Application Form
Post Applied for: Children and Families Worker
______
Closing date for application: 28th Feb 2018______
When completed please sign, date and return this application form to:
The Director of Operations, Lansdowne Church, Woodbury Avenue, BH8 0HHBournemouth BH1 1RZ.
1. Personal Details:
Full name:______
Former name(s):______
Current address:______
______Postcode:______
Home :______Mobile :______
Email:______
How long have you lived at this address:____ years______months
If less than 5 years, please give previous address(es) with dates (please continue on a separate sheet if necessary):
Previous address:______
______Postcode:______
Dates:______
Previous address:______
______Postcode:______
Dates:______
Previous address:______
______Postcode:______
Dates:______
2. Education:
Secondary school(s) attended and qualifications obtained (i.e. GCSEs):______
______
______
Further education and other qualifications (i.e. A levels/NVQs):______
______
______
Higher education attended:______
______
Degree/professional qualifications attained:______
______
3. Employment:
Please tell us about your current and previous employment (paid and/or voluntary), since leaving full time education.
Current employer’s name:______
Current employer’s address:______
______Postcode:______
Employed from:______
Job title:______
Brief description of duties:______
______
Previous employer’s name:______
Previous employer’s address:______
______Postcode:______
Employed from:______To:______
Job title & brief description of duties:______
______
Reason for leaving:______
Please continue on a separate sheet if necessary.
Please account for any gaps/anomalies:______
4. References:
Please give the names and addresses of two referees (only to be used for those shortlisted) Present/most recent employer, Church Minister, or someone who has known you for at least three years and give details of their relationship to you:
Name______
Address:______
______Postcode:______
Telephone number:______
Name______
Address:______
______Postcode:______
Telephone number:______
5. Personal statement:
On a separate sheet please provide a personal statement (up to 2 pages) on the areas listed below.
a) We are interested in knowing your experiences in the following 3 areas and how you might wish to develop your skills and vision for the work in this church.
Relationship with God
Relationship with adults
Self management
b) What is it about the post that appeals to you and how do you feel your skills and experience match up to those desired for this position?
c) The person fulfilling this role will be a key member of the staff team at Lansdowne Church and as such this person will be expected to fully support the aims and vision of the church when carrying out their duties. Please confirm that you are able to support this expectation.
d) Please provide further details if there is something in this form that you wish to amplify, or if there are any other points not covered in this form, which are relevant to your application.
6. Declaration:
Have you ever offered to work with children and young people and been refused?
Yes:______No:______(please tick) If yes, please give details:
______
______
Have you ever been charged with or convicted of a criminal offence, or are you at present the subject of criminal investigations? (NB The disclosure of an offence will not necessarily prohibit you from working with Lansdowne Baptist Church).
Yes:______No:______(please tick) If yes, please give details of the offence(s) and
dates:______
______
Have you ever been involved in court proceedings concerning a child for whom you have parental responsibility?
Yes:______No:______(please tick) If yes, please give details and dates:
______
______
To your knowledge, have you ever had any allegations made against you, which have been reported to and investigated by Social Services or the Police?
Yes:______No:______(please tick) If yes, please give details:
______
______
7. Agreement:
Important note: Because of the nature of the work for which you are applying, this position is exempt from the provision of 4(ii) of the Rehabilitation of Offenders Act 1974 (Exemptions Order 1975) and you are, therefore, not entitled to withhold information about any convictions which for other purposes are ‘spent’ under the provisions of the Act and in the event of appointment, any failure to disclose such convictions could result in termination of employment.
This position involves working with children and young people and in the event of appointment you will be required to complete a enhanced Disclosure and Barring Service (DBS) check before commencing employment.
I confirm that all information given is correct and complete and in the event of appointment, this will form the basis of a contract of employment.
Signed______Date: ___/___/______
The completed form should be signed, dated and returned to:
The Director of Operations, Lansdowne Church, Woodbury Avenue, Bournemouth BH8 0HH.