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A child needs play to grow

Play and imaginative play teaches a child their place in the world and how to interact with the worl...

Application Form

Please complete all sections of this application fully, please do not cross reference to your CV. You can attach your CV if you wish, however your CV will not be considered without a fully completed application form.
For all positions within The Childcare Corporation, suitability checks including enhanced CRB disclosure is required.

TitleForenameSurname
Nursery locationPosition applied for

Current address
Postcode
Tel. (Day)
Tel. (Evening)
Mobile phone
Email

Please indicate that you are 17 and overYes
Or if you are applying for an apprenticeship, please indicate that you are 16 and have completed your compulsory educationYes
National Insurance No.
Do you require a work permit to work in the UKYes No
Where did you hear of this vacancy?

EDUCATION & QUALIFICATIONS including childcare qualifications
Schools/Universities/Further Education From To Examinations passed including grade
EMPLOYMENT RECORD - please include current occupation
(5 years continuous employment is required - if there are any gaps in employment please state reasons. Include unpaid/voluntary work where relevant to childcare)
Employer From To Salary
Position Held Reasons for leaving
HOW YOU MEET THE CRITERIA
Please give details of your skills, qualities and experience that make you suitable for the job you are applying for
HOBBIES & INTERESTS
Please list activities that you take part in regularly (including membership of associations)
How much notice does your employer require?When would you be available to start?


OTHER
Practitioners taking medication which they believe may affect their ability to care for children should seek medical advice and only work directly with children if that advice is that the medication is unlikely to impair their ability to look after children
Do you require any special arrangements for the interview?Yes No

EQUAL OPPORTUNITIES
We aim to be an equal opportunity employer and select staff solely on merit, irrespective of race, sex, sexual orientation, disability, age, religion or belief. To enable us to assess whether this aim is being met, it would be helpful if you could complete the Equal Opportunities Monitoring Form. This will be separated from your application when it is received, and will not be used to assess your suitability for interview.
Download form here (DOC file).

Upload Equal Opportunities Form

CRIMINAL CONVICTIONS

Have you ever been convicted of any criminal offence, caution or reprimand?
If yes please select and we will contact you.
Yes No
If the post for which you are applying will involve working with children, it is exempt from certain provisions of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended). You are not entitled to withhold information about any convictions. In the event of employment, any failure to disclosure such convictions now or in the future could result in dismissal or disciplinary action.

BARRING BY THE INDEPENDENT SAFEGUARDING AUTHORITY (ISA)

Are you barred by the ISA to work or apply to work with children in regulated or controlled activity under the Safeguarding Vulnerable Group Act 2006?Yes No
Please note that you will be disqualified for these purposes if you live in the same household as a person who is himself/herself barred or if you live in a household where a barred person is employed.

REFERENCES
Please give the details of referees dating back at least five years with no gaps. These must include your present employer. Other references may include school teacher/lecturer/business or professional people who have known you for more than two years. They must not be relatives or friends. The Childcare Corporation will not approach a referee without your permission before an offer is made.

Referee - Name Referee - Relationship From To
Occupation Address Tel. Fax
Please indicate if you are happy for us to approach your referees before any offer is made?Yes No

DATA PROTECTION
You agree that the personal data which you have provided on this form may be held and processed by us either by computer or manually for any purpose relating to the processing of your application and the administration of any subsequent employment, or in relation to our legal obligations or business needs. You agree that any sensitive personal data provided on this form relating to any medical conditions or disability or proceedings or alleged offences may also be held and processed for the purposes of keeping under review equality of oportunity and for ensuring our compliance with any legal obligations.

Should you not be offered a position, please indicate if you are happy for us to keep your application on file for the next six monthsYes No
I confirm that the information on this form is accurate, true and complete to the best of my knowledge and belief. I understand that if it is subsequently discovered that any statement(s) is/are false or misleading or that I have witheld any material information, this may be sufficient cause for my application to be rejected or if employed, may justify disciplinary action against me, up to and including dismissal.
NameDate
Your CV