Careers Application Form

Nursery for Application*

First Name*

Last Name*

Home Address

Address Line 1*

Address Line 2*

Address Line 3*

Address Line 4*

Postcode*

Years At This Address*

Months At This Address*

Contact Details

Contact Telephone Number*

Mobile Number*

Email*

National Insurance Number*

Date Of Birth*

Post Applied For*

Today's Date*

Current or Most Recent Employment

Employers Name

Employers Address Line 1

Employers Address Line 2

Employers Address Line 3

Employers Address Line 4

Employers Postcode

Post Title

Current Salary

Start Date

Leaving Date

Notice Period

Reason For Leaving

Describe your main duties and Responsibilities in this role

Please note that your current employer will not be approached for references before an offer of employment is made to you.

Full Employment History

Employer 2

Employer Name

Post Title

Start Date

Leaving Date

Salary

Reason For Leaving

Employer 3

Employer Name

Post Title

Start Date

Leaving Date

Salary

Reason For Leaving

Employer 4

Employer Name

Post Title

Start Date

Leaving Date

Salary

Reason For Leaving

Please give details of any gaps in employment:

Experience/Suitability/Interests

Short listing will be based on the criteria set out in the specification. Please address these requirements in this section.

Please outline your Experience, Suitability and Interests

Education (Secondary/Higher)

Qualifications Gained*

Do you have a current driving licence?
YesNo

Do you have access to a car?
YesNo

Are you in good health and physically able to carry out this role as set out in the job description?
YesNo

If No please give details of any medical complaint which may restrict your work:

Suitability to work with Children

Are you on the DBS update service?
YesNo

Have you ever had any convictions or police cautions including spent convictions?
YesNo

Do you currently have any convictions which may bar you from working with children? A person may be disqualified through:

Having certain orders or other restrictions placed upon them.
Having committed certain offences.
Living in the same household as someone who is disqualified by virtue of the above points. This is known as disqualification by association.

YesNo

If you have answered yes to any of the above questions, please provide details:

Rehabilitation of offenders

The Rehabilitation of Offenders Act 1974 allows certain people to consider their criminal convictions as ‘spent’ meaning that they don’t have to reveal those convictions when applying for jobs. This job is exempt from the provisions of the Act in order to protect the children in our care. As such you need to inform us of any criminal convictions you have received. Any of the information you give us will be treated as confidential and will not necessarily mean that your application will fail.

Have you ever been convicted of a criminal offence?
YesNo

If yes, please give details:

Asylum and Immigration Act

It will be a condition of employment that evidence of eligibility to work in the UK is provided. This evidence could include a Birth Certificate, Passport, P45, Pay Slip or National Insurance Card.

Declaration

I hereby confirm that the information I have provided in this application is, to the best of my knowledge, accurate and true. I understand that if I give any false or misleading information that my application may be rejected or, if I am offered a job, it might lead to dismissal.

Signature*

Date

References

Please give details of two referees you have worked for, one of which must be your current or most recent employer.

Please sign if you give permission for Kids Planet House to send for references prior to job offer.

Signature*

Reference 1

Name of Organisation

Name of Referee*

Job Title*

Address*

Telephone Number*

Reference 2

Name of Organisation

Name of Referee

Job Title

Address

Telephone Number

Candidate Information

Candidates will be advised of the outcome of their application, as soon as practical.
We are an Equal Opportunities employer and the successful candidate will be selected on merit only.
We are committed to Safeguarding and promoting the welfare of children and expect all staff and volunteers to share this commitment. We carry out enhanced DBS checks on all staff and volunteers.
All appointments will be made on receipt of a satisfactory DBS clearance.

Data protection statement

The information that you provide on this form and that is obtained from other relevant sources will be used to process your application for volunteering. The personal information that you give us will also be used in a confidential manner to help us monitor our recruitment process.

We may check the information collected, with third parties or with any other information held by us. We may also use or pass to third parties, information to prevent or detect crime, to protect public funds, or in other ways as permitted by law. By signing this application form we will be assuming that you agree to the processing of sensitive personal data (as described above), in accordance with our registration with the Information Commissioner.

Equal opportunities monitoring

Kids Planet Day Nurseries Ltd is committed to a policy of equality of opportunity and aims to provide a working environment which is free from unfair discrimination and will enable staff to fulfil their personal potential. We aim to ensure that no individual is unjustifiably discriminated against on the basis of gender or marital status, race, ethnic or national origin, disability, religious or political beliefs, sexual orientation, age, family circumstance or other irrelevant distinction.

The information you provide will be treated as strictly confidential and will be used only for Equal Opportunities purposes. It will not be taken into consideration for short listing or interviewing purposes.

Kids Planet will adhere to the Equality Act 2010 which makes in unlawful to discriminate against ‘Protected Characteristics’. More information on this can be found in our Equal Opportunities and Equality policy.

Equal Opportunities Monitoring Form

This section of the application form will be detached and used solely for monitoring purposes. Please complete in block capitals and tick the boxes which most closely relate to you.

Gender

Please tick the boxes which describe you most closely:

Gender*

Ethnicity

Ethnic origin categories are not about nationality, place of birth or citizenship. They are about the group to which you as an individual perceive you belong.

Please indicate your ethnic origin by ticking the appropriate box below.

If any ‘other’ category ticked, please specify if you wish:

Nationality*

Sexual Orientation

Please tick the boxes which describe you most closely:
BisexualGay Woman/LesbianGay ManHeterosexual/StraightOther

Religion or belief

Please tick the boxes which describe you most closely:

BuddhistChristianHinduJewishMuslimSikhOther

Disability

The Equality Act 2010 defines disability as ‘A physical or mental impairment which has a substantial and long term adverse effect on a person’s ability to carry out normal day to day activities.’ Long term in this context means likely to last longer than 12 months or likely to recur. Please note that cancer, HIV and multiple sclerosis are covered by the Act from the point of diagnosis.

Do you have a disability as defined in the Equality Act 2010?

YesNoPrefer not to say

If yes, please state the nature of your disability or long term condition:

Home Address

Contact Details

Current or Most Recent Employment

Full Employment History

Employer 2

Employer 3

Employer 4

Experience/Suitability/Interests

Education (Secondary/Higher)

Suitability to work with Children

Rehabilitation of offenders

Asylum and Immigration Act

Declaration

References

Reference 1

Reference 2

Candidate Information

Data protection statement

Equal opportunities monitoring

Equal Opportunities Monitoring Form

Gender

Ethnicity

Sexual Orientation

Religion or belief

Disability

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