Macdonald McEwan Registration Form

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About you:

First Name

Surname

Address

Postcode

Mobile Phone

Home Phone

NI Number

D:O:B

Please upload a copy of a recent proof of address

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Where did you hear about Macdonald McEwan?

Other:

This is required

What sector are you applying for?

Driving:

Do you hold a full, current driving licence?

Do you have any endorsements?

Do you have access to a vehicle?

Please upload a copy of your driving licence

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Next of Kin:

Name

Relationship

Mobile Phone

Home Phone

Right to work in the UK

Please upload a copy of your passport

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If you do not have a passport, please upload a copy of a P45/P60

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If you do not have a passport, please upload a copy of your birth certificate

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To be completed by Non-British and Non-EU Nationals ONLY:

Date of entry to the UK?

Which travel document do you hold?

VISA expiry date?

Declaration of offences: Because of the nature of the work for which your are applying the provisions of Section 4 (2) of the Rehabilitation of Offenders Act 1974 do not apply by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 or the Rehabilitation of Offenders Act 1974 (Exclusion and Exceptions) (Scotland) Order 2003. Applicants are therefore NOT entitled to withhold information about convictions which for purposes are “spent” under the provisions of the Act, and in the event of employment, any failure to disclose such convictions will result in your removal from our register. Any information you give will, of course, remain confidential.

Have you ever been convicted of a criminal offence?

Do you have criminal proceedings pending?

Have you ever been checked by DBS or PVG?

I agree Macdonald McEwan can request a DBS or PVG

Details of Criminal Convictions

This is required

Please upload your most recent PVG or DBS certificate

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Employment History:

Please provide details of all your employment starting with the most recent / current position, and any gaps. Please make sure you cover the past five years.

Employer Name

Dates From

Date to

Position / Grade

Salary or hourly rate

Job Details

This is required

Employment History 2

Employer Name

Dates From

Date to

Position / Grade

Salary or hourly rate

Job Details

This is required

Employment History 3

Employer Name

Dates From

Date to

Position / Grade

Salary or hourly rate

Job Details

This is required

Employment History 4

Employer Name

Dates From

Date to

Position / Grade

Salary or hourly rate

Job Details

This is required

Employment History 5

Employer Name

Dates From

Date to

Position / Grade

Salary or hourly rate

Job Details

This is required

Employment History 6

Employer Name

Dates From

Date to

Position / Grade

Salary or hourly rate

Job Details

This is required

Referees

Please provide information for three referees spanning at least five years.

One must be your most recent employer.

Please send this link: Reference Request to each referee you detail

Full Name

Relationship to You

Company Name

Address

Telephone

Referee 2

Full Name

Relationship to You

Company Name

Address

Telephone

Referee 3

Full Name

Relationship to You

Company Name

Address

Telephone

I confirm I have sent the Reference Request link to each referee I have listed

It can also be found here: https://macdonaldmcewan.co.uk/referencerequestform.html

Yes

Qualifications

College / University

Qualification

Grade / Class (if applicable)

Date

Please upload a copy of your qualification certificate

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Qualifications 2

College / University

Qualification

Grade / Class (if applicable)

Date

Please upload a copy of your qualification certificate

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Are you SSSC or Social Work England registered?

Yes

Please confirm the date your SSSC or Social Work England registration expires

Please upload a copy of your SSSC or Social Work England certificate

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Declaration:

By submitting this form, I agree to the information in this form being stored for the purposes of my application, for monitoring and for reasonable research into the application process, in accordance with the Data Protection Act 1984. I confirm that I have completed this application form and that to the best of my knowledge the information I have provided in it is true, accurate and correct. I understand that providing misleading or false information to support my application will disqualify me from registration.

I am aware that I must report any pending criminal proceedings which may jeopardise my registration with Macdonald McEwan.

I am aware that it is my reponsibility to maintain my registration with the appropriate registered body (SSSC, GTCS, HCPC, Social Work England ) and inform Macdonald McEwan if I become de-registered for any reason.

Initials

Date