Early Years Support Assistant Application
Role Preference and Personal Details
Role applied for
Morning 0900-1400
Afternoon 1300-1800
Both
Name
First Name
Middle Name
Last Name
Address
Postcode
Mobile No
-
Area Code
Phone Number
Email address
example@example.com
SSSC Number
Current Job Title
Current Employer
Notice Period
Salary
Eligibility and PVG/Disability
Are you eligible to work in the UK?
Yes
No
Is your right to work time limited?
Yes
No
Are you an existing PVG Scheme member?
Yes
No
PVG Scheme number
Do you consider yourself to have a disability?
Yes
No
Qualifications
Qualification entries
Qualification
Awarded by
Work History
Previous Employment Entry
Place of Previous Employment & Role
Date(s)
Summary of Job Description
Description of responsibilities/experience/knowledge gained
Professional Learning
Professional learning entries
Please provide details for professional learning completed within the last 3 years.
Include relevant courses, workshops, training sessions, or other learning activities.
You may add as many entries as needed.
Suitability and Supporting Information
Suitability for the post and contribution to Nursery and School
Development initiative benefiting children
Example of working as an effective member of a team
Example of following strict rules and procedures
References
Referee 1 - Name of referee
First Name
Middle Name
Last Name
Referee 1 - Address & Contact Information
Referee 2 - Name of referee
First Name
Middle Name
Last Name
Referee 2 - Address & Contact Information
Can we contact your referees prior to interview?
Yes
No
Declarations, Signature, and Date
Declarations
No criminal convictions
Consent to PVG check and references
Agreement to inform of future convictions
No information withheld
Declaration note
Confirmation of declarations
I confirm the statements above are true and complete
I understand the declarations are part of my application
I agree the information provided may be verified
Submit Application
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