CONFIDENTIAL

Application Form for the post of: …………………………………………………… (Job Title)

Surname / Family Name: / Other Name(s):
If relevant please state other surname / family name used previously
Address:
Postcode: / Tel. (Daytime):
Tel. (Evening):
Date of birth
National insurance number

Present Employment

If you are not currently employed please fill in your most recent employment or your main activities at that time if more appropriate.

Post held:
Place of work:
Name and address of present or last employer:
Postcode:
Tel.:
Description of current work and types of responsibilities:
If appointed what is the length of notice you are required to give
or what is the date you could start this new post?

Previous Employment Background including paid and unpaid

Dates / Name of Employer / Post / Nature of job
From
Mth/Year / To
Mth/Year

Education and training

Please give details of your education and training starting with the most recent and including any formal qualifications or certificates you hold (if any)

Dates / Qualifications / Grades / Name of school or college
From Mth/Year / To
Mth/Year

Suitability for the job

Please state why you think you are suitable for this job. Enclose additional sheets if necessary. You should ensure that you address the points covered in the job description / person specification.

Additional Information / Declarations: Please read and complete.

How did you first find out about this job?

References: Please state the names and addresses of two people from whom references may be obtained about your suitability for the post for which you are applying.

  1. Present or most recent employer:
Postcode: Tel.
2. Employment / Personal Capacity (delete as appropriate)
Postcode: Tel.

Do you agree to your referees being approached prior to interview? Yes / No

Rehabilitation of Offenders Legislation: Access to Children

Due to the nature of this post and the law relating to it, applicants must disclose all criminal convictions and cautions. It is a condition of any subsequent employment that they have done so. Failure to disclose a conviction or caution could result in dismissal or disciplinary action. Please note, however, that any information supplied will be dealt with on a confidential basis and that Meersbrook Park After School Club will, in its discretion, only take into account in considering your application those convictions or cautions relevant to the nature and purpose of the post for which you are applying. You should also note that Meersbrook Park After School Club has a right, which it will exercise, to check with the police regarding the existence and content of any criminal record of the successful applicant.

Declaration: I have read and understood the above statement. If I have any convictions or cautions to declare I will supply details of them on this Application Form.

Signed: ………………………………………………………………………………………………

Please return this form to: Helen Turner

or email to28 Bishopscourt Road

Meersbrook

Sheffield

S8 9HP

The closing date for applications is …21st July 2017………………………

Interviews are planned for last week of July – some flexibility around holidays may be possible.

Thank you for your interest in the post.

______

Declaration of Criminal Convictions

Please disclose all criminal convictions or cautions you have received in the past. If you have no criminal convictions or cautions please leave this page blank.

Nature of Date Convicted Sentence Conviction/Caution or Cautioned