Thank you for expressing your interest in the above role. We look forward to receiving your application About You ← BackThank you for your response. ✨ Surname (required) Forenames(s) (required) Title Select one option Ms Miss Mrs Mr Other Address for Correspondence (include Postcode) (required) Email (required) Mobile (required) National Insurance Number (required) Employment History Present or Most Recent Employment Name & Address of Current Employer(required) Nature of Business(required) Job Title(required) Summary of Main Duties(required) Date of Appointment(required) Are you still currently employed by this organisation?(required) Yes No Current Salary £(required) Reasons for Leaving (if applicable) Notice Required(required) Previous Employment Please summarise your employment history since leaving full-time education, paid or unpaid, or working in a voluntary organisation or agency, full or part-time. Start with your current or most recent employer. Employers Name Date To and From Job Title & Summary of Main Duties Reasons for Leaving Employers Name Date To and From Job Title & Summary of Main Duties Reasons for Leaving Employers Name Date To and From Job Title & Summary of Main Duties Reasons for Leaving Employers Name Date To and From Job Title & Summary of Main Duties Reasons for Leaving Employers Name Date To and From Job Title & Summary of Main Duties Reasons for Leaving Please describe the reason and duration of any period(s) longer than 1 month when you have not been in employment since leaving full-time education. References Give details of two people who have knowledge of you in a working / childcare environment, paid or unpaid. The first reference should be your present or most recent employer. If you are a student give appropriate school or college referees. References will be taken prior to interview unless you indicate otherwise where requested. References must cover a consecutive five year period. It is the normal practice for references to be obtained before any formal interview. The successful candidate will only be appointed upon satisfactory reference checks. If you were known to either of your referees by another name please give details: Referee Name 1 Referee Name 2 Position Position Address Address Telephone Telephone Email Email In what capacity does the above know you In what capacity does the above know you May we take up reference prior to interview Yes No Qualifications & Training EDUCATIONAL AND ACADEMIC QUALIFICATIONS (Secondary, Further/Higher or work based) Please give details of your education with examination dates, results and qualifications obtained. Please include any training and membership of professional bodies, relevant to the application. (Please continue on a separate sheet if necessary) Evidence of childcare qualifications will be requested if you are called to interview. Examination, Course Date From Date To Result/Qualification Examination, Course Date From Date To Result/Qualification Examination, Course Date From Date To Result/Qualification Examination, Course Date From Date To Result/Qualification INSERVICE TRAINING Give details of the most recent, relevant courses attended and indicate any awards earned. Course Title Provider Duration Dates Course Title Provider Duration Dates Course Title Provider Duration Dates Your Experiences, Relevant Skills & Further Information Having read the job description and person specification, please state how your experience and achievements to date would make you a suitable candidate for this post. Please continue on a separate sheet if necessary. Additional Information To comply with the Asylum and Immigration legislation during the selection process you will be required to give evidence of your ability to work in the UK. Do you require any documentation supplied by the Home Office or UKBA in order to work in the UK? Yes No If Yes, please provide details Under the Working Time Directive, you should not work more than 48 hours a week. Do you plan to undertake work for other employers, which would cause a breach of these regulations? Yes No If Yes, please provide details Have you ever been subject to any disciplinary action by your employer or professional body? Yes No If Yes, please provide details If you have a disability please let us know of any special arrangements you may need to make if you are short listed for interview. Do you hold a full current driving licence? Yes No Are you able to travel to different locations across the County? Yes No Are you a relative or partner of any employee of this setting? Yes No If yes, please state name of person and relationship: Where did you see the advertisement for this post? By submitting your APPLICATION, you’re giving us permission to email you. WE WILL ONLY EMAIL YOU REGARIDNG YOUR APPLICATION. YOUR DATA IS SAFE AND WILL NOT BE PASSED ONTO ANY THIRD PARTY BUSINESS OR PERSON. SUBMITSubmitting form Δ