‘Our purpose is to provide a positive and life-changing experience for young people through individual care, education and skills development’

Good Shepherd Centre Application Form

Please type or write clearly in black ink.  Please note that we do not accept CVs.
Please complete all relevant  sections. All answers must be written in the space available other than for answers to questions 2 and 3.  

For office use only - Candidate No:

Position applying for:  ___________________________________________

1. PERSONAL DETAILS 
Title:  (Mr, Mrs, Ms, etc)
		Surname:		
Forenames:
		Tel:  Home		
Home address:

		Work (if convenient)
        		
		Mobile		
Postcode:
		National Insurance Number:  		
Email Address:		
Where did you see the advert?		Do you have a driving licence?      		
Have you applied for a post with the Good Shepherd Centre before?
If yes, for which post?		YES/NO	
Current salary:                        	£	Notice Period:	

2. EDUCATION & TRAINING 
Please include any learning that you are currently undertaking (Attach additional paper if necessary)

School/College/University Attended	Course	Grade	Date	
			From	To	

	

				
Professional Body	Registration Number	Level	Date	
			From	To	

					
Short Courses
Please list details of any relevant courses	Date	
	From	To	

			

3. EXPERIENCE 
Starting with your most recent, please provide a complete history of what you have done since leaving school.
DO NOT LEAVE ANY GAPS.  If you were not working, please state reason (Attach additional paper if necessary)

Date	Job Title	Organisation, Name & Address	Duties	Reason for
leaving	
From	To					

	

	

		

	

	

4. MOTIVATION
Why do you want to work in a Secure Care Unit?

	

5. TEAM WORKING
What experience do you have in the workplace of being part of a team involved in successfully changing something?  What was your role in the team?

	

6. TAKING RESPONSIBILITY 
Please describe an occasion when you had to take on responsibility in the workplace.  What happened? What did you learn?

	

7. WHAT I HAVE TO OFFER 
Please include any other relevant information about yourself which shows why you should be appointed to this post.  Make reference to the job description and Person Specification.

	

8. INTERESTS & HOBBIES 
Please tell us about your interests and any activities you carry out in your spare time.

	

9. HOLIDAY ENTITLEMENT 
Please indicate below your current holiday entitlement

Days Per Annum: 
		Public Holidays per Annum:		

10. RECORDS CHECK 
Have you ever been convicted of a criminal offence?	Yes / No 
Full details of any Yes declaration will only be required from candidates called for interview.
This post is exempted employment within the terms of the Rehabilitation Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order 2003 (as amended.  If shortlisted for the position, we will undertake an Enhanced Disclosure check with Disclosure Scotland.  The purpose of this is to exclude individuals who would not be suitable for working with children and young people. The Enhanced disclosure includes both spent and unspent convictions as well as non conviction information which a Chief Constable may choose to disclose, which he/she feels is relevant to the job sought.  In addition the Enhanced Disclosure will identify if individuals are on the ‘disqualified from working with children list’ (Protection of children (Scotland) Act 2003.The disclosure of a criminal conviction will not debar you from appointment unless the selection panel considers than the conviction renders you unsuitable for appointment. You are therefore required to declare any conviction whether or not they would be classed as spent.  Failure to disclose important information may disqualify you from appointment or lead to summary dismissal if selected for the position.
Full details are not required at this stage.

11. REFERENCES
Please give details of two people to whom we may apply for a reference.  
The Good Shepherd Centre, reserves the right before appointment to contact any previous employer.  We may make contact by telephone with any of your referees.  In any event, we will not make an appointment until satisfactory references have been received.  References will normally be taken up when short-listed, unless you specifically request otherwise.

EMPLOYER REFERENCE
(must be your previous Employer)	CHARACTER REFERENCE	
Name:
		Name:		
Address:

	

			
Telephone Number:		Telephone Number:	
	
E-mail Address:		E-mail Address:

May we take up reference prior to interview YES/NO
	
May we take up reference prior to interview YES/NO	

12. DECLARATION

I hereby declare that the above statements are true to the best of my knowledge.  I understand that any information submitted in connection with employment and subsequently found to be incorrect or deliberately misleading may render me liable to dismissal.

Name:
		
Signature: 		
Date:		

Please return your completed form  to:  

Helen Campbell at The Good Shepherd Centre, Greenock Road, Bishopton, PA7 5PW.
Tel: 01505 864500 or applications@goodshepherdcentre.org.uk

‘Our purpose is to provide a positive and life-changing experience for young people through individual care, education and skills development’

Recruitment of Ex-offenders: Policy Statement

1.  As an organisation assessing applicants’ suitability for positions which are included in the Rehabilitation of Offenders Act 1974 (Exceptions) Order using criminal record checks processed through the Disclosure and Barring Service (DBS), Good Shepherd Centre complies fully with the Code of Practice and undertakes to treat all applicants for positions fairly.  Good Shepherd Centre undertakes not to discriminate unfairly against any subject of a criminal record check on the basis of a conviction or other information revealed. 

2. Good Shepherd Centre can only ask an individual to provide details of convictions and cautions that Good Shepherd Centre are legally entitled to know about. Where a DBS certificate at either standard or enhanced level can legally be requested (where the position is one that is included in the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 as amended) and where appropriate Police Act Regulations (as amended), Good Shepherd Centre can only ask an individual about convictions and cautions that are not protected.

3. Good Shepherd Centre is committed to the fair treatment of its staff, potential staff or users of its services, regardless of race, gender, religion, sexual orientation, responsibilities for dependants, age, physical/mental disability or offending background. 

4. Good Shepherd Centre has a written policy on the recruitment of ex-offenders, which is made available to all DBS applicants at the outset of the recruitment process. 

5. Good Shepherd Centre actively promotes equality of opportunity for all with the right mix of talent, skills and potential and welcome applications from a wide range of candidates, including those with criminal records. Good Shepherd Centre select all candidates for interview based on their skills, qualifications and experience. 

6. An application for a criminal record check is only submitted to DBS after a thorough risk assessment has indicated that one is both proportionate and relevant to the position concerned. For those positions where a criminal record check is identified as necessary, all application forms, job adverts and recruitment briefs will contain a statement that an application for a DBS certificate will be submitted in the event of the individual being offered the position. 

7. Good Shepherd Centre ensures that all those in Good Shepherd Centre who are involved in the recruitment process have been suitably trained to identify and assess the relevance and circumstances of offences. Good Shepherd Centre also ensures that they have received appropriate guidance and training in the relevant legislation relating to the employment of ex-offenders, e.g. the Rehabilitation of Offenders Act 1974. 

8. At interview, or in a separate discussion, Good Shepherd Centre ensures that an open and measured discussion takes place on the subject of any offences or other matter that might be relevant to the position. Failure to reveal information that is directly relevant to the position sought could lead to withdrawal of an offer of employment. 

9. Good Shepherd Centre makes every subject of a criminal record check submitted to DBS aware of the existence of the Code of Practice and makes a copy available on request. 

10. Good Shepherd Centre undertakes to discuss any matter revealed on a DBS certificate with the individual seeking the position before withdrawing a conditional offer of employment. 
Having a criminal record will not necessarily debar you from working with Good Shepherd Centre this will depend on the nature of the position together with the circumstances and background of your offences.

‘Our purpose is to provide a positive and life-changing experience for young people through individual care, education and skills development’

Equal Opportunity Form
This form will be separated from the application form on receipt by Good Shepherd Centre in order to monitor the effectiveness of the Good Shepherd Centre’s Policy and to maintain anonymity.
Information is collected in line with relevant employment legislation and will not be used in any way which might influence selection for the post you have applied for. 

For office use only - Candidate No:

All applicants are requested to provide the following information although you are NOT obliged to complete any part of the form.

Date of Birth	 …………………………………		Age …………………	

Gender	
	 Male		 Female			

Cultural/Ethnic Origin - How would you describe yourself? Chose ONE section form A to E, and then tick the appropriate box

A	 Asian or Asian British		 Indian		 Bangladeshi	 Pakistani
	 Any other Asian background, please state...........................
B	 Black or Black British		 African		 Caribbean
	 Any other Black background, please state.........................
C	 Chinese or other ethnic group	 Chinese		 Any other, please state.........................
D	 Mixed Heritage			 White and Asian	 White and Black African
	 White and Black Caribbean	 Any other Mixed background, please state.........................
E	 White	 British		 English	 Irish		 Scottish	 Welsh
	 Any other White background, please state.........................

Disability - Do you consider yourself to have a disability or a long-term health condition?
	 Yes	 	 No 		If yes please specify ………………………………………………………………	

Religion – Do you have a religious persuasion:
	 Yes	 	 No 		If yes please specify ………………………………………………………………	

Thank you for completing the form