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Ladybird Nurseries Vacancy Application Form
1
Which job vacancy are you applying for?
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Room Leader - Ladybird Thornsett
Nursery Practitioner - Ladybird Beckenham
Nursery Assistant - Ladybird Beckenham
Bank Staff
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Please Select
Room Leader - Ladybird Thornsett
Nursery Practitioner - Ladybird Beckenham
Nursery Assistant - Ladybird Beckenham
Bank Staff
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Your Answer
Title
Row 0, Column 0
First Name
Row 1, Column 0
Last Name
Row 2, Column 0
Former Names
Row 3, Column 0
Address
Row 4, Column 0
Phone Number
Row 5, Column 0
Email Address
Row 6, Column 0
National Insurance Number
Row 7, Column 0
Title
First Name
Last Name
Former Names
Address
Phone Number
Email Address
National Insurance Number
Your Answer
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Your Answer
Row 1, Column 0
Your Answer
Row 2, Column 0
Your Answer
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Your Answer
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Your Answer
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Your Answer
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Your Answer
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Your Answer
Position
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Date Started
Row 1, Column 0
Organisation Name
Row 2, Column 0
Earliest Possible Leaving Date
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Organisation Address
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Manager's Name
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Phone Number
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Email Address
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Salary
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Position
Date Started
Organisation Name
Earliest Possible Leaving Date
Organisation Address
Manager's Name
Phone Number
Email Address
Salary
Your Answer
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Your Answer
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Your Answer
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Your Answer
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Your Answer
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Your Answer
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Your Answer
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Your Answer
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Your Answer
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Please fill in the table below.
Position
Name and address of organisation
Dates (from and to)
Salary
Reason for leaving
1.
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2.
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1.
2.
3.
4.
5.
6.
7.
Position
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Name and address of organisation
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Dates (from and to)
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Salary
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Reason for leaving
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Position
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Name and address of organisation
Row 1, Column 1
Dates (from and to)
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Salary
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Reason for leaving
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Position
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Name and address of organisation
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Dates (from and to)
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Salary
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Position
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Name and address of organisation
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Dates (from and to)
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Salary
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Reason for leaving
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Position
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Name and address of organisation
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Dates (from and to)
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Salary
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Reason for leaving
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Position
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Name and address of organisation
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Dates (from and to)
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Salary
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Reason for leaving
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Position
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Name and address of organisation
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Dates (from and to)
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Salary
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Reason for leaving
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Your answer below.
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Qualifications
Subjects with grades
School/College attended
1.
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2.
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Qualifications
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Qualifications
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Qualifications
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Qualifications
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School/College attended
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Qualifications
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Subjects with grades
Row 4, Column 1
School/College attended
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Referee's name and address
Job title/role
Email and phone number
Capacity in which known
Can contact before interview?
R1
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R2
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R3
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R1
R2
R3
Referee's name and address
Row 0, Column 0
Job title/role
Row 0, Column 1
Email and phone number
Row 0, Column 2
Capacity in which known
Row 0, Column 3
Can contact before interview?
Row 0, Column 4
Referee's name and address
Row 1, Column 0
Job title/role
Row 1, Column 1
Email and phone number
Row 1, Column 2
Capacity in which known
Row 1, Column 3
Can contact before interview?
Row 1, Column 4
Referee's name and address
Row 2, Column 0
Job title/role
Row 2, Column 1
Email and phone number
Row 2, Column 2
Capacity in which known
Row 2, Column 3
Can contact before interview?
Row 2, Column 4
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Do you have the right to work in the United Kingdom?
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10
Do you have any special requirements to allow you to participate fully in an interview? (please give details)
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11
Where did you see this vacancy advertised?
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12
Do you have any unspent criminal convictions, cautions, or bind-overs?
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13
Please provide details (date, offence,sentence, etc.).
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14
Please fill in the table below.
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Your initials here
I certify, to the best of my knowledge and belief, that all particulars included in my application are correct and complete. I understand that if I have deliberately given false information and am appointed, I may be liable to disciplinary action up to and including dismissal and/or criminal action.
Row 0, Column 0
I give my permission for the information provided to be used to form the basis of personnel records, should I be appointed.
Row 1, Column 0
I have not been disqualified from working with children and am not barred on the DBS Children's Barred List. I am not subject to any sanctions imposed by a regulatory body (eg the General Teaching Council or Teaching Agency) and have no outstanding disciplinary action being taken against me.
Row 2, Column 0
I am not living with someone who has been disqualified from working with children under the Childcare Act 2006 or who has been barred from working with children.
Row 3, Column 0
I certify, to the best of my knowledge and belief, that all particulars included in my application are correct and complete. I understand that if I have deliberately given false information and am appointed, I may be liable to disciplinary action up to and including dismissal and/or criminal action.
I give my permission for the information provided to be used to form the basis of personnel records, should I be appointed.
I have not been disqualified from working with children and am not barred on the DBS Children's Barred List. I am not subject to any sanctions imposed by a regulatory body (eg the General Teaching Council or Teaching Agency) and have no outstanding disciplinary action being taken against me.
I am not living with someone who has been disqualified from working with children under the Childcare Act 2006 or who has been barred from working with children.
Your initials here
Row 0, Column 0
Your initials here
Row 1, Column 0
Your initials here
Row 2, Column 0
Your initials here
Row 3, Column 0
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15
Full Name
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First Name
Last Name
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Date
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