OurPromise Application Form

Application Form
Position Applied For If known*
Location*
Date Of Application

DayMonthYear
Date
Part 1 – Personal Details
Name*

First NameLast Name
Are you now, have you ever been, or were you at birth known by a different name?

YesNo
If yes, please provide details.*
Full Address inc Postcode:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Phone Number:*
Provide a phone numberFormat: 00000 000000.
Email address:*
example@example.com
Have you ever worked for Our Promise in the past including through an agency placement? If yes, please ensure details are captured in employment history (along with all other agency or student placements)

YesNo
1– Our Promise – Private and Confidential

Part 2 - Present or Most Recent Employer
Present or previous employer If unemployed please state dates*
Full Address inc Postcode:*
Telephone*
Provide a phone contactFormat: 00000 000000.
Annual Salary*
Enter annual gross wage in £
Position Held*
Full Time/ Part Time*
Date*

DayMonthYear
Date
Notice Period or Leave Date*
Enter date or Month and year.
Key responsibilities of post and main achievements*
Reason for leaving/ Wishing to Leave*
Other employment you wish to list?*

YesNo
2- Our Promise Application Form - Private and Confidential

Part 3 - Full Employment History (Please include any voluntary work, agency placements, periods of training or education, accounting for any gaps in employment history and providing explanations for any employment gaps)
Name & Address of Employer
Start Date

DayMonthYear
Date
End Date

DayMonthYear
Date
Job Title
Main Duties
Reason for Leaving
Add another previous employer information...
Name & Address of Employer
Start Date

DayMonthYear
Date
Date

DayMonthYear
Date
Job Title
Main Duties
Reason for Leaving
Add another previous employer information...
Name & Address of Employer
Start Date

DayMonthYear
Date
End Date

DayMonthYear
Date
Job Title
Main Duties
Reason for Leaving
3- Our Promise Application Form - Private and Confidential

Part 4 — School Education

Rows	Qualifications/ Level	Subject	Grade	Year
1
2
3

Part 5 — Further Education

Rows	Provider (University/ College)	Degree/ Qualification Title	Start Date	End Date
1
2

Part 6 — Current Membership / Registration of Professional Bodies

Rows	Professional Body	Registration Number	Conditions Affecting Registration	Registration Date	Expiry Date
1
2

Please give details of any former registration with any professional bodies:

Rows	Professional Body	Registration Number	Conditions Affecting Registration	Registration Date	Expiry Date	Reasons for ceasing to be registered
1
2

4 - Our Promise Application Form - Private and Confidential

Part 7 - Other Information
Are you a driver?*

YesNo
Do you have a current PVG Check?*

YesNo
PVG Number:*
Membership: Children / Adults / Both*

ChildrenAdultsBoth
Are you in any way connected to an existing Our Promise employee or anyone else who might be connected with Our Promise in any way?*

YesNo
If yes please give details, including the nature of the relationship:*
Where did you hear about this vacancy?*
Part 8 - Personal Statement
Our Promise was founded, believing strongly in our WHY: "We believe in all of our people, we are committed to each other in creating opportunities, fulfilling our purpose, feeling loved and having a sense of belonging".
Because you are applying to work with some of our most vulnerable young people who have suffered trauma, we would like you to put in your personal statement your own "Why" as well as why you would like to work for Our Promise.
Please write about any skills including transferable skills/ experiences/qualities that you can offer our organisation and the people that we care for, this includes skills and interests.*
5 - Our Promise Application Form - Private and Confidential

Part 9 - References - We will seek 3 References at the shortlisting stage. If you have been employed in a relevant sector (e.g. Care, Education, Vulnerable Groups), please provide these reference details prior to details for references out-with these sectors with exception of your most recent employer. If you have worked abroad, please provide a reference for the time you worked abroad. Our Promise reserves the right to contact any previous employer to verify information regarding your employment to ensure the safeguarding of the children and adults in our care.
Most recent (All current employers must be listed as references)
Name: (Person must still be employed by the Company)*
Referee's Job Title:*
Dates you were employed there:*
Business Name and Address (including postcode)*
Telephone:*
Please provide a phone contactFormat: 00000 000000.
Business email address:*
example@example.com
Permission to Contact:*

YesNo
Previous Employer (Relevant Sector as 1st Option)
Name: (Person must still be employed by the Company)*
Referee's Job Title:*
Dates you were employed there:*
Business Name and Address (including postcode)*
Telephone:*
Please provide a contact numberFormat: 00000 000000.
Business email address:*
example@example.com
Permission to Contact:

YesNo
6 - Our Promise Application Form - Private and Confidential

Part 10 – Declaration

➢    I certify that, to the best of my knowledge, all the statements made above are true and accurate and, in particular, that I have not omitted any facts which may have a bearing on my application.

➢    I give explicit consent that the information given on this form may be stored and processed in accordance with the Data Protection Act 1998.

➢    I hereby give permission for Our Promise Ltd to take any necessary approach with regards to attaining a reference of my employment, professional history, and or academic history and verify other information I have provided. Where applicable this may involve contacting my previous and/ or any current employers/ associations (not only those given as referees if it is deemed there are more appropriate references or we require more information) including if applicable Jobcentre Plus, Department of Work and Pensions, School or College. Any such information obtained will be used strictly with regard to the attached application in order to seek satisfactory clearance in line with the Safer Recruitment Policy.

➢    I am aware that providing false information could result in my application being rejected or may lead to summary dismissal if I am selected for a position within Our Promise. If I am registered with any professional body, Our Promise will inform them that I have provided false information on my application form.
Name

First NameLast Name
Signature
Add additional supporting document?

Max 2 files and 1 mb per file
Cancelof
Should be Empty:

Application Form

Part 1 – Personal Details

Part 2 - Present or Most Recent Employer

Part 7 - Other Information

Part 8 - Personal Statement

Most recent (All current employers must be listed as references)

Previous Employer (Relevant Sector as 1st Option)