Application for Employment

Application for Employment
Thank you for requesting an application form for a vacancy at Watcombe Children's Centre Nursery. We will use this form to help us decide your suitability for the job so please ensure that it is accurate and complete
The information you provide on this form will be used in accordance with the Data Protection Act and your form will be retained for six months from the closing date. The application form of the successful candidate will form part of their employee file and may be used for a number of employment related purposes
Please note
- CVs will not be accepted
- All sections of the form must be completed
- Late applications will not normally be considered
Post Applied for:
Closing Date:
Personal Details:
Title:
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal Code
Telephone Number
Email
example@example.com
For posts requiring an enhanced Disclosure and Barring Service check (DBS), candidates MUST supply the following additional information, which will only be used for the purposes of identity verification when references are taken
Previous name/s (if you have any) or insert the word none:
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
National Insurance №:

Present / most recent employer: (this may be paid or unpaid)
Job Title:
Employer's Name & Address:
Date started: DD/MM/YYYY

DayMonthYear
Notice Period Required:
Or Date left: DD/MM/YYYY

DayMonthYear
Reason for leaving:
Any dismissal or redundancy must be clearly stated
Brief Description of Duties:
Pay and other Benefits:

Full record of previous employment: (this may be paid or unpaid)
Job Title:
Employer's Name & Address:
Date started: DD/MM/YYYY

DayMonthYear
Date left: DD/MM/YYYY

DayMonthYear
Reason for leaving:
Do you need to add another employment?

Full record of previous employment: (this may be paid or unpaid) 1
Job Title:
Employer's Name & Address:
Date started: DD/MM/YYYY

DayMonthYear
Date left: DD/MM/YYYY

DayMonthYear
Reason for leaving:
Full record of previous employment: (this may be paid or unpaid) 2
Job Title:
Employer's Name & Address:
Date started: DD/MM/YYYY

DayMonthYear
Date left: DD/MM/YYYY

DayMonthYear
Reason for leaving:
Do you need to add another employment?

Full record of previous employment: (this may be paid or unpaid) 3
Job Title:
Employer's Name & Address:
Date started: DD/MM/YYYY

DayMonthYear
Date left: DD/MM/YYYY

DayMonthYear
Reason for leaving:
Full record of previous employment: (this may be paid or unpaid) 4
Job Title:
Employer's Name & Address:
Date started: DD/MM/YYYY

DayMonthYear
Date left: DD/MM/YYYY

DayMonthYear
Reason for leaving:
Do you need to add another employment?

Full record of previous employment: (this may be paid or unpaid) 5
Job Title:
Employer's Name & Address:
Date started: DD/MM/YYYY

DayMonthYear
Date left: DD/MM/YYYY

DayMonthYear
Reason for leaving:
Full record of previous employment: (this may be paid or unpaid) 6
Job Title:
Employer's Name & Address:
Date started: DD/MM/YYYY

DayMonthYear
Date left: DD/MM/YYYY

DayMonthYear
Reason for leaving:

Gaps in Employment or Training: Please indicate and explain any gaps
Pleae let us know of any gaps in your employment. (Include dates to and from and the reason).

Relevant Qualifications:

Relevant Qualifications:

Rows	Educational Establishment / College / University	From	To	Exams passed and Qualifications gained including NVQs (include grades and date attained)
1
2
3
4
5
6

Professional Membership / Registration:

Professional Membership / Registration:

Rows	Professional Body	Membership Registration №	Membership Status	Date Entered / Awarded
1
2
3

Relevant Training (e.g. short courses/ further development):

Relevant Training (e.g. short courses/ further development):

Rows	Course	Date	Qualification (if appropriate)
1
2
3
4

Supporting Evidence:
Please indicate below why you are applying for this post:
Please say how your skills, knowledge and previous experience, whether paid or unpaid, community activities, domestic or family experience, are relevant to the post and how they meet the criteria on the person specification and job description:

References:
Please give the name and address of two referees from which the Company may seek information regarding your suitability for employment covering at least the last 5 years of your employment. If you are currently employed, one of the referees must be your current employer; otherwise, it must be your most recent employer. If you are in, or have just completed full-time education, one referee should be from your school / college or university. These should not include a relative, and personal referees must be able to comment on your skills and abilities in relation to the post.
Disclosure and Barring Service (DBS)
If you are not currently working with children but have done so in the past, the second referee you supply should be from the most recent employer where you were employed to work with children or vulnerable adults
REFERENCE 1
Name:
Telephone Number:
Email:
example@example.com
Address:
Relationship:
How long known?
REFERENCE 2
Name:
Telephone Number:
Email:
example@example.com
Address:
Relationship:
How long known?

Declarations:
Disability Discrimination Act 1995
WPS Childrens Centre CIC is an Equal Opportunities employer.
The Disability Discrimination Act defines a person as having a disability if he/she "has a physical or mental impairment which has a substantial and long-term adverse effect on his/her ability to carry out normal day to day activities"
Do you consider yourself to have a disability?
What is the nature of your disability?
Wherever possible and reasonable we will make adjustments and offer alternatives to help a person with a disability through the application and selection process
Please provide details below of any information you would like us to take into account with regard to your disability in order to offer you a fair selection interview
Formal Disciplinary
Have you been the subject of formal disciplinary action in your past employment or currently in the process of ongoing disciplinary action in your current position?
If 'yes' please give brief details below or on an additional sheet if necessary
Eligibility to work in the UK
Are you eligible to work in the United Kingdom and are you able to provide proof of this?
The Immigration, Asylum and Nationality Act 2006 requires all employers in the UK to make basic document checks on every person, before they start work, therefore if you are asked to interview, you will be required to provide evidence (original documents only) that you are eligible to live and work in the UK and copies will be taken at interview and if unsuccessful these will be destroyed in accordance with the Data Protection Act 1998 (DPA). If you are offered the post these original documents will be retained on your personal file

Declarations (continued):
Are you in any way related to or have a personal relationship with any member of the company?
If 'Yes' please give details below:
Name:
Relationship:
Job Title:
Soliciting support or information, which may be deemed to offer an unfair advantage, from the Company in connection with this appointment will disqualify your application
Do you have any convictions that are not spent under the Rehabilitation of Offenders Act 1974?
If 'Yes' please give details:

Disclosure and Barring Service (DBS)
For positions that are included in the Exceptions Order to the Rehabilitation of Offenders Act 1974 and in respect to any regulated positions as defined by the Criminal Justice and Court Services Act 2000, all applicants who are offered employment will be subject to a DBS check (Disclosure and Baring Service) before employment commences.

This will include details of ALL cautions, reprimands or final warnings as well as convictions, whether "spent" or "unspent". Criminal convictions will only be taken into account when they are relevant to the post.

Please give details via email to admin@watcombe.net marked
"Confidential Disclosure" with your name in the subject field.
DBS Costs
The company will pay for the initial DBS to be undertaken, but will reserve the right to recoup the cost if the employee leaves within 12 months.
DBS Update Service
If you are already subscribed to the DBS Update service, then please enter your certificate number below.
DBS Certificate Number
By entering the number above you give us permission to undertake a status check.
Safeguarding
Watcombe Childrens Centre Nursery is committed to safeguarding and promoting the welfare of children and applicants must be willing to undergo the checks appropriate to the post applied for. By signing this application form you are confirming your agreement/commitment.
For further information visit https://www.watcombenursery.co.uk/copy-of-policies-1

Declarations (continued):
I confirm that I have read and understood the enclosures provided with this application form
I confirm that the details I have provided in this application form are correct and that I have not deliberately withheld any relevant information that could affect the Company's decision to employ
I understand that the deliberate falsification of information or failure to disclose relevant information may lead to my application being rejected, any offer of employment being withdrawn or actual appointment being terminated
I declare that I have not canvassed any employee either directly or indirectly in connection with this application
I note that the information provided on this application form may be held, further processed or verified in accordance with the Data Protection Act 1998
Data Protection - Fair Processing Notice
The collection, processing, maintenance and retention of any personal data which WPS Childrens Centre CIC processes, is governed by legislation such as the UK Data Protection Act 1998, and by the Company's own policies and procedures. WPS Childrens Centre CIC will use any personal data you provide within this document solely for the purpose of assessing the eligibility of your application when applying for a WPS Childrens Centre CIC vacancy. They may share the information with
colleagues for the purpose of shortlisting and interviewing for the vacancy. The information may also be shared with external parties if required by law. The information will be kept on file for a period of six months after the closing date of the vacancy to allow for any further processes, such as appeals, that may occur. If you are successful in your application for employment with the Company, then the
application form will be kept on your personnel file for the duration of your employment.
I note that the information provided on this application form may be held, further processed or verified, in accordance with the Data Protection Act 1998
Signature:
Date:

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Submitting this completed application form electronically signifies your acceptance of ALL of the above declaration
Should be Empty:

Application for Employment

Personal Details:

Present / most recent employer: (this may be paid or unpaid)

Full record of previous employment: (this may be paid or unpaid)

Full record of previous employment: (this may be paid or unpaid) 1

Full record of previous employment: (this may be paid or unpaid) 2

Full record of previous employment: (this may be paid or unpaid) 3

Full record of previous employment: (this may be paid or unpaid) 4

Full record of previous employment: (this may be paid or unpaid) 5

Full record of previous employment: (this may be paid or unpaid) 6

Gaps in Employment or Training: Please indicate and explain any gaps

Relevant Qualifications:

Professional Membership / Registration:

Relevant Training (e.g. short courses/ further development):

Supporting Evidence:

References:

Disclosure and Barring Service (DBS)

Declarations:

Formal Disciplinary

Eligibility to work in the UK

Declarations (continued):

Disclosure and Barring Service (DBS)

DBS Costs

DBS Update Service

Safeguarding

Declarations (continued):

Data Protection - Fair Processing Notice