CROPS Gap Year Form
A CROPS Gap year is a year where you get to invest your time into young people, in schools and outside of schools, and also a chance to be invested in as a leader. We want to see you grow into the person that God has called you to and we hope that we can be a part of that on your gap year.
Name
First Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Gender
Male
Female
Nationality
Country of birth
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Do you have the right to work in the UK?
Yes
No
Please upload a passport sized photo of yourself (Please wait until the upload has finished before continuing)
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Education and career
*
Please give details of any employment you have undertaken, including dates:
*
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Relevant Experience & Other Questions
Tell us why you would like to take a gap year with CROPS?
What do you hope to gain from this year with CROPS, and what kind of work do you see yourself doing in 5 years time?
What are your interests, hobbies and passions?
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Your Christian experience
When did you become a christian?
-
Month
-
Day
Year
Date
What is the name of your present church?
How many years have you been attending?
What involvement have you had in your church?
Your testimony
Please write a summary of your christian experience
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Criminal Convictions
Because of the sensitive nature of work with young people, you are required to disclose details of any criminal record. You are not entitled to withhold information about convictions, which for other purposes are ‘spent’ under provisions of the Act, as this post is exempt from Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the same Act (exceptions) Order 1975. Have you ever been convicted or cautioned with respect to a criminal offence? (excluding motoring offences for which a fine and/or up to three penalty points were imposed)?
Yes
No
Have you a case currently pending against you? If yes please give details including the nature of the offence(s) and dates (all convictions, whether spent or unspent, cautions, reprimands and final warnings should be disclosed). The disclosure of an offence may not prohibit your appointment
Yes
No
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Health
Do you have a medical condition or special need that we should know about in order to support you in your duties with us?
Yes
No
If yes please specify below:
Do you suffer, or have you suffered any illness that may directly affect your work with children and young people?
Yes
No
If yes please give details
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References
Pastoral referee name
First Name
Last Name
Pastoral referee Email
example@example.com
General Referee Name
First Name
Last Name
General Referee Email
example@example.com
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I declare that the information I have provided on this form is true, complete and accurate
I give my consent for my information to be stored by The CROPS Trust.
Signature
Clear
Date
-
Month
-
Day
Year
Date
Submit
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