Valour Youth Employment Application Form

MIGHTY MEN OF VALOUR
Mentoring |Training | Advocacy | Employment
PO Box 1417, Croydon, Surrey, CR9 0XJ

T: 0800 073 1325; M: 07958 770 779;

W: http://www.mightymenofvalour.org

Office hours - Monday to Friday: 0800 073 1325 10.00am to 4pm

Out of office hours: 07958 770 779.

Mighty Men of Valour a Company Registered in England No.05515628
CHARITY REGISTRATION NO: 1128154

MMOV & Valour Youth Safeguarding Statement

We will seek to keep children and young people safe by:

recruiting and selecting staff and volunteers safely, ensuring all necessary checks are made
using our safeguarding and child protection procedures to share concerns and relevant information with agencies who need to know, and involving children, young people, parents, families and carers appropriately
using our procedures to manage any allegations against staff and volunteers appropriately
providing effective management for staff and volunteers through supervision, support, training and quality assurance measures so that all staff and volunteers know about and follow our policies, procedures and behaviour codes confidently and competently
making sure that children, young people and their families know where to go for help if they have a concern
using our procedures to manage any allegations against staff and volunteers appropriately
ensuring that we have effective complaints and whistleblowing measures in place
ensuring that we provide a safe physical environment for our children, young people, staff and volunteers, by applying health and safety measures in accordance with the law and regulatory guidance
building a safeguarding culture where staff and volunteers, children, young people and their families, treat each other with respect and are comfortable about sharing concerns.

We believe that:

children and young people should never experience abuse of any kind
we have a responsibility to promote the welfare of all children and young people, to keep them safe and to practise in a way that protects them.

We recognise that:

the welfare of children is paramount in all the work we do and in all the decisions we take
all children, regardless of age, disability, gender reassignment, race, religion or belief, sex, or sexual orientation have an equal right to protection from all types of harm or abuse
some children are additionally vulnerable because of the impact of previous experiences, their level of dependency, communication needs or other issues
working in partnership with children, young people, their parents, carers and other agencies is essential in promoting young people’s welfare.

Our procedures cover:

recruiting the right people to volunteer or work with children
managing concerns about or allegations made against staff or volunteers
codes of conduct for all staff and volunteers
making sure all our activities and events are run safely
whistleblowing and complaints.

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityCounty - UK

PostcodeCountry

Mobile Phone Number *

e.g. 07958 770 770

Phone Number

Area CodePhone Number

Email Address

example@example.com

Date of Birth

DayMonthYear

National Insurance Number*

NI Number

Gender*

MaleFemalePreferred not to sayOther

Marital Status*

SingleMarriedPreferred not to sayOther

Are you eligible to work in the UK?*

YesNo

How did you hear about the Employment Opportunity*

Are there any GAPS in your employment that we should be aware of?*

YesNo

If YES, can you please state any GAPS in your employment that we should be aware of below?

Joints, back, knee, heart, breathing problems?

Do you have a Clean and Current DBS?*

YesNo

Is your DBS register on the update system?*

YesNo

Do you give MMOV and Valour Youth permission to check your DBS on The Update system every three to six months?*

YesNo

Do you give MMOV and Valour Youth permission to do a list 99 check to be done on you every year?*

YesNo

Do you have a Clean Full UK Driving License?*

YesNo

Do you have a car for public/business use?*

YesNo

Do you consider yourself disabled?*

YesNo

If yes, what is your disability?

Do you have any special needs or requirements that would affect your employment we should be aware of?*

YesNo

Are you currently taking any medication for your health?*

YesNo

Do you have any health conditions that we should be aware of?

Joints, back, knee, heart, breathing problems?

Are you currently taking any medication that has any side affects like drowsiness etc?*

YesNo

Have you ever had a history of using illegal drugs or alcohol abuse?*

YesNo

Equal Opportunities

Full Name*

First NameLast Name

Mobile Phone Number *

e.g. 07958 770 770

Work Phone Number

Area CodePhone Number

E-mail

Position Applying For

Date You Can Start

DayMonthYear

Advertised rate of pay?

Have you applied for this position before?

YesNo

When are you available to work?

Week Days Monday- Friday 9am - 5pmWeek Evenings (3pm onwards)SaturdaySunday

Please state other days or times you are available?

Secondary School

Name of Secondary School Attended

Number of Years Attended

List qualifications

List any qualifications achieved

College (if none, state N/A)*

Name of College Attended

Number of Years Attended

Graduated?

Yes

Area of Study

List qualifications

List any qualifications/skills achieved

Graduate School (if none, state N/A)*

Name of Graduate/University Attended

Number of Years Attended

Graduated?

Yes

Area of Study/Degree

List qualifications

List any qualifications/skills achieved

Trade School/ Professional/ Other (if none, state N/A)*

Name of Trade/Technical/Professional/Other School Attended

Area of Study

Number of Years Attended

List qualifications

List any qualifications/skills achieved

Graduated?

Yes

Skills

List any relevant skills

Qualifications

List any relevant certifications or qualifications

Have you worked with Children With Disabilities before?*

YesNo

Have you MENTORED children before?*

YesNo

Why do you want to be a Mentor or Support Worker?

Have you worked with children with Challenging Behaviour before?*

YesNo

Give examples of how you have supported Children with Challenging Behaviour?

State THREE KEY or MOST IMPORTANT prorities when working with Children or Vulnerable Adults?*

What do you think is the MOST important aspect of working with Children or Adults?

Current Employer

Name of Current Employer or NONE if not Employed

Position

Salary/rate of pay

Reason for Leaving?

Start Date

DayMonthYear

End Date

Date

May We Contact?

YesNo

Previous Employer

Name of Previous Employer

Position

Salary/rate of pay

Reason for Leaving?

Start Date

DayMonthYear

End Date

DayMonthYear

Previous Employer

Name of Previous Employer

Position

Salary/rate of pay

Reason for Leaving?

Start Date

DayMonthYear

End Date

DayMonthYear

Have you been on a Safeguarding Course within the last 12 months?*

YesNo

Has any child in your household ever been placed at the 'at risk' register?*

YesNo

Please state the nature of the risk?

Nature of Risk to Child

Has anyone made any Safeguarding allegations against you in relation to misconduct whilst working with Children or Adults*

YesNo

Please state the nature of the allegation?

Safeguarding Allegation Against You.

What do you know about Health and Safety?*

Health and Safety

Explain what you think Equal Opportunities means to you?*

Equal Opportunities

What is your understanding of Data Protection?*

Data Protection

What are your strengths?*

Do you have any strengths that will support the charity in this role?

What are your weakness?*

Do you have any weakness that you may need to improve in this role?

What motivates you?*

Do you have any weakness that you may need to improve in this role?

Have you written daily reports in your last/previous roles?*

YesNo

Have you written Action Plans/Strategies for young people or adults?*

YesNo

Have you written Action Plans/Life goal or Goal Setting Strategies for young people or adults?*

YesNo

Have you written risk assessment or safeguarding incident or assessment for a young person/adults*

YesNo

What do you know about the work that we do?

Why do you want to join our staff team?

Have you looked at our website?*

YesNo

If employed do you give MMOV permission to take photographs/videos for ID and marketing purposes: Yes / No*

YesNo

Reference 1

Name of Reference

Relationship

Years Acquainted

Phone

Email

Reference 2

Name of Reference

Relationship

Years Acquainted

Phone

Email

Reference 3

Name of Reference

Relationship

Years Acquainted

Phone

Email

Cover Letter

Upload a File

Resume

Upload a File

Do you consent to MMOV/WOV/Valour Youth holding and using your personal data for internal use .*

YesNo

Declaration

I certify that, to the best of my knowledge the information I have given on this form is true and accurate. I understand that if the information I have supplied is false or misleading in any way it will automatically disqualify.

By clicking the submit button below, I cerity that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement may be terminated at any time.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compenstation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option.

I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.

Signed

Employment Application Form:

Personal Information:

Emergency Contact Information:

Employment Desired:

Education:

Skills/Qualifications:

Additional Skills/Qualifications:

Current Employment:

Previous Employment:

Safeguarding Questions:

Health & Safety, etc:

Motivation:

Report Writing & Risk Assessments:

Why do you want to join our staff team?

References:

Cover Letter & Resume (Optional):

Send Application: