APPLICATION FORM
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Full Name
*
include titles mr /miss /etc
Contact email
*
Telephone number
*
Full address
*
Position applied for
How did you hear about this position?
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Why would you make a great Super Pirate?
e.g, your experience / your personality / your skills / your interests / your reliability
Tell us what makes a great team + give examples of how you have shown yourself to be a great team player.
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Tell us about your availability for work
Do you drive?
no / yes / yes and I have a vehicle
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Relevant formal qualifications
ie, teaching, childcare, paediatric first aid,
Other Education history you'd like to share
Rows
School / Uni
Date completed
Subject and level
grade achieved
1
2
3
4
5
6
7
8
9
10
11
12
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Employment history (please include any gaps)
Rows
Employer name
Job title
From
Until
1
2
3
4
5
6
7
8
9
10
If there are gaps in employment, please explain why
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References
Please give names and addresses of THREE referees (not relatives), one of whom should be your present or most recent employer. If you genuinely can't offer three, please explain why.
Reference 1
Name
*
Contact Email
*
example@example.com
Contact number
*
Organisation name
*
Their role in organisation
*
Can references be sought before interview?
*
Please Select
YES
NO
Reference 2
Name
*
Contact Email
*
example@example.com
Contact number
*
Organisation name
*
Their role in organisation
*
Can references be sought before interview?
*
Please Select
YES
NO
Reference 3
Notes
if you can't offer a third reference, explain why
Name
Contact Email
example@example.com
Contact number
Organisation name
Their role in organisation
Can references be sought before interview?
Please Select
YES
NO
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Do you have the right to work in the UK?
Do you have a DBS that's registered with the update service?
Have you ever been barred from working with children, or faced disciplinary action due to your conduct with children, or have any other information to share where there has been a safeguarding concern around your conduct working with children?
If yes, explain why
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Sign here - you agree that all of the information provided has been true to the best of your knowledge and that the wellbeing of children is your highest priority.
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KAPOW
KAPOW
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