Rainham/Parkwood/Gillingham

SUNSHINE CHILD-CARE SERVICES LTD

RAINHAM/PARKWOOD/GILLINGHAM

Sunshine Thames ViewSunshine Thames ViewSunshine Park Wood Sunshine Featherby Sunshine Featherby

Out of School ClubPre-SchoolOut of School Club Out of School Club Pre-School

Bloors LaneBloors LaneDeanwood Drive Nursery Annex Nursery Annex

RainhamRainhamParkwood Allington Road Allington Road

Kent ME8 7DX Kent ME8 7DX Kent ME8 9LP Gillingham Gillingham

Mob: 07947 118506Mob: 07947 118506Mob: 07903 357883 Kent ME8 6PD Kent ME8 6PD

Tel: 01634 386185Tel: 01634 386195Tel: 01634 386195 Tel: 01634 386195 Tel: 01634 386195

APPLICATION FOR THE POSITION OF …………………………………………………………………………………………………………..

In accordance with our Equal Opportunities Policy, our recruitment process is monitored to check that unfair discrimination is not taking place. To help us in this, please complete the following by ticking the relevant sections.

PERSONAL DETAILS

Miss/ Mr/Mrs/Ms (delete as appropriate)

First names ……………………………………………………………………………………………………………………………………………

Surname ……………………………………………………………………………………………………………………………………………….

Address ………………………………………………………………………………………………………………………………………………..

…………………………………………………………………………………………. Post Code ………………………………………………….

Home Telephone Number (including STD code) ……………………………………………………………………………………

Work Telephone Number (including STD code) …………………………………………………………………………………….

Mobile Number …………………………………………………………………………………

Passport Number ………………………………………………………………………………

Can we ring you at work YES ………..NO……….

I would describe my race or cultural origin as:

Bangladeshi ……….Chinese…………

Black African……….Indian…………

Black Caribbean……….Pakistani…………

Black other……….White…………

Other (please specify…………

My gender is:Female ……….Male ………

I am aged between 18 and 65 years:YES ………..No …………

I am registered disabled at a job centre and hold a green card:YES …………NO …………..

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EDUCATION

Education

Please state all secondary, 6th form, Further Education College or Work Based Education or Training previously or currently undertaken.

From / To / School(s) / Qualification and expected grades
Grade

Other Training and Development, eg. First, Aid, Health and Safety, Food & Hygiene, Duke of Edinburgh Awards etc:

Dates / Qualifications and Grades

School Work Experience (if applicable):

Dates / Details / Supervisor/Manager

Training

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EMPLOYMENT

Past and Current Employment:

Dates / Employers name, address and nature of business / Position Held / Reason for Leaving
From
M Y / To
M Y

GENERAL - Leisure Interests/activities:

HEALTH

Names and address of doctor or surgery in case of emergency:

Are you in good health? YES ……………NO ………..

Do you suffer from any of the following? (Please indicate YES or NO)
Allergies / Back Trouble / Asthma
Dermatitis / Diabetes / Epilepsy
Tuberculosis / Blackouts / Heart Trouble

Any other health issues: ………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………………….

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VERIFICATION OF EMPLOYMENT OR EDUCATION RECORD/REFERENCES

Please give names and addresses of two people who can verify or confirm your employment record. One should be your present or most recent employer:

Name ……………………………………………………………………. Name ……………………………………………………………………..

Position ………………………………………………………………. Position ………………………………………………………………….

Address ……………………………………………………………… Address ………………………………………………………………….

…………………………………………………………………………… ………………………………………………………………………………..

If you have not been in paid employment please give the head of the education or training establishment and/or representative of the voluntary organisation with which you have been involved:

Verification is normally sought after interview. Please indicate whether your referee can be approached before interview:

YES …………NO …………….

DECLARATION

I declare that to the best part of my knowledge the information given on pages 1 to 4 is correct and can be treated as part of any subsequent contract of employment.

Signature ……………………………………………………………………………………..

Date …………………………………………………………………………………………….

REHAILITATION OF OFFENDERS ACT

Only complete this section if the job description indicates that the post is exempt from the provisions of Rehabilitation of Offenders Act 1974.

Have you ever been convicted of any criminal offence? YES …………….. NO ………………..

If YES please give details of the conviction(s) and date(s):

………………………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………………………

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EXPERIENCE/RELEVANT SKILLS/FURTHER EDUCATION

Having read the job description and person specification, please state how your experience and achievements to date would make you a suitable candidate for this post:

PLEASE ENCLOSE A COPY OF YOUR CV WITH THIS APPLICATION FORM.

Please return completed form to:

Sunshine Child-Care Services Ltd

Nursery Annex

Allington Road

Gillingham

Kent