S4YC Job Application form - Complete Education Solutions

Personal Information

Name

Surname

Former Names

Address

Contact Number 1

Town / City

Contact Number 2

Post Code

Email Address.

National Insurance Number

Are you eligible to work in the UK?

Yes

No

Do you hold a full UK Driving Licence?

Yes

No

Please list any driving convictions etc if any:

You are required to provide evidence of the above details at your interview by bringing with you the following;

Proof of eligibility to work in the UK (Passport / Birth Certificate etc)

Photo Driving Licence (if owned)

Have you ever been convicted of a criminal offence?

Yes

No

Do you have any pending prosecutions?

Yes

No

If yes, please provide details and dates of any convictions, cautions, reprimands, warnings or bind-overs:

Medical

Do you consider yourself to have a disability?

Yes

No

Prefer not to say

Do you take any prescribed medicines?

Yes

No

Have you, at any time, suffered from a mental or physical health problem that could affect your ability to work with young children?

Yes

No

If yes to any of the above, please let us know what reasonable adjustments can be made to assist you with our recruitment process, brief details and approximate dates.

How many days have you been absent from work in the last 2 years?

Do you have any allergies we should be aware of?

Yes

No

If yes, please provide details:

If required, can we contact your GP or occupational health physician?

Yes

No

Please provide GP's Name, Practice Address and Number:

Application Statement

Position applying for

Having read the job description and person specification, please state how your experience and achievements to date would make you a suitable candidate for this post. You should address each criteria detailed on the person specification and provide examples of how you meet these. If the post you have applied for includes Core Management Competencies on the job description, you will need to demonstrate how you meet the criterion for these competencies.

Education & Qualifications

Education Provider

Start Date

End Date

Qualification & Grade

Education Provider

Start Date

End Date

Qualification & Grade

Education Provider

Start Date

End Date

Qualification & Grade

Additional education and relevant training and qualifications below;

Employment & Work Experience

Present/Last Employer

Address of Employer

Contact Number

Start Date

End Date

Job Title

Salary

Notice Period

Job Title, Roles and Responsibilities

Reason for Leaving

Name and Address of Previous Employer

Start Date

End Date

Job Title, Job Roles and Responsibilities

Reason for Leaving

Name and Address of Previous Employer

Start Date

End Date

Job Title, Job Roles and Responsibilities

Reason for Leaving

References - Please note, we need 1 reference from your most recent employer, line manager, HR or teacher (Not a colleague within a business) and 1 character reference

First Name

Last Name

Name of Employer/School

Address

Email Address

Contact Number

Their position

Relationship to you

First Name

Last Name

Name of Employer

Address

Email Address

Contact Number

Their position

Relationship to you

Declaration

Due to Ofsted statutory requirements it is essential for S4YC to ensure we have all the necessary details of our employees that work with children and to ensure their suitability. It is necessary for all new employees to fill in the declaration part of this form before they start work with S4YC Ltd.

Do you know of any circumstances that might affect you suitability to work or be in contact with children under the age of 8?

Yes

No

Have you ever had a registration as a childminder or day care provider refused or cancelled?

Yes

No

Have you ever been disqualified or prevented from being a foster parent?

Yes

No

Have you ever been referred to the Protection of Children Act list?

Yes

No

Have you ever had an order made against you removing a child from your care?

Yes

No

I declare that I am over the age of 17. (Ofsted Requirement)

Confirm

Deny

By submitting this application I confirm that:

1.	I confirm that the information provided in this application is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered. I understand that any employment entered into is subject to documentary evidence of my right to work in the UK and satisfactory references. I expressly consent to personal data contained within this form being recorded for the purposes of assessing suitability for the post and may form the basis of any subsequent personnel file.
2.	Should we require further information and wish to contact your doctor with a view to obtaining a medical report, the law requires us to inform you of our intention and obtain your permission prior to contacting your doctor. I agree that the organisation reserves the right to require me to undergo a medical examination. In addition, I agree that this information will be retained in my personnel file during employment and for up to six years thereafter and understand that information will be processed in accordance with the Data Protection Act.
3.	I agree that should I be successful in this application, I will, if required apply to the Disclosure & Barring Service for a Disclosure & Barring Certificate. I understand that should I fail to do so, or should the disclosure not be to the satisfaction of the company any offer of employment may be withdrawn or my employment terminated.
4.	I am happy for S4YC to get contact previous employers for a reference or to act as a referee for my application. 
S4YC Ltd undertakes that it will treat any personal information that you provide to us, or that we obtain from you, in accordance with the requirements of GDPR Data Protection Act 2018. After initial assessment, S4YC Ltd may keep your details on file pending suitable opportunities that may arise in the future. Please tick if you do not wish us to hold your details.

Feel free to provide any supporting documentation to your application. (pdf, doc, jpg, png files only)

Maximum upload size: 5MB

I confirm the information provided is true and accurate

Confirm

Personal Information

Medical

Application Statement

Education & Qualifications

Employment & Work Experience

References - Please note, we need 1 reference from your most recent employer, line manager, HR or teacher (Not a colleague within a business) and 1 character reference

Declaration

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