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 / ToPrevious 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 / DateSkills 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 / ResultWe 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