Senior Therapeutic Support Worker Application Form

Thank you for You Interest in Ubuntu Group

Welcome to Ubuntu Group, and thank you for your interest in becoming part of our community. Ubuntu means “I am because you are” — a belief that every child grows best when surrounded by adults who are safe, compassionate, and deeply committed to their wellbeing.

Welcome to Ubuntu Group’s application form. We believe in creating homes where children feel safe, valued, and supported — and that begins with the adults we welcome into our team.

This form helps us understand your experience, values, and suitability for working with children in a therapeutic residential setting. Please answer openly and thoughtfully. You do not need an account to complete this form.

Some questions relate to safeguarding and the regulations that guide children’s residential services. Please answer openly and fully. Everything you share is treated with sensitivity, respect, and confidentiality.

Personal Details
Name

First NameMiddle NameLast Name
Have you been known by any other name(s)? If yes please give details below

YesNo
Please list alternative names here where applicable
5-Year Address History
Current Address

Street Address

Street Address

CityCounty

Postcode
Address History

Please confirm your address history to cover the last 5 years. Click Add Row if necessary
Configurable list*
Configurable list*
Contact Number
Enter a valid contact number
Email
example@example.com

Screening Questions

These questions are asked to highlight explicit requirements for this job role. They also help you to confirm whether this role is a good fit before you begin your application. Please read carefully before selecting your answer.
DRIVING - This role requires the ability to drive for work purposes. If you wish to proceed with your application, you will be required to undergo a driving licence check and provide relevant documentation.Do you hold a full driving licence valid for use in the UK and acceptable for business use under our insurance arrangements?*

YesNo
ROTA - This is full-time role and operates on a 2 days on and 4 days off rolling rota. This involves long days (8 am - 11 pm) and sleep-in duties. The shift pattern will occasionally fall on weekends and bank holidays. Are you able to commit to this rota pattern?*

YesNo
RIGHT TO WORK IN UK - Applicants must have the legal Right to Work in the UK? Do you have the Right to Work in the UK? Please note that unfortunately, this role does not attract visa sponsorship.*

YesNo
QUALIFICATION- This senior post requires a Level 3 Diploma for Residential Childcare (England) as a condition of employment. Do you currently hold this qualification (or an Ofsted‑recognised equivalent)?*

YesNoEquivalent

Values and Safeguarding Mindset

At Ubuntu Group, our work is rooted in connection, dignity, and shared humanity. These questions explore how your values, professional judgement, and therapeutic approach shape the way you support children, young people, and colleagues. Please answer in a reflective and authentic way, drawing on real experiences that have influenced your practice.
Ubuntu means “I am because we are.” As a senior member of the team, you help shape the emotional climate of the home and model the values that guide our practice. Explain how you hope to bring professionalism, kindness, aspiration, and reflective leadership into your work with both children and colleagues. Please answer openly and thoughtfully.
You may include examples from paid work, training, volunteering, caring responsibilities, or other life experiences that you feel are relevant.
Describe a time when you helped create or restore a safe, trusting, and supportive environment for both a young person and the team. What did you notice, and how did you influence the atmosphere?
You may include examples from paid work, training, volunteering, caring responsibilities, or other life experiences that you feel are relevant.
Tell us about a moment in your practice that changed you. What happened, and how has it shaped the way you support children, young people, and colleagues??
You may include examples from paid work, training, volunteering, caring responsibilities, or other life experiences that you feel are relevant.
How do you hope to grow professionally and personally within a therapeutic residential setting?
You may include examples from paid work, training, volunteering, caring responsibilities, or other life experiences that you feel are relevant.
Please upload a copy of your certificate here

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Employment History

We have a duty to carry out safer recruitment checks. These include: An enhanced DBS check with barred list, references, and safeguarding checks. These checks are a standard safeguarding requirement across all children’s homes and apply to all applicants. They are part of regulated safer recruitment practice and are not specific to Ubuntu Group. We require a full employment history with reference to any gaps. Any gaps will need to be explained to meet regulations.

Please list your current or most recent employer*

	Current Employer/ Most Recent
Company Name
Company Full Address
Position Held
Summary of Duties
Start Date
Notice period
Last day of service (if no longer employed)
Reason for leaving

Additional Employment
Explanations for gaps in employment are required in any job that involves working with children and young people in regulated activity. We require you to list any Gaps In Employment, whether this be after leaving education, stay at home parent, waiting to start college / new job, unemployment (please provide full dates from and to (DD/MM/YYYY) )

Education

Qualifications obtained from Schools, Colleges and Universities. Please list your highest and/or most recent qualifications first. Click + under educational history if you need to add more
Current or most recent place of study (school, college, university)

Institution Name and Address

Currently Studying (Course Name and Level)

CityCounty

PostcodeCountry
Educational History

Training and Development

List training and development courses that you have completed that are relevant to this role.
Training Details (Click + to add more courses)
If you have certificates for any of the above courses, completed within the last 2 years please upload them here.

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Disciplinary History
Have you ever been the subject of disciplinary action, investigation, or a formal warning in any previous employment? If yes, please provide details*

YesNo
Details (including dates and outcomes)

References

As part of our safer recruitment requirements, please provide details of two referees; one of these MUST be your current or most recent employer. We cannot accept references from relatives or friends.

Please list your current or most recent employer

	Reference 1 (must be current/ most recent employer)
Full Name
Position Held
Organisation
Full Address
Phone Number
Email Address (MUST BE A WORK EMAIL, NOT PERSONAL)
Can we contact prior to interview?
Relationship to this individual

Reference 2

	Reference 2
Full Name
Position Held
Organisation
Full Address
Phone Number
Email Address (MUST BE A WORK EMAIL NOT PERSONAL)
Can we contact prior to interview?
Relationship to this individual

Complete if you would like us to request an additional reference

	Additional
Full Name
Position Held
Organisation
Full Address
Phone Number
Email Address (MUST BE A WORK EMAIL NOT PERSONAL)
Can we contact prior to interview?
Relationship to this individual

Reasonable Adjustments

We welcome applications from people with disabilities and are committed to considering reasonable adjustments wherever possible, while ensuring the safety and wellbeing of the children and young people in our care.
Do you require any reasonable adjustments to support you during the recruitment process or, if appointed, in carrying out this role? This may include adjustments for interview, training, or working arrangements.*
If yes, please give as much detail of requirements as possible

Safeguarding Declaration
Have you ever been the subject of any safeguarding concerns, allegations, or investigations involving children or vulnerable adults? (if yes, please provide further details below)*

YesNo
Details

Childcare Disqualification Regulations – Declaration

Under the Childcare (Disqualification) Regulations 2009, as amended in 2018, you must declare whether you are disqualified from working in childcare. This includes certain criminal offences, being on the Children’s Barred List, specific court orders, or other conditions set out in the statutory guidance.
Are you disqualified from working with children under The Childcare (Disqualification) Regulations 2009, as amended in 2018?*

No – I confirm that I am NOT disqualifiedYes – I AM disqualified (If yes, please provide details below)
Details

Rehabilitation of Offenders Act (1974)

This role involves regulated activity with children and is exempt from the Rehabilitation of Offenders Act 1974. You must therefore disclose all spent and unspent convictions, cautions, reprimands, and warnings, except those protected under the Exceptions Order and current DBS filtering rules. Any information you provide will be treated confidentially and considered only for this role, in line with KCSIE, the Children’s Homes (England) Regulations 2015, and the DBS Code of Practice.
Do you have any convictions, cautions, reprimands or final warnings that are relevant to this role? If yes, please provide details below, including the nature of the offence, date, and any relevant context. Disclosure will be treated confidentially and will not automatically prevent employment.*
Details

Pre‑Employment Checks Declaration
I understand that one of the conditions of the offer of employment with Ubuntu Group is the completion of all required pre‑employment checks. These may include:
- Identity verification
- Right‑to‑work checks
- Employment history verification and reference checks
- Qualification and training verification
- Enhanced DBS check (including the children’s barred list)
- DBS Update Service check (if applicable)
- Address history checks
- Driving licence and DVLA checks (where driving is essential)
- Overseas police checks (if applicable)
- Professional online checks (proportionate and safeguarding‑related)
I agree to provide any documents or information needed to complete these checks.
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Supporting Information

Use the space below if you wish to add any information to enhance or support your application.
Further details

Your Privacy and Personal Information

We will process the information you provide in this form in accordance with UK GDPR and data protection legislation. Your data will be used solely for recruitment and selection purposes and, if you are appointed, for matters relating to your employment. Your details may be stored electronically and in hard copy. We will not share your information with third parties unless required by law or where necessary for the prevention or detection of fraud.

Declaration

I confirm that the information provided in this application form is true, accurate and complete to the best of my knowledge. I understand that providing false or misleading information may result in the withdrawal of an offer of employment or termination of employment if appointed.
Name*

First NameLast Name
Signature*

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Thank you for your interest in joining Ubuntu Group. We hope to be working with you soon.
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Thank you for You Interest in Ubuntu Group

Personal Details

5-Year Address History

Address History

Screening Questions

Values and Safeguarding Mindset

Employment History

Education

Training and Development

Disciplinary History

References

Reasonable Adjustments

Safeguarding Declaration

Childcare Disqualification Regulations – Declaration

Rehabilitation of Offenders Act (1974)

Pre‑Employment Checks Declaration

Your Privacy and Personal Information

Declaration