APPLICATION FORM

Application for employment as: ______

Location(if known): ______

Are you looking for fulltime? □ Yes □ No

If no what hours are you available –

Monday / Tuesday / Wednesday / Thursday / Friday
AM
PM

How did you find out about us? ______

PERSONAL DETAILS

Surname
Other names
Address
Telephone (work/home)
Mobile
Email (please print)

EDUCATION AND TRAINING

Secondary School / Dates From/To / Subjects Taken And Grades Achieved
Further/Higher Education / Dates From/To / Details of Course and Results
Vocational Training / Dates From/To / Details of Course and Results

Please give details of any other professional qualifications or specialised skills: ______

FURTHER INFORMATION

Have you ever been convicted of a criminal offence? YES / NO

Do you need a work permit to work in the UK? YES / NO

Have you personally ever had any involvement with social services?YES / NO

Are you in a relationship with a disqualified person?YES / NO

Do you live on the premises where a disqualified person resides? YES / NO

When could you start work for us? ______

Do you hold a current enhanced DBS (formerly CRB) disclosure? YES / NO

Disclosure number ______Date of issue _____ / ____ / _____

EMPLOYMENT HISTORY

Name, address & e-mail of employer / Dates
From/To / Job title and duties / Rate of pay / Reason for Leaving
Please tell us why you applied for this job and why you think you are the best person for the job.

REFERENCES

Please give the name and contact information of two persons as referees, other than your present employer or relatives, who we can approach now for references. Acorn Childcare operates a safer recruitment practice and references will be obtained prior to an offer of employment.

No approach will be made to your present employer until after you have been appointed, unless you give permission for us to do so.

Please use this space provided to give any additional information that you may think is relevant. Please also supply dates of any holidays or commitments in the next 12 months in order for them to be honoured ______

DECLARATION

I acknowledge that an appointment if offered will be subject to satisfactory medical clearance and employment references. I can confirm that I am currently in good health.
I can confirm that I have not been convicted of any criminal offence spent or otherwise (the post is exempt from the provisions of the Rehabilitation of Offenders Act).
I can confirm that to the best of my knowledge the information given on this form is correct and understand that on appointment any misleading statements or deliberately false information could result in my dismissal.
Sign Date

Please return by

POST - HR Department, Acorn Childcare, Unit A, Lincoln Lodge, Castlethorpe, MK19 7HJ

or

EMAIL -

Acorn Childcare is committed to safeguarding children and promoting the welfare of children, we expect all staff and volunteers to share this commitment.

We are an equal opportunity employer.

An enhanced Disclosure and Barring Service check will be carried out for all positions.

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