Position applying for
Location
Applicant's Full Name
First Name
Last Name
Date of Application
-
Month
-
Day
Year
Date
1 - Our Promise - Private and Confidential
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Part 1 - Personal Details
Name
First Name
Last Name
Are you now, have you ever been, or were you at birth known by a different name? Please provide details.
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Postcode:
Home telephone number:
Format: (000) 000-0000.
Mobile:
Format: (000) 000-0000.
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)
Yes
No
Part 2 - Present or Most Recent Employer
Present or previous employer If unemployed please state dates
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Telephone
Format: (000) 000-0000.
Annual Salary
Position Held
Full Time/ Part Time
Date Started
Notice Period or Leave Date
Key responsibilities of post and main achievements
Reason for leaving/ Wishing to Leave
2 - Our Promise - Private and Confidential
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Part 2 - Continued
Present or previous employer If unemployed please state dates
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Telephone
Format: (000) 000-0000.
Annual Salary
Position Held
Full Time/ Part Time
Date Started
-
Month
-
Day
Year
Date
Notice Period or Leave Date
-
Month
-
Day
Year
Date
Key responsibilities of post and main achievements
Reason for leaving/ Wishing to Leave
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)
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)
Rows
Name & Address of Employer
Start Date
End Date
Job Title
Main Duties
Reason For Leaving
1
2
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(If necessary please continue on a separate page)
Part 4 - School Education
Rows
Qualifications/ Level
Subject
Grade
Year
1
2
3
4
5
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Part 5 - Further Education
Part 5 - Further Education
Rows
Provider (University/ College)
Degree/ Qualification Title
Start Date
End Date
1
2
3
Part 6 - Membership/Registration of Professional Bodies
Part 6 - 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
Part 7 - Other Information
Are you a driver?
Yes
No
Do you have a cuttent PVG check?
Yes
No
PVG Number:
Membership: Children / Adults / Both
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? Please give details, including the nature of the relationship;
Where did you hear about this vacancy?
5 - Our Promise - Private and Confidential
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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.
6 - Our Promise - Private and Confidential
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Part 9 -References - We will seek 3 References at the shortlisting stage.
If you have been employed in a relevant sector (eq 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.
Part 9 -References - We will seek 3 References at the shortlisting stage.
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
Contact
7- Our Promise - 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:
Date:
-
Month
-
Day
Year
Date
8 - Our Promise - Private and Confidential
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