Staff Application — Keyworker Staff Supply

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PDF, Word, or image — max 10 MB

Tell us which role you are applying for and when you would be available to start.

Position Applied For *

If Other, please specify

Preferred Hours *

Earliest Available Start Date *

How did you hear about this vacancy?

Your personal information will be handled in accordance with the Data Protection Act 2018 and UK GDPR.

Title *

First Name(s) *

Surname *

Previous / Maiden Name(s)

Date of Birth *

Address *

Address Line 2

Town / City *

County

Postcode *

Mobile Number *

Alternative Number

Email Address *

National Insurance Number *

Do you hold a valid UK driving licence? *

Yes No

Do you have access to a car for work purposes?

Yes No

Please list your full employment history in chronological order, including part-time and voluntary work. You must account for any gaps in employment.

Scottish Recruitment Guidance: In line with Safer Recruitment Through Better Recruitment (2023), we require a complete chronological employment history. Unexplained gaps may delay your application.

Employment 1 (Most Recent)

Employer Name *

Job Title *

Start Date

End Date Leave blank if current role

Brief Description of Duties

Reason for Leaving

Please explain any gaps in your employment history

Detail your academic qualifications and any relevant training, including care-specific certifications.

Qualification 1

Qualification / Award

SCQF Level (if applicable)

Awarding Body / Institution

Date Achieved

Additional Training & Certifications List any care-specific training including provider names and dates where possible.

Your personal statement is an opportunity to demonstrate your suitability for the role. The declarations are legally required.

Personal Statement * This is your opportunity to tell us why you are the right person for this position. There is no word limit.

Have you ever been involved in any disciplinary or grievance proceedings? *

Yes No

Do you have any "live" formal warnings from a current or previous employer?

Yes No

If you answered yes to either of the above, please provide details

Do you have any unspent criminal convictions? *

Yes No

Having a criminal record will not necessarily prevent you from being appointed. Each case will be considered on its merits in line with our policy on employing people with a criminal record.

If yes, please provide details

Do you have any family or close relationship with existing employees of Keyworker Staff Supply, or with any person currently receiving our services? *

Yes No

If yes, please state the name(s) and relationship

Please provide at least two referees. One should be your most recent employer. Referees must not be relatives.

Please note: Offers of employment are conditional upon receipt of two satisfactory written references. We may contact referees prior to interview unless you instruct us otherwise below.

Referee 1 (Most Recent Employer)

Full Name *

Job Title / Position *

Organisation *

Email Address *

Telephone

Relationship to You

Referee 2

Full Name *

Job Title / Position *

Organisation *

Email Address *

Telephone

Relationship to You

May we contact your referees prior to interview?

Yes No — please contact me first

Final declarations to complete your application.

Are there any adjustments we could make to the recruitment process or workplace to support you? *

Yes No

If yes, please describe the adjustments that would help

The following section is for equal opportunities monitoring only. It is kept separate from your application and will not be seen by the interview panel.

Gender

Age Range

Ethnic Origin

Religion or Belief

Do you consider yourself to have a disability?

Sexual Orientation

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I confirm that the information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any false information or deliberate omission may disqualify me from employment or result in dismissal. *

I consent to Keyworker Staff Supply Limited processing my personal data for the purposes of this recruitment process, in accordance with the Data Protection Act 2018 and UK GDPR. I understand my data will be held securely and retained in line with the company's data retention policy. *

I understand that, if appointed, I am required to register with the Scottish Social Services Council (SSSC) within 3 months of commencing employment (if not already registered) and to comply with the SSSC Code of Practice for Social Service Workers.

I understand that any offer of employment is subject to satisfactory PVG (Protecting Vulnerable Groups) Scheme membership or update, satisfactory references, and confirmation of right to work in the UK.

I understand that Keyworker Staff Supply Limited uses AI-assisted technology to process application data, including CV analysis and suitability scoring. I consent to this processing and understand that no recruitment decision will be made solely on the basis of automated analysis. All decisions are made by qualified human recruiters. *

Full Name (as signature) *

Date *

Application Received

Thank you for your application to Keyworker Staff Supply. We will review your submission and be in touch within 5 working days. If you have any questions in the meantime, please contact us at info@keyworker-care.co.uk.

Your application reference: KWSS-0000

Staff Application Form

Upload Your CV

Position & Availability

Personal Details

Right to Work & Professional Registration

Employment History

Qualifications & Training

Personal Statement & Declarations

References

Health, Equal Opportunities & Consent

Application Received