The Beehive Project

Personal Details
Surname*
Forename(s)*
Title (select as appropriate)
Preferred Name
Address*

Address Line 1

Address Line 2

CityCounty/Region

Postcode
Email address*
Phone number

Why are you applying for this job?

Please mention any specific skills or experience that meets the requirements of the job description and person specification. These skills may have been gained in relation to your current or previous employment, education, training, domestic activities, voluntary work or leisure interests.
Present Employment
Job title
Name of Employer
Address

Address Line 1

Address Line 2

CityCounty/Region

Postcode
Date commenced with employer
Current Salary
Notice Required
Reason for leaving
Does this role involve working with Children?

Past Employment - 1
Job Title
Name of Employer
Address

Address Line 1

Address Line 2

CityCounty/Region

Postcode
Start Date
End Date
Salary
Reason for Leaving
Did this role involve working with children or young people?
Business Email Address

Past Employment - 2
Job Title
Name of Employer
Address

Address Line 1

Address Line 2

CityCounty/Region

Postcode
Start Date
End Date
Salary
Reason for Leaving
Did this role involve working with children or young people?
Business Email Address

Past Employment - 3
Job Title
Name of Employer
Address

Address Line 1

Address Line 2

CityCounty/Region

Postcode
Start Date
End Date
Salary
Reason for Leaving
Did this role involve working with children or young people?
Business Email Address

Education and qualifications - 1

From age 11 onwards, and please state whether full (F) or part (P) time. You must include day, month and year for each entry.
Name of School, College, University etc
Start Date
End Date
Full Time / Part Time
Subjects studied (with grades and year taken)

Education and qualifications - 2

From age 11 onwards, and please state whether full (F) or part (P) time. You must include day, month and year for each entry.
Name of School, College, University etc
Start Date
End Date
Full Time / Part Time
Subjects studied (with grades and year taken)

Education and qualifications - 3

From age 11 onwards, and please state whether full (F) or part (P) time. You must include day, month and year for each entry.
Name of School, College, University etc
Start Date
End Date
Full Time / Part Time
Subjects studied (with grades and year taken)

Training
Please detail your training
This includes government training schemes, apprenticeships, short courses, projects and secondments. Please also include trade/professional training and give date of completion.

CQC/OFSTED History (If applicable) - 1

For Home or Deputy Manager positions only. Please continue on a separate sheet if necessary.
Establishment
Name of Home
URN (if known)
Inspection Grading

CQC/OFSTED History (If applicable) - 2

For Home or Deputy Manager positions only. Please continue on a separate sheet if necessary.
Establishment
Name of Home
Inspection Grading
URN (if known)

Membership of Professional Institutes
Please detail your memberships
Please indicate whether membership is by examination

Leisure interests
Please detail your leisure interests

Driving Licence
Do you hold a current Driving Licence? (select as applicable)
Do you have any current endorsements? (select as applicable)

Warnings and Disciplinary Issues
Have you ever been dismissed, or have you ever resigned in the face of a dismissal or warning?
Have you ever been the subject of any allegations in relation to the safety and welfare of children, young people and/or vulnerable adults, either substantiated or unsubstantiated?

Rehabilitation of Offenders Act 1974

You are required to declare any criminal convictions (including bind over and cautions) in accordance with the Rehabilitation of Offenders Act 1974. The post you have applied for carries exempt status under the provisions of the Act for which you are required to declare any convictions regardless of whether or not the time limit has elapsed. All appointments are subject to an enhanced DBS check. N.B. Declaration of convictions will not necessarily bar you from employment.
Have you ever been convicted of a criminal offence? (select as applicable)
Are there any alleged offences outstanding against you?

Immigration, Asylum and Nationality Act 2006
Do you have the right to take up employment in the UK, either as a UK National, or because you hold a valid work permit?

Disclaimer
The Disqualification for Caring for Children Regulations 2002 applies to anyone employed in a registered or voluntary children’s home.

The Regulations set out grounds for disqualification from caring for children.

These fall into three main areas:
1. Where a child of the individual has at anytime been the subject of a care or similar order, or where an order has been made with the purpose of removing a child from the individual’s care or preventing the child from living with him/her.
2. Where the person has been convicted of an offence specified in Schedule 1 of The Children and Young Persons Act or one involving injury or threat of injury to another person.
3. Where:
  - The person has been concerned with a voluntary or registered children’s home which has been removed from the register; or
  - An application by the person for registration of a voluntary or registered children’s home has been refused; or
  - The person has been prohibited from being a private foster parent, or the person has been refused registration to be a childminder or provider of daycare or had his/her registration cancelled.
I have read and understood the above and declare that I am not disqualified from caring for children under The Disqualification for Caring for Children’s Regulations 2002.
Signature

Clear

Declaration
I declare that the information given both on this application form, disclaimer form and the attached equal opportunities monitoring form is true and correct. I understand that any false or misleading information, or omissions of information concerning canvassing or criminal convictions, may disqualify my application or may render my Contract of Employment, if I am appointed, liable to termination.
Signature

Clear
General Data Protection Regulation (GDPR)

As part of any recruitment process, The Beehive Project collects and processes personal data relating to job applicants. The organisation is committed to being transparent about how it collects and uses that data and to meeting its data protection obligations. The Beehive Project will only process the information you have provided in this form for the purpose of recruitment and selection and, if you are successful in securing this position, for purposes relating to your employment. Completed application forms and supplementary information provided by you in support of your application will be retained by the HR Department in a secure place for a period of 6 months, after which time the information will be destroyed, excepting for persons who subsequently take up employment with the organisation.

Should you be unsuccessful in your application for the position applied for but would like us to send you information about future vacancies, please place an ‘x’ in the box to indicate your consent. You can withdraw your consent at any time by contacting a member of the HR Department by phone on 02380 633999, by email at kev.lillington@thebeehiveproject.com or in writing using the address below.
I want to be notified of future vacancies
Should be Empty:

Personal Details

Why are you applying for this job?

Present Employment

Past Employment - 1

Past Employment - 2

Past Employment - 3

Education and qualifications - 1

Education and qualifications - 2

Education and qualifications - 3

Training

CQC/OFSTED History (If applicable) - 1

CQC/OFSTED History (If applicable) - 2

Membership of Professional Institutes

Leisure interests

Driving Licence

Warnings and Disciplinary Issues

Rehabilitation of Offenders Act 1974

Immigration, Asylum and Nationality Act 2006

Disclaimer

Declaration