SiMY Student/Volunteer Application Form

Please click on relevant answer below.*

	YES	NO
Do you have a current, full UK driving licence?
Are you registered on the PVG Scheme?

Education
Are you currently studying? If yes please let us know;
Please give details of any other relevant qualifications or training you have completed relevant to the role you are interested in. *
If applicable for the role, please give details of previous experience of working with, or looking after, children and/or young people
Volunteering Availability
Declaration

*Because of the nature of the work for which you are applying, this post is exempt from the provision of section 4(ii) of the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975, and you are therefore not entitled to withhold information about convictions which for other purposes are ’spent’ under the provisions of the Act and, in the event of appointment, any failure to disclose such convictions could result in the withdrawal of approval to work with children and/or young people within SiMY
Have you ever been convicted of a criminal offence, or are you at present the subject of criminal charges? (Note: the disclosure of an offence may be no bar to your appointment) *
If YES please give details of the nature and date of the offence.
Referee 1 details (including their relationship to you)*
Referee 2 details (including their relationship to you)
As a member of SiMY's team, I agree to conduct myself in a manner which fits with the aims and values of the organisation?*

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SiMY Application Form