SMILEYS NURSERY STAFF APPLICATION FORM

NURSERY STAFF APPLICATION FORM

Welcome to Smileys Childcare Agency, we are now the leading providers in Early Years Education, having been established since 1988! With a dedicated experienced team of childcare consultants, to ensure you find your perfect job.

Please complete the form below, it only takes 10 minutes, and one of our Childcare Consultants will contact you straight away to discuss interview times and other jobs we have in your local area.

We also update our jobs every day on our website http://www.smileys-childcare.co.uk and will also email you all new jobs in your area. Registration is completely FREE.

Please Mention How You Heard of Smileys?

EMPLOYMENT:

From most to least recent, please supply the details of your previous four employment positions*

	Dates From	Dates To	Position Held	Employer	Reason for Leaving	Salary
1
2
3
4

Please note ALL dates since leaving full time education MUST be accounted for. If there are any gaps in your employment history, please give details and dates:

EDUCATION AND QUALIFICATIONS:

EDUCATION AND QUALIFICATIONS:*

	From	To	School/College/University or Training Establishment	Qualification Obtained or Course Title
1
2
3
4

ABOUT YOU:
How much notice is required in your current position?*
On what date are you available to start a new position?*

DayMonthYear
Date
What salary per annum are you seeking?*
Will you need a place for your child in our childcare setting? If yes, please state your child’s age to help us confirm availability.*
Do you speak any foreign languages?*

YesNo
If yes please specify: *
Do you have any experience of working with children with special needs?*

YesNo
If yes please specify:
Please describe your current EYFS knowledge:*

ExcellentGoodBasicNeeds Refreshing

POSITION REQUIRED:
Which role(s) do you wish to apply for?*
What type of position are you looking for?*

PermanentTemporary
What Hours are you able to work?*

Full TimePart TimeTerm Time Only
Please give further details if you are looking for specific hours: *

Eligibility to Work Within the UK
Are you legally eligible to work in the UK*

YesNo
If no,please specify details*
Do you have the legal right to work in the UK, or do you require any visa, permit, sponsorship or other restriction that may limit your employment?*

Yes, I have the legal right to work in the UK without restrictionsNo, I require a visa, permit, sponsorship or have restrictions on my employment
If you answered 'No', please provide details below:
Do you require a work permit?*

YesNo
If yes, please specify details*
Do you have any endorsements in your passport which limit your stay or length of employment in the UK?*

YesNo
If yes, please specify details*

REFERENCES:
Please provide the names and contact details of at least three referees. At least one must be your current or most recent employer.

If your current/most recent employer is a school, the Head Teacher is normally expected to act as the referee.
If you are not currently working with children but have done so in the past, at least one referee must be from your most recent role working with children.
Please note: References cannot be provided by relatives or friends.

Smileys will normally take up at least two references for all shortlisted candidates before interview. Your current employer will only be contacted after a job offer has been made and accepted. We also reserve the right to contact any previous employer as part of our safer recruitment checks.

Type a Current/Most Recent Position*

	Contact Information
Name
Position
Address
Tel No
Email

What is your relationship to the referee listed above?*
May we contact prior to interview?*

YesNo

Referee 2*

	Contact Information
Name
Position
Address
Tel No
Email

What is your relationship to the referee listed above?*
May we contact prior to interview?*

YesNo

Referee 3

	Contact Information
Name
Position
Address
Tel No
Email

What is your relationship to the referee listed above?
May we contact prior to interview?

YesNo

Referee 4

	Contact Information
Name
Position
Address
Tel No
Email

What is your relationship to the referee listed above?
May we contact prior to interview?

YesNo
PERSONAL STATEMENT:*
This will go to make up your profile that we send out to nurseries so please take a few minutes to include any useful information such as a description of your character, what your experience and strengths are for the position you are applying for.

REFER A FRIEND SCHEME:

With our Refer a Friend scheme you'll receive a Thank you gift, should they be successful with full-time employment via Smileys Childcare Agency * T&C’s apply

Do you have a friend you would like to recommend to Smileys?

	Friend's contact
Name:
Mobile:
Email:

PLEASE FEEL FREE TO VISIT SMILEYS CHILDCARE AGENCY ON FACEBOOK AND “LIKE”  OUR PAGE!
Please remember to now email the following relevant documents to: Belle@smileys-childcare.co.uk.

Qualification certificates, Paediatric First Aid certificate, Passport / Driving Licence, DBS certificate and Proof of Address.
Please attach/upload the following relevant documents.

Any references you hold from previous employers, Qualification certificates, Paediatric First Aid, Passport, Driving License if held, DBS Check if held, Proof of your address.
Cancelof

DECLARATION:
Because the job for which you are applying involves substantial access to children, it is exempt from the Rehabilitation of Offenders Act, 1974. You are therefore required to declare any convictions or cautions you or someone that lives in your house hold may have, even if they would otherwise be regarded as ‘spent’ under this Act. The information you give will be treated in strict confidence.

The disclosure of a criminal record will not prevent you from being employed through Smileys unless we consider the conviction indicates that you are unsuitable for the position. We will take into account the nature of the offence, how long ago and what age you were when it was committed, and other factors, which may be relevant.

Please disclose any unspent convictions, cautions, reprimands or warnings you or someone that lives in your house hold may have. Please note that the amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are ‘protected’ and are not subject to disclosure to employers, and cannot be taken into account. Guidance and criteria on the filtering of these cautions and convictions can be found at the Disclosure and Barring Service website www.gov.uk/dbs

You should be aware that Smileys will institute its own checks on applicants for short listing with the Disclosure and Barring Service.

Failure to declare any convictions (that are not subject to DBS filtering) may disqualify you for appointment or result in summary dismissal if the discrepancy comes to light subsequently.
Declaration*

I have nothing to declareI enclose a confidential statement
I confirm that the information provided by me on this application form is correct and gives a fair representation of my qualifications and work experience. I consent to the use of this information during the recruitment process and during employment, if I am successful.
Signature*

Clear
Date*

DayMonthYear
Date
Where this form is submitted electronically and without signature, electronic receipt of this form by Smileys will be deemed to be equivalent to submission of a signed version and will constitute confirmation of the declaration.
DATA PROTECTION STATEMENT
The information that you provide on this form and that obtained from other relevant sources will be used to process your application for employment. The personal information that you give us may also be used in a confidential manner to help us monitor our recruitment process. If you succeed in your application and take up employment with us, the information will be used in the administration of your employment. We may check the information collected, with third parties or with other information held by us. Your details will not be passed to any third parties unconnected with Smileys, except where required by law. By signing this application form we will be assuming that you agree to the processing of sensitive personal data, (as described above), in accordance with the Data Protection Act 1998.
Should be Empty:

PERSONAL DETAILS:

EMPLOYMENT:

EDUCATION AND QUALIFICATIONS:

ABOUT YOU:

POSITION REQUIRED:

HEALTH DECLARATION

Eligibility to Work Within the UK

REFERENCES:

REFER A FRIEND SCHEME:

DECLARATION:

	Medication	Symptoms
1
2
3
4