Culham After School Club

Application Form

Please return to r

Culham After School Club, Europa / European School, Thame Lane, Culham, OX14 4DZ

OFSTED - EY457138

Personal Details

Full Name

Maiden/Former name(s)

Date of Birth

Address

Daytime Tel No:

Evening Tel No

Mobile Tel No

Email address

How long have you lived at the above address?

If less than 5 years, please give previous address(es) with dates

From / To

Previous Address

(Please continue on an additional sheet if required)

Employment

We require staff from Monday to Friday, however we would consider job share.

Are there any days you cannot work

Please confirm your current / latest employer and salary

Please give a full career and education history in chronological order since leaving secondary education; This should include any periods of post-secondary education or training, part-time and voluntary work, as well full-time employment.

Please include start and end dates, explanations for periods not in employment, education or training, with reasons for leaving employment

Employers Name and Address / From (Date) / To
(Date) / Job Title & Description / Reason for Leaving

Education

Please tell us about you about your qualification, include any vocational training.

Name of Qualification / Grade / Provider / Awarding body / Date

Skills and Experience

Please tell us in your own words why you consider yourself suited to this position and how your skills and experience link to the job description

References

Please complete the details below of two people who would be willing to provide a personal reference. If you are currently working as a volunteer, one of these should be your present employment (paid or voluntary). We reserve the right to take up character references from any other individuals deemed necessary.

1)

Name

Address

Telephone

Relationship

2)

Name

Address

Telephone

Relationship

Convictions / Cautions

REHABILITATION OF OFFENDERS ACT 1974 (Exceptions order 1975 and 1986).

This post is exempt from the Rehabilitation of Offenders Act.

Please provide below details of convictions for any offence (including traffic convictions, appearances before a court) or formal convictions from the police for any offence (including cautions as a juvenile), or any bind-overs imposed by any court.

If you have been convicted or cautioned you may still be eligible for appointment depending on the nature and circumstances of the offence. However, failure to disclose could count against you

Date / Court / Police station which dealt with the matter / Offence / Result

We are committed to safeguarding and promoting the welfare of children, and expect all staff to share this commitment.

Our preferred candidate will be required to undertake a Criminal Record Check

Declaration

I confirm I am not disqualified from working with children, or subject to sanctions imposed by a regulatory or professional body, eg Ofsted, the General Social Care Council (GSCC) or General Medical Council (GMC), and that the information provided on the form is complete and accurate.

Signature / Date