Job Title:
Location:
Where Did You See This Post Advertised?
Personal Details
Title: / Forename(s):
Surname: / Any Previous Surname(s):
Mobile: / Address:
Evening:
Email Address: / Postcode:
Date of Birth: / Place of Birth:
Education, Training, Qualifications (Please give relevant details, including those overseas)
Secondary School/College/University / Dates – Month/Year / Qualifications Gained: Subject/Level / Grade
From MM/YY / To MM/YY
(Continue on a separate sheet if required)
Details of Current Membership of Any Professional Organisation (e.g. HCPC/BACP etc.)
Name: / Expiry: / Details:
Current Employer or Last Employer’s Details
Job Title: / Current Salary:
Responsible To: / Other Benefits:
Company Name:
Company Address: / Dates of Employment:
Postcode: / Notice Required or Date Left:
Reason For Leaving:
Previous Employment (Start with the most recent, covering ALL gaps and including any voluntary work. Please provide email address and postal address)
Employer Name, Email and Address / Job Title / Grade/Salary Per Annum / Dates – Month/Year / Reason For Leaving
From MM/YY / ToMM/YY
.
.
.
.
(Continue on a separate sheet if required)
Experience, Skills and Ability and Information in Support of Your ApplicationPlease give brief details of all relevant experience or other information which will support your application. (Including any voluntary or other work experience, and details of relevant short courses)
You should ensure you demonstrate how you meet the requirements of the essential and desirable criteria, paying close attention to the person specification supplied with the details of the post you are applying for. In your own words please explain why you consider yourself suited to this position.
CV’s will not be accepted, except to supplement this question. Please include headings linked to criteria on the person specification.
(Continue on a separate sheet if required)
RefereesPlease give details of 3 people who are prepared to act as referees for you. One of these should be your present or most recent employer. You should ensure your referees are in a position to respond promptly.
Name: / Name: / Name:
Position: / Position: / Position:
Organisation: / Organisation: / Organisation:
Address: / Address: / Address:
Postcode: / Postcode: / Postcode:
Telephone: / Telephone: / Telephone:
Email: / Email: / Email:
May We Contact Prior to Interview? / Yes / ☐ / May We Contact Prior to Interview? / Yes / ☐ / May We Contact Prior to Interview? / Yes / ☐ /
No / ☐ / No / ☐ / No / ☐ /
How long have they known you? / How long have they known you? / How long have they known you?
In what capacity do they know you? / In what capacity do they know you? / In what capacity do they know you?

Please click appropriate box

Please Give Details of Any Disciplinary Proceedings or Allegations Against You
Have you ever been involved in any disciplinary proceedings or subject to a disciplinary investigation? / Yes ☐ / No ☐
Have there been any allegations raised against you previously which may be of relevance to your employment in a fostering agency working with children and young people? / Yes ☐ / No ☐
If you have answered yes to any of the above, please state the nature of the allegation/investigation/proceeding and the outcome.
Criminal Convictions Rehabilitation Of Offenders Act 1974 (Exceptions order 1975 and 1986). This post is exempt from the Rehabilitation Of Offenders Act, please give details of any criminal convictions for any offence below.
As you are applying for a job, which involves you working with children and young people, you must declare any convictions and/or cautions for criminal offences, even where they are ‘spent’. Due to the nature of the work, all prospective staff will be asked to complete an application for an enhanced disclosure from the Criminal Records Bureau and Independent Safeguarding Authority.
Details of criminal convictions: Please state NONE below if appropriate.
Please Give Details of Any Charge or Summons at Present Outstanding Against You
Date of Alleged Offence: / Nature of Alleged Offence: / Court/Police Station Dealing With This Matter:
Driving Licence / Please click appropriate box
Do you hold a current full driving licence? / Yes ☐ / No ☐
Are you prepared to use your own transport for work? / Yes ☐ / No ☐
Declaration To the best of my knowledge, the information I have supplied in this form is correct. I understand that giving false information or omitting relevant information could disqualify my application and, if I am appointed, could lead to my dismissal.
Blue Sky Fostering is committed to safeguarding and promoting the welfare of children and young people. We expect all staff and volunteers to share this commitment. It is the expectation that all staff will report safeguarding concerns including vulnerabilities to radicalisation, child sexual exploitation, female genital mutilation and young people who may have been trafficked.
Blue Sky Fostering provide a systematic approach to the recruitment and selection process for permanent, casual staff and volunteers. As such, the same processes and checks apply to all. It is vital that these procedures deter, reject or identify people who might abuse children and young people, or are otherwise unsuited to work with them. Accordingly, a Safeguarding Children perspective will permeate all stages of the selection and recruitment process. I declare that there is no reason why I should not be considered suitable to work with children.
Signature: / Date:
Return By Email To: / Enquiries:

HR Dept.
BSN Social Care
4 Jardine House,
Harrovian Business Village,
Bessborough Road,
Harrow,HA1 3EX / Any enquiries about your application should be made by email (left) or by telephone to 0203 740 9107.
Late applications will not normally be considered.
Interview expenses will not be paid.

Personal data supplied on this form will be held on and/or verified by reference to information already held on file. In signing this application form you give permission for Blue Sky Fostering to access, store and process data, some of which will include ‘sensitive data’. – Data Protection Act 1998