Application Form

CV Attachment

Name

Location

Address

Position

Number

Can we call you at work YES? NO?

Name

Positon

Relationship

Address

Tel Number

Can we contact this reference?

Name

Positon

Relationship

Address

Tel Number

Can we contact this reference?

Have you ever been convicted, cautioned or reprimanded for a criminal offence?

If YES, please give details and date(s) in the space provided below:

Secondary Schools, Colleges, Universities:

From

Brief Details of courses/qualifications taken

Grade

Secondary Schools, Colleges, Universities:

From

Brief Details of courses/qualifications taken

Grade

Professional or other qualifications, apprenticeships, memberships of professional organisations:

Other training you have received which you consider relevant:

Do you have a driving licence?

Do you have reasonable access to public transport?

Do you have access to a vehicle?

Do you need a work permit to work in the UK?

NI Number

Current/most recent employer:

Address:

Post Code

Date Started

Until

Job Title

Bried description of duties

Notice Required

Basic Salary Per Annum

Reason for leaving

Having read the job description, please state how your experience and achievements to date would make you a suitable candidate for this post.

Do you have any relationship (i.e. family, friends) with anyone currently working for the Children’s Corner Childcare?

If yes, please provide details below:

Acceptance Declaration

Declaration I declare that the information that I have given is complete and accurate and that I am not banned or disqualified from working with children nor subject to any sanctions or conditions on my employment imposed by the Independent Safeguarding Authority, Secretary of State or a regulatory body. I understand that to knowing give false information or omit any relevant information could result in the withdrawal of any offer of employment or my dismissal at any time in the future and possible criminal prosecution. I understand that any false information or deliberate omissions will disqualify me from employment or may render me liable to summary dismissal. I understand these details will be held in confidence by Children’s Corner for the purpose of on-going personnel administration and pay role administration in compliance with the Data Protection Act 1998. I undertake to notify Children’s Corner immediately of any changes to the above details. Given the nature of the job for which I have applied, I understand that any offer of employment will be subject to information on my criminal records being disclosed to the Company by the Disclosure and Barring Service. I can confirm that I have completed this form myself, if this form has been completed by a third party please give details below.