES

    Under the National Care Standards (Care at Home 4,3 and Housing Support 3,5) and Scottish Statutory Instrument 2002 No.114 paragraph 9, we are required to obtain references as to your suitability.
    Both references cannot be from the same employer.
    • Reference 1 - must be from your present or most recent employer.
    • Reference 2- must be from someone who knows you in paid/unpaid work capacity.

    We cannot accept references from family, friends or work colleagues.

  2. Reference 1 must be from your present or most recent employer
  3. Name(*)
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  4. Address(*)
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  5. Tel No(*)
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  6. E-Mail(*)
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  7. Reference 2
    must be someone who knows you in paid/unpaid work capacity
  8. Name(*)
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  9. Address(*)
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  10. Tel No(*)
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  11. E-Mail(*)
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  1. REHABILITATION OF OFFENDERS ACT 1974 (EXCLUSIONS AND EXCEPTIONS (SCOTLAND)) ORDER 2003

    Certain posts are exempt under the provisions of Section 4 (2) of the Rehabilitation of Offenders Act 1974. Having a conviction does not mean you cannot work for ELCAP (see ELCAP’s Disclosure information). Spent and Unspent convictions (including Admonished) must be disclosed where the position is subject to this exemption. As you are applying for a Support Worker position, you are not entitled to withhold information about convictions which for other purposes are “spent” under the provisions of the Act.

  2. Are you disqualified from working with children or vulnerable adults?(*)
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  3. Have you ever been convicted of any criminal/civil offence (including Admonished) or are you at present the subject of criminal charges? (*)
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  4. If yes, please give details
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  5. Checks through Disclosure Scotland will only be instigated by ELCAP if you are offered a position. ELCAP follow Disclosure Scotland’s Code of Practice which governs our procedures. If you wish further information about the Code of Practice, this can be found on the Disclosure Scotland website www.disclosurescotland.co.uk. On checking criminal records if the above information is found to be false or information is deliberately omitted this may result in dismissal or disciplinary action by ELCAP.

  1. DISABILITY

    ELCAP welcomes applications from candidates with a disability and offers a guaranteed interview to those who meet the minimum essential requirements for the vacant post.

  2. Do you consider yourself to have a disability?(*)
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  3. If called for interview, would you need any assistance, eg, ramp access, large print material. If so, please give details:
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  1. DRIVING LICENCE AND CAR

  2. Do you have a current driving licence?(*)
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  3. Do you have a car for use at work?
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  1. ELIGIBILITY TO WORK IN THE UK

    Section 8 of the Asylum and Immigration Act 1996 introduced a specific offence of employing a person who is not permitted to work in the United Kingdom. This means that ELCAP needs to make basic employment checks on every employee to ensure they are not in breach of the Immigration Rules. You will have to establish your eligibility for employment by producing documentation to prove your identity in conjunction with the Disclosure Scotland Check. You need to confirm on this application that you have the right to work in the United Kingdom.

  2. I confirm that I have the necessary documentation to legally work in the United Kingdom.(*)
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  1. DECLARATION

    To enable your application to be considered, personal data provided on your application will be entered onto ELCAP’s computer records. At all times use of this data will be strictly in accordance with the principles laid down by the Data Protection Act 1998.
    All information relating to this recruitment is kept for seven months before being destroyed. Please contact us if you wish your application destroyed earlier.
    Failure to disclose important information may lead to dismissal if discovered at a later date.

    Thank you for taking the time to complete this Application Form.
    If you do not hear from us within 14 days of submitting your Application Form, it means that you have been unsuccessful on this occasion.

  2. To the best of my knowledge, the information contained in this application is correct.

  3. Type your name to provide your digital signature
    (*)
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  4. The withholding, falsification or omission of relevant information by a successful candidate in either this form or the Occupational Health form are grounds for disciplinary action. Any offer of appointment will be subject to a satisfactory declaration of health and references.

  5. Please state how you became aware of this vacancy:









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  1. EQUAL OPPORTUNITIES MONITORING FORM

    ELCAP strives to ensure fairness as an employer.
    To assist us in the monitoring of our practice we hope you will take the time to complete this form and return it with your job application.
    The information you give will be strictly confidential in line with the requirements of Data Protection legislation.
    The data will only be used for statistical and monitoring purposes and removed from applications prior to shortlisting.
  2. ETHNIC ORIGIN
    I would describe my ethnic origin as (please tick)
  3. Asian
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  4. Black
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  5. White
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  6. GENDER
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  8. AGE
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  10. MARITAL STATUS
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  12. DISABILITY
  13. ELCAP tries to ensure that people with disabilities are not discriminated against and will continue to strive to do this.

  14. Do you consider yourself to be disabled?
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  15. It is recognised that disabled people are not just those whose disability is immediately apparent, e.g. blind people or those in wheelchairs but those whose disability is not immediately obvious, e.g. heart trouble, mental illness, diabetes, dyslexia.


  16. SEXUAL ORIENTATION
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  18. COMMENTS
  19. Do you have any comments on our monitoring form?
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  20. Thank you for taking the time to complete this form

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