EMPLOYMENT APPLICATION

FORM

REF: NEW/0123

______

application form

If possible, please complete and return electronically either as a PDF or Word document.

Full Name
Address / Post Code
Home Telephone Number
Other Contact Phone Number
Email Address
Date of Birth
National Insurance No

the position

Please tell us about the position you are applying for

Position you are applying for
Your Art form / Specialism
Our Ref No. / For office use only

DBS Information

Please complete all details below. (Leave blank if you do not have a DBS)

DBS Number
Date of Issue
Company or authority named on certificate
Under the DBS Children’s Barred List Check, does your certificate state one of the following (Please circle, underline or highlight)
NONE REQUESTEDNONE RECORDED
Under the DBS Adult’s Barred List Check, does your certificate state one of the following (Please circle, underline or highlight)
NONE REQUESTEDNONE RECORDED

additional DBS Information

Please note, a separate DBS check will be undertaken by Newave Education.

The post you are applying for is subject to DBS Clearance.

Have you ever been convicted of a criminal offence? Declaration is subject to the Rehabilitation of Offenders Act 1974.

Yes No

If so please give brief details......

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

Yes No

Additional information

Individual DBS information is kept on file in accordance with the Data Protection Act.

your QUALIFICATIONS

Please tell us about your qualifications below.

QUALIFICATIONS(Tell us about your qualifications and accreditations. Please include your most recent qualifications at the top of the page
Date / Project Details / Between / End Date
Please detail any additional training or accreditations

your experience

Please tell us about your previous work experience below.

Employment History (Tell us about your past and present employment. Please include an freelance work. If you have a significant gaps in-between jobs, please detail why this is. For example, working abroad or sabbatical.)
Date / Project Details / Company / End Date
What skills, experience or qualifications do you have that you feel would especially suit the role you are applying for? (Separate sheet to a maximum of 2 pages) Please include specific details in relation to the position you are applying for.

Dance Education experience

Please tell us about your previous work experience below.

Please tell us about your approach to Thematic Dance Education. You may want include past project experience and any successful stories you have been involved in.
Please tell us about you think you can bring to this role

additional Information

You will be required to undertake overnight stays at Ingestre Hall. (Additionalremuneration included)

Are you happy to undertake overnight stays when required?

Yes No

QTS Information

Please complete the below information if you have qualified teacher status

UTRN (Unique Teacher Reference Number)
Your Date of Birth
Year of qualification

insurance information (freelance Staff ONLY)

Please list any personal insurance you have to deliver workshops.

Type of cover
Policy Number
Amount covered
When does your cover expire?
Who is your cover with?
Is there any exemptions to your insurance? / For example, exempt from lifts and acrobatics.

child protection & safeguarding

Newave Education is committed to Safeguarding and promoting the welfare of children and young people/vulnerable adults and expects all staff and volunteers to share this commitment.

Have you had Child Protection training in the last 3 years?
When did the training take place?
Who delivered the training?
Do you have a certificate of proof of training?

first aid training

Please attach first aid certificates to support your application.

Have you had First Aid Training in the last 3 years?
When did the training take place?
Who delivered the training?
Do you have a certificate of proof of training?
Do you feel you would need additional first aid training?

emergency contact information

Please provide two separate contacts below

Full Name
Address / Post Code
Home Telephone Number
Other Contact Phone Number
Email Address
Relation to You

emergency contact information 2

Full Name
Address / Post Code
Home Telephone Number
Other Contact Phone Number
Email Address
Relation to You

work reference information

Please provide two references.

Full Name
Address / Post Code
Position
Please list your previous job responsibilities
Telephone Number

Second work reference information

Full Name
Address / Post Code
Position
Please list your previous job responsibilities
Telephone Number

additional information

Upon completion of a successful application and interview, the following checks will be undertaken:

•Identity Check

•List 99 Check (where appropriate)

•DBS Disclosure

•Qualification Check & Prohibition Check

•Right to work

•Disqualification by Association

•Employment Reference

•Employment History

Please return your completed application form to no later than 5pm 26th December

Declaration

Please sign below to confirm all details provided are correct