CONFIDENTIAL
Trust Housing Association Ltd
APPLICATION FOR EMPLOYMENT
Before completing this application form, please read the accompanying Guidance Notes. Please type or
write clearly in blue/black ink and tick boxes as required.
Position applied for
Reference No
Location
Personal Details
Title
Forename(s)
Surname
Permanent address
Postcode
Home telephone number
Mobile telephone number
Work telephone number (if convenient)
E-mail address
Have you previously been employed or are currently employed by Trust Housing Association? If yes,
please give details of post, location and employment dates.
Previous Post
Location
Dates Employed From
to
Do you know anyone who works/has worked for Trust Housing Association or who serves/has served on
the Association’s Board? If yes, please give details: - name, job location and your relationship to them.
Name
Job Location
Your relationship:Aunt
Uncle
Spouse
Partner
Cousin
Nephew
Sister
Niece
Do you require a work permit to work in the UK?
Brother
Mother
Father
Other –
Yes
No
If yes and you already have a work permit what type of permit?
National Insurance number (if available):
Trust Housing Association is a Registered Scottish Charity- SC009086
1
References
Two referees are required which should be in a work related capacity not a partner, spouse or other
relative.
Please give details of your current/most recent employer that can be contacted to provide comment on
your suitability for the post applied for.
Name (include title Mr, Miss, Mrs etc)
Job Title
Email address
Department
Type of Business
Address
Postcode
Contact Phone Number
Relationship to you?
Line Manager
Supervisor
HR Dept
Colleague
How long have you known this person?
< 6 months
6-12 months
1-2 years
3-5 years
When may we request a reference? At any time
+5 years
After offer of employment
Second Reference Contact
Name (include title Mr, Miss, Mrs etc)
Job Title
Email address
Department
Type of Business
Address
Postcode
Contact Phone Number
Relationship to you?
Line Manager
Supervisor
HR Dept
Colleague
How long have you known this person?
< 6 months
6-12 months
1-2 years
3-5 years
When may we request a reference? At any time
+5 years
After offer of employment
General Information
How did you learn of this vacancy?
Trust Employee
Local or National press
Trust Website
S1 Jobs
Job Centre
please specify:
Other please specify:
2
Education, Training & Membership of Professional Bodies
Beginning with the most recent, please give details of educational and professional qualifications
Date
Institution name & address
Qualification
Grade
Current Membership of Professional Bodies
Date joined
Professional body
Category of membership
SSSC Registration (if applicable)
Date joined
Valid From
Valid To
Registration Number
Registration
Conditions
Yes
No
Relevant Training Courses
Date
Course Attended
3
Employment Information
Please give details of your employment (paid or unpaid) starting with your present/most recent employer
and working backwards. Please explain any employment breaks.
Present or most recent employer:
Company Name
Employers Full Postal Address
Post Code
Job title
From (MM/YY)
Period of notice required
To (MM/YY)
Current or final salary
Reason for leaving (or seeking other employment)
Resigned
Redundancy
Retired
Dismissed
Other
Please give a brief outline of your main responsibilities and achievements:
4
Previous Employer
Company Name
Employers Full Postal Address
Post Code
Job title
From (MM/YY)
To (MM/YY)
Period of notice required
Current or final salary
Reason for leaving (or seeking other employment)
Resigned
Redundancy
Retired
Dismissed
Other
Please give a brief outline of your main responsibilities and achievements
Please list details of previous employment; continue on a separate sheet if necessary
Date from:
Name of Employer:
Date to:
Job Title:
Date from:
Name of Employer:
Date to:
Job Title:
Date from:
Name of Employer:
Date to:
Job Title:
Date from:
Name of Employer:
Date to:
Job Title:
If you have had any breaks in your employment (for example family commitments, travel or
unemployment) please give the dates to and from and an explanation of the reason(s).
Date from:
Date to:
Date from:
Reason for break:
Reason for break:
Date to:
5
Additional Supporting Evidence
Please use this space to provide any additional information in support of your application and reasons
why you would like to join Trust Housing Association.
(Continue on a separate sheet if necessary)
Driving Licence
Do you hold a current UK driving licence?
Yes
No
Does your licence have any penalty points or endorsements?
Yes
No
If YES, state type, date and duration of conviction or endorsement below:
Disclosure of Criminal Record
Please only complete this section if the post in which you are applying is not listed in the Application
Form Guidance Notes as being exempt.
In accordance with the Rehabilitation of Offenders Act 1974 (Exclusions & Exceptions) (Scotland) Order
2003 (as amended), you are not entitled to withhold information about convictions which for other
purpose are ‘spent’ under the provisions of the Act and, in the event of employment, any failure to disclose
such convictions could result in withdrawal of job offer, dismissal or disciplinary action by Trust Housing
Association Ltd.
Having a criminal record will not necessarily debar anyone from working with Trust Housing Association.
Decisions regarding suitability for positions which are subject to criminal conviction vetting through
Disclosure Scotland, will be dependent on the nature of the post, together with the circumstances and
background of the offence(s).
You are asked to declare any spent or unspent convictions (including cautions)
Have you had any previous convictions / cautions?
Yes
No
All posts, unless listed within the Application Guidance Notes as being exempt, will be subject to a
Disclosure Scotland check.
6
Part A Self Disclosure Statement – Strictly Confidential
Have you ever been convicted of a criminal offence or are you at present subject to criminal charges/
investigations?
Yes No If YES, please complete Part B of this form
Part B
* Please continue on another sheet if required
Date of conviction:
Type of Conviction:
Existing PVG Members (if applicable)
Date Issued
Please enter your 16 digit PVG Scheme ID Number
What Type of Regulated Work is your PVG
Children
Adults
Both
Declaration
I herby consent to Trust Housing Association Ltd processing the personal data on this form, for the
purpose of considering my application for employment. I also understand that under the terms of Trust
Housing Associations records management policy my personal data may be transferred to archives once
they are no longer required for current administrative purposes.
If your application is successful, the information will be retained for the purposes of employee
management and administration. If your application is unsuccessful we will hold your information for 6
months and then confidentially destroy it. We will keep details of your application confidential and will
not disclose them to third parties except where we are required to do so by law or where we have
obtained your consent in advance.
In signing the declaration below, you consent to the processing of the personal data supplied in this
employment application form in the terms stated above.
I confirm that the information given on this form is, to the best of my knowledge, true and complete. I
understand that any deliberate attempt to provide false information to obtain employment is a serious
misrepresentation and will lead to rejection, or if employed, dismissal and is likely to constitute a
criminal offence.
Signature:
Date:
Print name:
For persons submitting an application by e-mail please type your name and the date.
This, together with your attached e-mail will be deemed to form an electronic signature.
7
Thank you for completing this application form. This form should be returned with our Diversity
Monitoring Form and any continuation sheet(s) by the closing date to: Human Resources at the address
listed below. Please note in the interests of the best use of the Association’s financial resources, only
candidates called for interview will be contacted again.
Trust Housing Association Ltd
12 New Mart Road
Edinburgh
EH14 1RL
0131 444 1200
Fax 0131 444 4949
[email protected]
Trust Housing Association Limited
A Registered Scottish Charity No SC 009086
Registered by the Scottish Housing Regulator HEP 143
Registered under the Industrial and Provident Societies Acts
1965 to 2002 No. 1778R(S)
We are pursuing a policy of equal opportunities and welcome applications from all sections of the
community.
8
Diversity Monitoring Form
Trust Housing Association is committed to equality of opportunity for all job applicants and
employees. In order to ensure we are meeting our aims, please answer the questions below and
return this form with your application. This information is used solely for monitoring purposes and
will not form part of the selection process and will not be made available to the selection panel.
Position Applied for
Applicants Name
Gender
Please  (click on box to place check inside it)
Male
Female
Age Range
Please tick  a box from the list below which best describes the age range to which you belong:
< 21
21- 30
31- 40
41- 50
51- 60
61- 65
65+
Two Ticks Scheme
The Disability Two Ticks Symbol is awarded by Jobcentre Plus. Under this scheme, we guarantee
an interview to anyone with a disability who meets the essential criteria for the job.
What do we mean by disability?
The Equality Act defines a disabled person as someone who has a physical or mental impairment
which has a substantial and adverse long-term effect on his or her ability to carry out normal day to
day activities.
Trust Housing Association is an Equal Opportunities employer and is committed to supporting
disabled people in recruitment, employment and career development.
Please answer the questions below by marking a cross (x) in the relevant box.
Using the definition above do you consider yourself to have a disability?
Would you like to be considered under the Guaranteed Interview Scheme?
Yes
No
Yes
No
Ethnic Origin
From the list provided in the UK National Census 2011 please cross  the box which you consider
best describes the ethnic group to which you belong:
White
Scottish
Other British
Irish
Gypsy/Traveller
Polish
Other white ethnic, please advise:
Mixed or multiple ethnic groups
Mixed or multiple ethnic, please advise:
Asian, Asian Scottish or Asian British
Pakistani, Pakistani Scottish or Pakistani British
Indian, Indian Scottish/ Indian British
Bangladeshi, Bangladeshi Scottish/Bangladeshi British
Chinese, Chinese Scottish or Chinese British
Other, please advise:
African
African, African Scottish or African British
Other, please advise:
Caribbean or Black
Caribbean, Caribbean Scottish or Caribbean British
Black, Black Scottish or Black British
Other, please advise:
Other ethnic group
Arab, Arab Scottish or Arab British
Other, please advise:
I do not wish to identify my ethnic group
This information is used solely for monitoring purposes and will not form any part of the selection process.
We are pursuing a policy of equal opportunities and welcome applications from all sections of the community.
Trust Housing Association is a Registered Scottish Charity- SC009086