Application For Employment
Please request the job description before you complete this application form . This form is the only form we consider when shortlisting applications and CVs are not considered. Please aim to meet / exceed the criteria given in the job description as much as possible. All employment and voluntary experience must be included.
About You
________________________
Name
First Name
Last Name
Address
House Number / Name
Street
City
County
Post Code
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Date of Birth
-
Day
-
Month
Year
National Insurance Number
Do you have the right to work in the UK?
Yes - with no restrictions
Yes - with restrictions (please detail the restrictions below)
No
Restriction of right to work in the UK (ie Visa specifics)
Do you hold a full driving license?
Yes - Manual
Yes - Automatic
No
Please detail any current driving endorsements
Are You on the DBS Update Service?
Yes
No
DBS Number
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Education
___________________
School / College / University Attended
*
Date From
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Day
-
Month
Year
Date Until
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Day
-
Month
Year
Date
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Day
-
Month
Year
What you studied:
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Qualifications Achieved
*
School / College / University Attended
Date From
-
Day
-
Month
Year
Date Until
-
Day
-
Month
Year
What you studied:
Qualifications Achieved:
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School / College / University Attended
Date From:
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Month
-
Day
Year
Date Until:
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Month
-
Day
Year
What you studied:
Qualifications Achieved:
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Further relevant training qualifications and any professional registration details
___________________________
Institution Name and Address
Date From
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Day
-
Month
Year
Date Until
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Day
-
Month
Year
Examination Taken
Qualification / Result
Institution Name and Address
Date From
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Day
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Month
Year
Date Until
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Day
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Month
Year
Examination Taken
Qualification / Result
Institution Name and Address
Date From
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Day
-
Month
Year
Date Until
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Day
-
Month
Year
Examination Taken
Qualification / Result
Please note: proof of qualifications will be required.
___________________________
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Where you are currently employed
____________________________
Employer Name and Address
Postion Held
Date Appointed
-
Day
-
Month
Year
Notice Period
Give a brief summary of your main responsibilities and duties
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Where you have worked before:
Please provide a full employment history since leaving school in chronological order with the most recent first. Please include details and dates of any gaps in paid employment eg voluntary work, unemployment, care responsibilities, or other.
Name and Address of Employer #1
Email of employer
example@example.com
Phone Number of Employer
Please enter a valid phone number.
Date Appointed
-
Day
-
Month
Year
Date Left
-
Day
-
Month
Year
Job titles and type of service provided and primary client group
Reasons for leaving and final salary.
Name and Address of Employer #2
Email of employer
example@example.com
Phone Number of Employer
Please enter a valid phone number.
Date Appointed
-
Day
-
Month
Year
Date Left
-
Day
-
Month
Year
Job titles and type of service provided and primary client group
Reasons for leaving and final salary.
Name and Address of Employer #3
Email of employer
example@example.com
Phone Number of Employer
Please enter a valid phone number.
Date Appointed
-
Day
-
Month
Year
Date Left
-
Day
-
Month
Year
Job titles and type of service provided and primary client group
Reasons for leaving and final salary.
Name and Address of Employer #4
Email of employer
example@example.com
Phone Number of Employer
Please enter a valid phone number.
Date Appointed
-
Day
-
Month
Year
Date Left
-
Day
-
Month
Year
Job titles and type of service provided and primary client group
Reasons for leaving and final salary.
Name and Address of Employer #5
Email of employer
example@example.com
Phone Number of Employer
Please enter a valid phone number.
Date Appointed
-
Day
-
Month
Year
Date Left
-
Day
-
Month
Year
Job titles and type of service provided and primary client group
Reasons for leaving and final salary.
Name and Address of Employer #6
Email of employer
example@example.com
Phone Number of Employer
Please enter a valid phone number.
Date Appointed
-
Day
-
Month
Year
Date Left
-
Day
-
Month
Year
Job titles and type of service provided and primary client group
Reasons for leaving and final salary.
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NOTE: 1. In line with good practise guidance we may verify with any employer your reason for leaving, when the position involved working with children/vulnerable adults. We may also request dates of employment, position held and confirmation that there have been no previous child protection issues. 2. If you have spent time working or travelling abroad in the last 5 years a criminal record/good conduct check will be required from the relevant country.
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Your opportunity to tell us why you think you would be good in this role:
Please tell us why you feel you have the necessary skills, experience, knowledge or aptitude to do this job and what is your motivation for applying for the role?
Please write below:
*
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Safeguarding
Keeping our Young People safe is a non -negotiable, we take the matter very seriously and will regularly review all aspects of our practice to ensure our Young People are always safe. Please answer the below questions with Yes, No or Maybe. If you do answer maybe, please write your reasons for it being a maybe.
Giving a young person your mobile number?
Yes
No
Maybe (Add Description)
Holding hands with a young person?
Yes
No
Maybe (Add Description)
Telling jokes to a young person?
Yes
No
Maybe (Add Description)
Showing an 18 certificate DVD to a young person?
Yes
No
Maybe (Add Description)
Giving a young person a lift home?
Yes
No
Maybe (Add Description)
Going to the pub with a young person?
Yes
No
Maybe (Add Description)
Buying cigarettes or alcohol for a young person irrespective of their age?
Yes
No
Maybe (Add Description)
Discussing your personal life?
Yes
No
Maybe (Add Description)
Any contact with a Young Person via any social media including friend requests or messaging?
Yes
No
Maybe (Add Description)
Lending money to a young person?
Yes
No
Maybe (Add Description)
Sharing a secret?
Yes
No
Maybe (Add Description)
Befriending parents?
Yes
No
Maybe (Add Description)
Providing or arranging drugs for a Young Person?
Yes
No
Maybe (Add Description)
Having a sexual relationship with a young person?
Yes
No
Maybe (Add Description)
Giving your personal email address or any personal details?
Yes
No
Maybe (Add Description)
Complimenting a young person on how they look?
Yes
No
Maybe (Add Description)
Discussing another team members personal life or any details with a Young Person?
Yes
No
Maybe (Add Description)
Giving prescription drugs to a Young Person?
Yes
No
Maybe (Add Description)
Use of personal phone in the homes during work hours?
Yes
No
Maybe (Add Description)
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Safeguarding, Vetting and Barring
___________________________________________________
Your Referees:
Please give the name, and contact details of two professional referees who can comment on your suitability for this position. one must be your current or most recent employer followed by your next most recent employer . Note if you are not currently working with children or young people but have done so previously , the details of the most recent such employer must be provided as your second referee. References from friends and relatives will not be accepted. please note any previous employer or voluntary organisation you have worked for and not given as a referee may be contacted. Any offer of employment is subject to satisfactory references in line with safeguarding procedures. References are requested immediately following verbal acceptance of any job offer , unless it is discussed and agreed otherwise. Contacts must be current employees of the org, references from ex employees will not be accepted , unless by agreement with the organisation and they provide verification of this and confirmation of basic employment details . Referees must be authorised to provide references on behalf of the company and ideally in a management or HR role.
Name of Referee #1 - This must be your current or most recent employer.
*
First Name
Last Name
Position of Referee
Organisation Name
*
Relationship to yourself
Position you held / hold
Address of Referee
*
Street Address
Street Address Line 2
City
County
Post Code
Email Address of Referee
*
example@example.com
Contact Telephone Number
*
Date appointed
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Day
-
Month
Year
Date
Date left (use today's date if still employed)
-
Day
-
Month
Year
Date
Name of Referee #2 - This must be your next most recent employer, or most recent employer in a role working with Young People
*
First Name
Last Name
Position of Referee
Organisation Name
*
Relationship to yourself
Position you held / hold
Address of Referee
*
Street Address
Street Address Line 2
City
County
Post Code
Email Address of Referee
*
example@example.com
Contact Telephone Number
*
Date appointed
-
Day
-
Month
Year
Date
Date left
-
Day
-
Month
Year
Date
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Disclaimer
I am of the understanding that Essential Therapeutic Care require references from my two most recent employers as well as to complete employment history checks on any previous employment where I have worked with children/young people or vulnerable adults regardless of time passed. I give my consent for all required references, including employment history checks to be obtained by Essential Therapeutic Care.
Your Full Name
First Name
Last Name
Date of Agreement to Disclaimer
-
Month
-
Day
Year
Date
Signature of Consent
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Essential Therapeutic Care is committed to providing a safe and secure environment for young people, staff and visitors, and promoting a climate where young people and adults will feel confident about sharing concerns which they may have about their own safety and / or wellbeing of others.
We aim to safeguard and promote the welfare of young people by protecting them from maltreatment, preventing impairment of young people’s health and development, ensuring young people live in circumstances consistent with the provision of safe and effective care, and taking action to enable all young people to have the best outcome possible. We recognise that robust selection and vetting processes are essential for delivering this, so in addition to the statutory checks outlined below we also require applicants to complete the safeguarding and vetting questionnaire below which will be considered and discussed as part of the selection process. We also ask interview questions designed to more deeply consider applicants' suitability for working with vulnerable children.
Due to the nature of the work of the company providing services to children and vulnerable adults we use the Disclosure and Barring Service DBS to undertake enhanced level checks. The company reserves the right to withdraw any offer of employment having taken into account the full individual circumstances. It is important to note that having a caution, conviction or bind over does not necessarily preclude you from employment, decisions are made taking the full circumstances into consideration. Failure to declare a conviction, caution or bind-over may, however, disqualify you from appointment, or result in summary dismissal if the discrepancy comes to light.
If you would like to discuss what effect any conviction you have might have on your application, you may call Antony Teasdale, Director on 0800 949949 confidence, for advice. The company must not employ a person or use as a volunteer in a regulated activity a person who is placed on the DBS Children’s and / or vulnerable adults barred lists. A person who is on one of more of the barred lists and attempts to undertake work with the group from which they are barred is breaking the law. for further details visit www.gov.uk
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Safeguarding and Vetting Questionnaire and Declaration
I confirm that I am not on the DBS children's or vulnerable adult barred list.
*
I confirm
I cannot confirm
I confirm that a referral to the DBS has not been made in relation to me.
*
I confirm
I cannot confirm
I confirm that I do not live with someone who is included on the DBS barred list.
*
I confirm
I cannot confirm
Have you ever been convicted of an offence?
*
Yes
No
If yes, please give details:
Are you currently the subject of any police or social services investigation, or pending prosecution or conviction?
*
Yes
No
If yes, please give details:
Have you been the subject of any disciplinary process or sanction in the last year due to concerns about your behaviour to children?
*
Yes
No
If yes, please give details:
Have you been the subject of any disciplinary process or sanction in the last year due to concerns about your behaviour in any other regard?
*
Yes
No
If yes, please give details:
Have you ever been dismissed from a place of employment?
*
Yes
No
If yes, please give details:
Are you related to anyone employed by Essential Therapeutic Care?
*
Yes
No
If yes, please give details:
I confirm that the information given above is true and correct. I understand that providing false, incomplete or misleading information will disqualify me from employment
*
Yes
No
Signature
Today's Date
-
Month
-
Day
Year
Date
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Submit
Should be Empty: