Staff Application Form

The Grove Daycare Staff Application Form

    Personal Details

    Date of Birth

    Do you hold a current UK Driving Licence

    Are there any restrictions to you taking up employment in the UK?

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    Education History

    Education Details 1

    Education Details 2

    Education Details 3

    Other Training

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    Employment History

    Employment Details 1

    Date From

    Date To

    Employment Details 2

    Date From

    Date To

    Employment Details 3

    Date From

    Date To

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    Personal Statement

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    References

    Please provide details of two referees whom we may obtain work reference. One must be your current/last employer. If you are a student, please give an academic reference.

    Reference 1

    May we approach the above prior to interview?

    Reference 2

    May we approach the above prior to interview?

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    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 Disclosure and Barring check/provide a PVG Scheme Record or Scheme Record Update. Any disclosure made by the Disclosure and Barring Service/Disclosure Scotland will remain strictly confidential.

    Have you ever been convicted in a Court of Law and/or cautioned in respect of any offence?

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    Declaration

    Please read 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.

    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 employee 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 my previous employers may be approached for references. I also agree that should I be successful in this application, I will apply to the Disclosure and Barring Service/Disclosure Scotland for a Disclosure and Barring certificate/PVG Scheme Record or Scheme Record Update. I understand that should I fail to do so, or should the disclosure or reference not be satisfactory, any offer of employment may be withdrawn, or my employment terminated.

    Date of Completion

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    “The Grove Daycare Nursery is an equal opportunity employer, and employment practices are based strictly on merit. It is the policy of the company to give equal opportunity in employment regardless of sex, sexual orientation, marital status, race, age, disability, gender reassignment, pregnancy and maternity, religion or ethnic origin.”

    Right To Work


    Please provide details to confirm your right to work in the UK

    Please bring with you all original supporting documents, such as passports and, if applicable, VISA permits for verification

    Passport information will also be used to process Criminal Records Checks

    Do you have the right to work in the UK?

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