St Mary S Pre-School Is an Equal Opportunities Employer

St Mary S Pre-School Is an Equal Opportunities Employer

St Mary’s Pre-School is an Equal Opportunities Employer

Please note that providing false information will result in the application being rejected or withdrawal of any offer of employment, or summary dismissal if you are in post, and possible referral to the police. Please note that checks may be carried out to verify all the contents of your application form. Please type or complete the form in black ink.CV’s are not accepted.

Application for Employment

Private and Confidential

Position applied for:

Childcare Qualification/s if applicable.

  1. PERSONAL DETAILS

FULL NAME: MR/MRS/MISS/MS
ADDRESS
EMAIL ADDRESS: / TELEPHONE NOS:
HOME:
MOBILE:
WORK:

Please tick the box if you do not wish to
Be contacted at work.
DATE OF BIRTH: / NATIONAL INSURANCE NO: / PLACE OF BIRTH:
  1. ABOUT YOU

Please state why you are applying for this job. Please give details of any work or other experience you have had which may be relevant to your application and role.
Please theninclude some of your interests as well.
If called for an interview, are there any special arrangements we would need to make to assist your attendance? YES/NO
If yes, please give further information
Where did you hear about this vacancy?
  1. EDUCATION AND QUALIFICATIONS

SCHOOL / DATES / EXAM / SUBJECT / GRADE
UNIVERISTY/COLLEGE / DATES / EXAM / SUBJECT / GRADE
ADDITIONAL TRAINING COURSES
  1. EMPLOYMENT HISTORY

Please list in reverse order all the organisations for which you have worked

NAME AND ADDRESS OF EMPLOYER / DATES / POSITION HELD / REASON FOR LEAVING
  1. SUPPLEMENTARY INFORMATION

HOW MUCH NOTICE ARE YOU REQUIRED TO GIVE YOUR PRESENT EMPLOYER?
DO YOU HAVE A CURRENT DRIVING LICENCE?
DO YOU HAVE ACCESS TO YOUR OWN TRANSPORT TO ATTEND TRAINING COURSES WITHIN THE LOCAL AREA?
DOES YOUR LICENCE HAVE ANY ENDORSEMENTS?
If yes, please give further information.

SUPPLIMENTARY QUESTIONS CONTD

DO YOU HAVE OR WISH TO UNDERTAKE ANY OTHER JOBS WHICH MIGHT LIMIT YOUR WORKING HOURS? If yes please give further information.
HAVE YOU EVER BEEN CONVICTED OF A CRIMINAL OFFENCE? (which is not a spent conviction under the Rehabilitation of Offenders Legislation) or, been made the subject of an order, civil or criminal, made by a court of law? If yes, please give further information.
HAVE YOU HAD ANY SOCIAL SERVICES INVOLVEMENT WITHIN YOUR IMMEDIATE FAMILY?
IS ANYONE WITHIN YOUR IMMEDIATE HOUSEHOLD ON THE BANNED/DISQUALIFICATION LIST?
HAVE YOU ANY MEDICAL CONDITIONS/ALLERGIES? If yes please give further information
ARE YOU ON ANY MEDICATION WHICH MAY AFFECT YOUR WORKING PERFORMANCE? If yes please give further information.
DO YOU CONSIDER YOURSELF DISABLED UNDER THE DISABILITY DISCRIMINATION ACT (DDA)? If yes please give further information.
ARE YOU SUBJECT TO ANY RESTRAINTS ON YOUR CURRENT OR FUTURE EMPLOYMENT?
ARE YOU WILLING TO WORK OVERTIME AS REQUIRED?

REFERENCES

Please give the names and addresses of two referees who are not related to you, and who we can approach for a confidential assessment for your suitability for this post.

NOTE: One of these must be your present or most recent employer.

REFERENCE 1 / REFERENCE 2
Name:
Occupation:
Address:
Email Address:
Tel No:
In what capacity, do you know the above? / Name:
Occupation:
Address:
Email Address:
Tel No:
In what capacity, do you know the above?
Are you happy for us to contact this referee before an offer of employment is made?
YES/NO / Are you happy for us to contact this referee before an offer of employment is made?
YES/NO

DECLARATION OF APPLICANT

I certify that all the information on this Application Form is correct.
I understand that false information or deliberate omission will disqualify me from employment or may render me liable for dismissal or disciplinary action.
I understand that I will be required to submit documentary evidence in support of any particulars given by me on my Application Form.
I understand a Disclosure from the DBS will be required for this position.
I consent to St Mary’s Pre-School processing the information I have provided on this form for the purpose of recruitment, and I understand that it will be retained for as long as is necessary for St Mary’s Pre-School to comply with its statutory obligations.
SIGNATURE DATE
If successful, we will contact you within one week of your Application being received.
If unsuccessful this time, we thank you for applying and wish you good luck for the future.

Chairman: Mrs Lorraine Jones

Supervisor: Mrs Fiona Brooks

Contact Details: Telephone Number: 07527 927813. E mail:

St Mary’s Church Hall. The Butts, Church End, Princes Risborough, Bucks. HP27 9AN

Ofsted number: EY371169 – Charity Number 1132500

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