Formerly the University of Reading Pre School

Ofsted Registration No: 148691

Registered Charity No: 292726

STRICTLY CONFIDENTIAL : VACANCY APPLICATION FORM

Position applied for:

Surname: / Title:
First Names: / Home Telephone No:
Previous Surnames: / Mobile Phone No:
Address: / Work Phone No:
Email:
Postcode:
EDUCATION
Please give details of Secondary and Higher Education including any GCSEs or A levels or equivalent vocational courses below:
Name of School/College/University / Subject/Qualification / Year Achieved / Grade
TRAINING & QUALIFICATIONS
Please include details of other certificates, vocational training, professional qualifications, membership of Professional Bodies
Qualification/Membership / Date
EMPLOYMENT DETAILS: CURRENT OR LAST EMPLOYMENT
Name & Address of current or most recent employer or school/college/university / Job Title:
Start Date:
Notice Required:
Date of leaving (if applicable)
Basic Salary:
Allowances:
Please briefly outline your main duties and responsibilities or details of your studies if leaving education.
Why do you wish to leave your current employment/Why did you leave your last employment?
EMPLOYMENT HISTORY
Start with the most recent. Please list all paid employment, voluntary, work experience and explain any breaks in employment or training since leaving full time education.
Name of Previous Employer:
Job Title:
Dates Employed From: To:
Salary:
Brief outline of duties & responsibilities:
Reason for leaving:
Name of Previous Employer:
Job Title:
Dates Employed From: To:
Salary:
Brief outline of duties & responsibilities:
Reason for leaving:
Name of Previous Employer:
Job Title:
Dates Employed From: To:
Salary:
Brief outline of duties & responsibilities:
Reason for leaving:
ADDITIONAL SUPPORT
Do you feel you would need any additional support in order to fulfil the requirements of this post?
Yes /No
If Yes, please provide details below
FURTHER INFORMATION
Please use this section to provide us with any additional information you consider relevant to your application. Under the Data Protection Act 1988 your consent is required to process the information you have supplied for the purposes of recruitment and selection. The information required is necessary for selection purposes and will be:
Passed to relevant third parties for the selection and interview process.
Sent to referees to release personal information in connection with the current vacancy.
Used to confirm the facts contained in the application.
Used to assess your qualifications where necessary for this position.
Where you have not been successful in your application for a position at the Little Owl Pre School, the information will be retained for a period of 6 months for monitoring purposes.
GENERAL INFORMATION
Are there any restrictions upon your employment in this country? / Yes/No
If Yes, please give details here:

REFERENCES

Current/Present Employer’s Details / Previous Employer's Details/Personal Referee's Details
Name: / Name:
Address: / Address:
Tel No: / Tel No:
Email: / Email:
Job Title: / Job Title:
Can we contact this referee before the interview? / Can we contact this referee before the interview?
Yes/No / Yes/No

Information contained in this application form is personal data which is subject to the Data Protection Act 1988.

DECLARATION
The information I have provided is correct to the best of my knowledge. I understand that false information may render me liable for dismissal of appointed.
Printed Sign......
Date......

Please return this form to the postal or email address at the top of this application form.

LITTLE OWL PRE SCHOOL

EQUAL OPPORTUNITIES MONITORING

PRIVATE & CONFIDENTIAL

Little Owl Pre School is an Equal Opportunities Employer and our aim is to ensure that people are selected, recruited, trained and promoted on the basis of the job requirements, skills and other objective criteria. We will ensure that no job applicant or employee receives less favourable treatment on the grounds of race, colour, nationality, ethnic or national origins, sex, marital status, sexuality, disability, age or is disadvantaged by conditions or requirements which cannot be shown to be justified as being necessary for the safe performance of the job.

Please complete this form in order to comply with our equal opportunities policy and the law and return with your application form. This information is used for monitoring purposes only and will not be used by those involved in the selection process (except in relation to a disability when we guarantee to offer any applicant with a disability an interview should they meet the minimum requirements of the job as contained in the person specification).

Please complete or select entry
Post applied for:
Full Name:
Gender: / Female/Male
Marital Status: / Single / Married / Divorced / Separated / Widowed
I would describe my cultural or ethnic origin as:
Please select the appropriate description to indicate your cultural background.
White / White / Irish / any other White background (please specify)
Chinese or Other Ethnic Group / Chinese / any other ethnic group (please specify)
Black or Black British / Caribbean / African / any other Black background (please specify)
Mixed / White and Black Caribbean / White and Black African / White and Asian / any other mixed race background (please specify)
Asian or Asian British / Indian / Pakistani / Bangladeshi / any other Asian background (please specify)
Little Owl Pre School seeks to make adjustments to the work environment and work practice in order to promote the employment of people with disabilities. To assist us in fulfilling our obligations under the Disability Discrimination Act 1995, please answer the following questions:
Do you consider you have a disability or impairment? Yes / No
(If yes, please provide details below)
Printed signature......
Date......

LITTLE OWL PRE SCHOOL

STRICTLY CONFIDENTIAL

DISCLOSURE OF CRIMINAL BACKGROUND FOR JOB APPLICANTS

Little Owl Pre School has an obligation to ensure that as far as possible persons (employed or as volunteers) who work with children are suitable to undertake such a role. For this reason, you are required to disclose if you have any convictions or cautions, so they may be taken into account when your application is considered.

Please see the explanatory notes below before completing this form.

The position for which you are applying for is exempt from the Rehabilitation of Offenders Act 1974, you must disclose any convictions you may have even if they would otherwise be regarded as “spent” under this Act, and any cautions or bindovers. Any information you give will be treated in strictest confidence and will only be taken into account in relation to this application.

In answering the following question, you must disclose details of all convictions and cautions, including “spent” convictions.

Have you ever been convicted of a criminal offence? YES / NO
If YES, please give details of all convictions and cautions, including “spent” convictions and cautions.
DECLARATION
The information I have provided is correct to the best of my knowledge. I understand that false information may render me liable for dismissal if appointed.
Signed......
Date:......
Print Name (CAPITALS)......
Position applied for:......

When you have answered the above question, please return this additional sheet with your application form. If you have disclosed conviction information, please place this sheet in a separate sealed envelope marked with:

Your name & position applied for and the following: Disclosure Information, Strictly Confidential.

This will ensure that only persons directly concerned with the recruitment process in respect to the position applied for will view the conviction information.

LITTLE OWL PRE SCHOOL

EXPLANATORY NOTES TO ACCOMPANY DISCLOSURE OF CRIMINAL BACKGROUND FOR JOB APPLICANTS

Little Owl Pre School is able (with your consent) to access records of criminal convictions to verify the information you supply. In the event of an offer of employment being made, your written permission will be sought for this check to be undertaken with the Disclosure and Barring Service. If you do not give your permission it will not be possible to consider your application further. As part of its checking procedure, the DBS will also check registers of persons found to be unsuitable to work with children or vulnerable adults which are maintained by the Department of Health and the Department for Education.

Information on the DBS, including their Code of Practice by which employers must abide, can be accessed on the internet. Little Owl Pre School complies fully with the Code of Practice and undertakes to treat all applications fairly. We actively promote equal opportunities for all those with the right qualifications, experience and skills and welcome applications from all applicants including those with criminal records. Information received from the DBS will be kept and treated in the strictest confidence. You will be sent the results of your DBS check.

Having a criminal record will not necessarily bar you from working with us.

The disclosure of a criminal record will only debar you from appointment if the recruitment panel, having considered carefully the following factors, determine this.

The factors to be taken into account are:

1.  The responsibility of the position

2.  The vulnerability of the children under our care

3.  The nature of the offence(s)

4.  The number and pattern of offences (if there is more than one).

5.  How long ago the offence(s) occurred.

6.  The age of the offender when the offence(s) occurred.

We do our utmost to discuss any information revealed in a Disclosure with the person seeking the position before withdrawing a conditional offer of employment.

If the DBS check discloses a conviction which you have failed to declare, this may disqualify you from appointment, or result in summary dismissal if the discrepancy comes to light after appointment.