Application for Employment
Little Foxes Ethos is to give children Unlimited and Natural play experiences
Email address *
Position applied for
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Early years educator
Room Leader
Deputy Manager
Manager
Cook
Cleaner
Apprentice
Site you wish to apply for
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Maghull
Wigan
Garston
Newton
The Foxes Out of school Newton
Title
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Mr
Mrs
Miss
Ms
Full name *
Your answer
Address *
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Mobile phone number *
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Home phone number *
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Do you have a current driving licence *
National insurance number *
Your answer
Schools attended with years from-to *
Your answer
Qualifications gained *
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College/ universities attended with years from-to
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Qualifications gained
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Any other training or qualifications acheived
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Are there any restrictions on you taking up work in the UK?Yes/No (If yes please provide details)
Your answer
Other Employment
Please note any other employment you would continue with if you were to be successful in obtaining this position.
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Leisure
Please note here your leisure interests, sports and hobbies, or other pastimes, etc. *
Your answer
EMPLOYMENT HISTORY start with most recent
Please complete below in full using the comments box at the bottom if more space is needed
Name and address of employer *
Your answer
Job title and duties *
Your answer
Salary or hourly rate *
Your answer
Dates employed from-to *
Your answer
Name and address of employer
Your answer
Job title and duties
Your answer
Salary or hourly rate
Your answer
Dates employed from-to
Your answer
Name and address of employer
Your answer
Job title and duties
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Reason for leaving
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Salary or hourly rate
Your answer
Dates employed from-to
Your answer
Name and address of employer
Your answer
Job title and duties
Your answer
Salary or hourly rate
Your answer
Dates employed from-to
Your answer
References
Please note if you are currently employed we will contact your previous employed prior to interview
Please provide details of two referees who can provide information relating to your competency in a caring role, one of whom must be your present or most recent employer (referees for qualified Nurses must be professionals). If you are a student,please give an academic referee. If you are applying for a post which requires unsupervised access to children/vulnerable adults, we reserve the right to approach any past employer for a reference.
Reference 1 Name *
Your answer
Position *
Your answer
Organisation *
Your answer
Address inc Postcode *
Your answer
Telephone number *
Your answer
May we approach prior to interview *
Reference 2 Name *
Your answer
Position *
Your answer
Organisation *
Your answer
Address inc Postcode *
Your answer
Telephone number *
Your answer
May we approach prior to interview *
General comments
Please detail here your reasons for this application, your main achievements to date and the strengths you would bring to this post. Specifically, please detail how your knowledge, skills and experiences meet the requirements of this role (as summarised in the person specification). *
Your answer
CAUTIONS, REHABILITATION AND CRIMINAL RECORDS
Because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4(2) of the
Rehabilitation of Offenders Act 1974, by virtue of the Exceptions Order 1975 as amended by the Exceptions (Amendment)
Order 1986, which means that convictions that are spent under the terms of the Rehabilitation of Offenders Act 1974 must be
disclosed, and will be taken into account in deciding whether to make an appointment. Any information will be completely
confidential and will be considered only in relation to this application.
In addition you are required to submit to a Criminal Records Bureau check/provide a PVG Scheme Record or Scheme Record
Update. Any standard or enhanced disclosure made by the CRB/Disclosure Scotland will remain strictly confidential.
Have you ever been convicted in a Court of Law and/or cautioned in respect of any offence? YES/NO (delete as required)
If YES, please give details
Your answer
Are you on the DBS update service *
SPECIAL REQUIREMENTS (CARE SECTOR)
Because this position involves the care of children employment is dependent on the following

1) Your written consent to obtaining a standard/enhanced disclosure certificate from the Criminal Records Bureau (DBS) or an approved umbrella body or provision of a PVG Scheme Record/Scheme Record Update.

2) Such disclosure being acceptable to us.

3) Proof of identity – birth or marriage certificate (where appropriate) and passport (if available).

4) Two satisfactory written references.

5) That you will supply a photograph of yourself for retention in your records.

6) Evidence of physical or mental suitability for your work

DECLARATION
(Please read this carefully before signing this application)
1 I confirm that the above information is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered. *
Required
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 right 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 Criminal Records Bureau/Disclosure Scotland for a basic disclosure. I understand that should I fail to do so, or should the disclosure/PVG Scheme Record or Scheme Record Update not be to the satisfaction of the company any offer of employment may be withdrawn or my employment terminated. *
Name *
Your answer
Date *
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A copy of your responses will be emailed to the address you provided.
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