Application Form
Position Applied For
If known
Location
Date of Application
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Day
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Month
Year
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Part 1 - Personal Details
Name
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First Name
Last Name
Are you now, have you ever been, or were you at birth known by a different name?
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Yes
No
If yes, please provide details.
Enter the previous name known
Full Address inc Postcode:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Phone Number:
*
Mobile Number preferred.
Format: 00000-000000.
Email address:
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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)
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Yes
No
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Part 2 - Present or Most Recent Employer
Present or previous employer If unemployed please state dates
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Full Address inc Postcode:
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Telephone
*
Please provide a number to contact previous employer.
Format: 00000-000000.
Present Annual Salary
Position Held
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Full Time/ Part Time
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Date Started
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Day
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Month
Year
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Notice Period or Leave Date
*
Key responsibilities of post and main achievements
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Reason for leaving/ Wishing to Leave
*
2- Our Promise Application Form - Private and Confidential
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Part 3 — Employment History
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)
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Rows
Name & Address of Employer
Start Date
End Date
Job Title
Main Duties
Reason For Leaving
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2
3
4
5
6
7
3 – Our Promise Application Form – Private and Confidential
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Education
School, Further and Professional Memberships
Part 4 — School Education
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Rows
Qualifications/ Level
Subject
Grade
Year
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2
3
4
5
Part 5 — Further Education
Rows
Provider (University/ College)
Degree/ Qualification Title
Start Date
End Date
1
2
3
Part 6 — Current Membership / Registration of Professional Bodies
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Professional Body
Registration Number
Conditions Affecting Registration
Registration Date
Expiry Date
1
2
3
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
3
4 – Our Promise Application Form – Private and Confidential
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Part 7 – Other Information
Are you a driver?
*
Yes
No
Do you have a current PVG Check?
*
Yes
No
PVG Number:
Membership: Children / Adults / Both
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?
*
Yes
No
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.
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5 – Our Promise Application Form – Private and Confidential
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References
We will seek 3 References at the shortlisting stage.
Part 9 — References — 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.
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Rows
Most recent (All current employers must be listed as references)
Previous Employer (Relevant Sector as 1st Option)
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
Business email address
Permission to Contact:
6 – Our Promise Application Form – Private and Confidential
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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.
Print Name:
*
Signature:
*
A place to provide a signature for the application.
Date:
*
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Day
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Month
Year
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7- Our Promise Application Form - Private and Confidential
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