Employment Application Form

Employment Application Form
Position Applied For*
Name

First NameLast Name
Date of Birth*

DayMonthYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com

Present or most recent employment
Post Held*
Nursery/ Company name*
Start Date*

DayMonthYear
Date
End Date/ Period of Notice*

DayMonthYear
Date
Reason for Leaving*
Description of key duties and responsibilities

Previous Employment

Please complete all previous employment
Name of Employer Position Held Start Date End Date Reason for Leaving
Name of Employer Position Held Start Date End Date Reason for Leaving
Name of Employer Position Held Start Date End Date Reason for Leaving
Name of Employer Position Held Start Date End Date Reason for Leaving
Name of Employer Position Held Start Date End Date Reason for Leaving
Previous Nursery Employment/ Experience

Please complete all previous nursery employment/ experience
Name of Employer Position Held Start Date End Date Reason for Leaving
Name of Employer Position Held Start Date End Date Reason for Leaving
Name of Employer Position Held Start Date End Date Reason for Leaving
Name of Employer Position Held Start Date End Date Reason for Leaving
Name of Employer Position Held Start Date End Date Reason for Leaving
Please give details of any gaps in your employment history, with dates

Relevant skills and experience
Please use the space below to explain why you are applying for the position and how your experience, personal qualities and skills help to make you a suitable candidate. It is essential that you provide us with details that demonstrate how you meet the criteria for knowledge and experience, technical skills and personal/behavioural attributes on the person specification. You must demonstrate you meet all the essential criteria on the person specification as a minimum. This will help us decide whether to invite you to the next stage of the selection process.

Qualifications

Please list all qualifications and educational establishments from school age to present day
Name of school/ college etc
Qualifications with grades
Date achieved

DayMonthYear
Date
Name of school/ college etc
Qualifications with grades
Date achieved

DayMonthYear
Date
Name of school/ college etc
Qualifications with grades
Date achieved

DayMonthYear
Date
Please upload a copy of your highest Early Years qualification certificate (or relevant qualification to role applied for/ CV)*

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Training and Development

Please provide details of all training and development undertaken relevant to this position within the last three years, such as Paediatric First Aid, Safeguarding etc.
Course Title Insert Course Title Year Achieved Insert Year
Course Title Insert Course Title Year Achieved Insert Year
Course Title Insert Course Title Year Achieved Insert Year
Course Title Insert Course Title Year Achieved Insert Year
Course Title Insert Course Title Year Achieved Insert Year
Course Title Insert Course Title Year Achieved Insert Year

Criminal Convictions
Have you ever been convicted of a criminal offence*

YesNo
If yes, is the offence “spent” as defined by the Rehabilitation of Offenders Act 1974?

YesNo
Do you have a criminal conviction which is unspent or pending against you?*

YesNo
If you answered Yes to any of the above, please provide details below

References

Please give details of two referees, one must be your current or last employer, the other from a previous employer. Both referees should be senior people in your organisation. In the case of applicants leaving full time education or not having worked since doing so, the Head of School, College or University should be one of the named referees. We can only accept one character reference from friends. If your present/ last employer was not a nursery you must also provide details of your last nursery employer.
Full Name of Referee 1 - current or previous employer*

First NameLast Name
Occupation/ Job Title*
Referee Email Address*
example@example.com
Relationship to you*
If you are invited for interview, may we approach this referee without further reference to you? Please note, we are obliged by Ofsted to gain references before employment can be offered*

YesNo
Full Name of Referee 2 - must be from last nursery employer if Referee 1 is not *

First NameLast Name
Occupation/ Job Title*
Referee Email Address*
example@example.com
Relationship to you*
If you are invited for interview, may we approach this referee without further reference to you? Please note, we are obliged by Ofsted to gain references before employment can be offered*

YesNo

Declaration

I confirm that I am not included on the (ISA List 99) of people formally barred from working in schools, disqualified from working with children, or subject to sanctions imposed by a regulatory body. I certify that the information given by me on this Application Form is true to the best of my knowledge and I understand that if I am appointed and such information is subsequently found to be materially incorrect, the nursery will be entitled to terminate my employment without notice.
Signature*

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Date*

DayMonthYear
Date
Data Protection

The information supplied on this form is being collected as part of the nursery’s recruitment and selection procedures. When you complete this form, you are giving your consent to the nursery to hold and use personal information for these purposes. The information you provide may also be disclosed to relevant statutory bodies. The application forms of successful candidates will be retained in their staff file.
Equal Opportunities in Employment

The nursery is committed to having a workforce that reflectsthe diverse make up of our local community. To help us achieve this objective,job applicants are invited to complete a separate, unnamed form so that we havean accurate picture of our workforce. This is not mandatory and is at theapplicants discretion.The information will also allow us to monitor ouremployment practices, to ensure that we do not unlawfully discriminate and helpus to develop inclusive policies.
Should be Empty:

Employment Application Form

Present or most recent employment

Previous Employment

Previous Nursery Employment/ Experience

Relevant skills and experience

Qualifications

Training and Development

Criminal Convictions

References

Declaration

Data Protection

Equal Opportunities in Employment