SPRINGVALE SUPPORTED LIVING
(part of St Joseph’s Specialist School & College – Trustees: The R.C. Diocese of Arundel & Brighton)
Springvale, New Park Road, Cranleigh, Surrey GU6 7HJ
Tel: 01483 275907
Completed forms should be posted to: Doug Brown, HR Recruitment Administrator, St Joseph’s School, Amlets Lane, Cranleigh Surrey GU6 7DH or emailed to
APPLICATION FORM
(Before completing this form see Notes to Applicant on page 4)
POST APPLIED FOR: ….……………………………………………………………PERSONAL DETAILS - confidential
Surname………...……………………………… Title……...…………………………………
First Names………...... ………………………………………………………………………….
Address………...…………………………………………………………………………………
……………………………………………………………………………………………………..
……………………………………………………………………………………………………..
Date you moved into this address: (mm/yy) ……………. / ……………………….
(if less than 5 years please details of former addresses covering last 5 years on separate sheet of paper, quoting month & year of moving in/moving out in each case)
Telephone Number: home ………………………… work ……………………………….
Mobile…..……………………………………. Email …………………………………………..
Are you legally entitled to work in the UK. Yes/No
National Insurance Number……………...……………………………………………………....
Work permit details and expiry date (if applicable) dd/mm/yy ……….. / ……….. / ………..
Do you hold a full current UK licence? / Yes NoReligious Denomination......
EDUCATION, TRAINING and EMPLOYMENT HISTORYPlease give details of ALL education received in this country or abroad, qualifications obtained and FULL employment history
Establishment
Attended / Full or
Part time / Qualifications / Dates
From / To
Other recent courses in which you have been involved in the past 3 years and which you consider relevant to this post:
Name of employer / Job title & brief description of role / Dates / Reason for Leaving
From / To
Interests, hobbies and details of any voluntary work undertaken:
ADVERTISEMENT
Please state where you learned of this vacancy……………..……………………………………….…….
REFERENCES
Please nominate two referees, one of whom should be your current/latest employer.
References will not be accepted from relatives or those writing in the capacity of personal friends.
Name: Mr/Mrs/Miss …………….…………...………… Designation……………….…………………....
Address……………………………………………………….………………………………………………....
…………………………………………………………….. Telephone……………………………………....
Name: Mr/Mrs/Miss …………….…………...………… Designation……………….…………………...
Address……………………………………………………….………………………………………………....
…………………………………………………………….. Telephone……………………………………....
References (including present employer) will be sought for all shortlisted candidates.
May we approach your referees without further reference to you? Yes/No
NOTES TO APPLICANTS
Before signing this form, please ensure that every section has been completed. The form should be returned as instructed in the details of the post.
Candidates should include a letter in support of their application.
The post will be subject to the terms and conditions of the contract of employment.
CRIMINAL OFFENCES
As this post is classified as having substantial access to children, appointment will be subject to a Criminal Records Bureau check of previous criminal convictions. You are required, before appointment, to disclose any conviction, caution or binding over including ‘spent convictions’ under the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975.
Do you currently have, or have you ever had, a criminal record?Yes / No
(including cautions and binding over orders)
Are you or have you even been disqualified from working with children? Yes / No
Are you on List 99 or subject to sanctions imposed by a
regulatory body? Yes / No
If ‘yes’ to any of the above question please provide details on a separate sheet in an envelope marked ‘confidential’.
Disclosure will only be required following interview if it is considered that you are the most suitable applicant for the post.
STATEMENT
To the best of my knowledge and belief, the information contained in this form is accurate.
Signature………….....…………………….. Date…………...……………………