Nursery Staff Application Form

Education, Qualifications and Training

Please use the boxes below to tell us about the qualifications you have obtained throughout your secondary education, further education and professional training. Please continue on a separate sheet if required. You will be required to bring original copies of certificates to interview.
Secondary Education: Name of School/Academy, with attendance date*
Including attendance date from and to
Secondary Education: Qualifications*
College/University: Name of College/University, with attendance date
Including attendance date from and to
College/University: Qualifications
Other training: Name of Place(s) of Other Training, with attendance date
Including attendance date from and to
Other Training: Qualifications
Other training Qualifications
Do you hold a full clean driving licence?*

YesNo
Are you a car owner?

YesNo
If you do not drive, how will you travel to work?

Employment History

Please give full details of all your previous employment. This should include all paid and unpaid employment, work experience and placements. Exact dates of employment must be recorded. If you have held different posts with the same employer please include these separately. Please indicate reasons for any substantial gaps in employment and full time study and continue on a separate sheet if necessary. Please start with your present employer. If you are not currently employed please leave blank.
Name of current or most recent employer*
Employers address*
Telephone No *
Email Address*
Job Title*
Start Date*
Leave Date*
Main Duties*
Reason for leaving*
Notice required*
Final salary/hourly rate

Right to work in the UK
Do you have the right to work in the UK?*

YesNo
If you are not British or a European Union national, are you entitled to take up employment in the UK?*

YesNo
Do you have a work permit?*

YesNo
If Yes, please specify the terms of this permit/visa and expiry date

Personal Statement
Please give details and example the skills and aptitude you have relevant to this post.

References

Please provide the names of four referees one of whom must be your current employer and the other a previous employer. Employment can only commence on receipt of two satisfactory references.
Full name of Referee (1)*
Job Title*
Company Name*
Address*
Telephone*
Email*
Relationship to Self*
Can we contact prior to interview?*

YesNo
Full name of Referee (2)*
Job Title*
Company Name*
Address*
Telephone*
Email*
Relationship to Self*
Can we contact prior to interview?*

YesNo
Full name of Referee (3)
Job Title
Company Name
Address
Telephone
Email
Relationship to Self
Can we contact prior to interview?

YesNo
Full name of Referee (4)
Job Title
Company Name
Address
Telephone
Email
Relationship to Self
Can we contact prior to interview?

YesNo

Equal Opportunities Statement
Norfolk House Nursery is fully committed to the development of policies to promote equal opportunity in employment. Norfolk House Nursery’s equal opportunity policy aims to ensure that no job applicant or employee receives less favourable treatment on the grounds of gender, marital/parental status, disability, colour, religion, race, nationality, ethnic or national origin, age or sexual orientation. Norfolk House Nursery believes that this policy will ensure that the talents and resources of its employees will be utilised to the full. In order to monitor the progress of our recruitment and selection practices, please complete the details on this sheet.

Recruitment Monitoring

The following personal information will be kept securely and will not be used before or during short-listing to ensure that only your abilities, experience and qualifications are considered.
Gender*

FemaleMaleOther
Date of Birth*
Ethnic Group*
If you have ticked ‘other’ for gender or ethnic origin please state how you would describe yourself*
This is the end of the application form. To submit the form, please press the 'Submit' button below. The next page is for Office use only.

Staff Application Form