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RAYNERS LANE
PINNER GREEN
EDGWARE
ABOUT
LEARNING STRUCTURE & CARE
YOGA
MINDFULNESS
NURSERY PORTAL
POLICIES
CAREERS
CAREERS APPLICATION FORM
FOOD & NUTRITION
CONTACT
Careers Application Form
Careers Application
Position Type
*
Please Select
Senior Manager
Manager
Deputy Manager
Room Leader
Senior Nursery Practitioner
Nursery Practitioner
Junior Practitioner
Apprentice
Volunteer
First Name
*
Last Name
*
Home Address
Address Line 1
*
Address Line 2
*
Address Line 3
*
Address Line 4
*
Postcode
*
Months At This Address
*
Years At This Address
*
Contact Details
Contact Telephone Number
*
Mobile Number
*
Email
*
National Insurance Number
*
Date Of Birth
*
Post Applied For
*
Today's Date
*
Current Or Most Recent Employment
Employers Name
Employers Address Line 1
Employers Address Line 2
Employers Address Line 3
Employers Address Line 4
Employers Postcode
Post Title
Current Salary
Start Date
Leaving Date
Notice Period
Reason For Leaving
Describe your main duties and Responsibilities in this role
Please note that your current employer will not be approached for references before an offer of employment is made to you.
Full Employment History (Employer 2)
Employer Name
Post Title
Start Date
Leaving Date
Salary
Reason For Leaving
Employer 3
Employer Name
Post Title
Start Date
Leaving Date
Salary
Reason For Leaving
Employer 4
Employer Name
Post Title
Start Date
Leaving Date
Salary
Reason For Leaving
Please give details of any gaps in employment:
Experience / Suitability / Interests
Short listing will be based on the criteria set out in the specification. Please address these requirements in this section.
Please outline your Experience, Suitability and Interests
Education (Secondary / Higher)
Qualifications Gained
*
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GCSE English C or Above
GCSE English D or Below
Qualifications Gained
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GCSE Maths C or Above
GCSE Maths D or Below
Childcare Qualifications Gained (Please select the qualification that matches yours the closest)
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BA (Hons) Childhood Studies
BA in Education Studies Early Years Educator Specialised Award
BA (Hons) Joint Honours in Education: Education Studies and Early Years
BA (Hons) Joint Honours in Education: Early Years and Special and Inclusive Education
BA (Hons) Joint Honours in Education: Early Years, Psychology and Education
BA (Hons) Joint Honours in Education: Early Years, Business and Education
Level 5 Diploma in Leadership for the Children's & Young People's Workforce - Early Years (Management) (QCF)
Level 3 Diploma in Children's Learning and Development (Early Years Educator) (QCF)
Level 3 Advanced Technical Diploma for the Early Years Practitioner (Early Years Educator) (540)
Level 3 Advanced Technical Extended Diploma for the Early Years Practitioner (Early Years Educator) (1080)
Level 3 BTEC National Diploma in Children's Play, Learning and Development (Early Years Educator) (VRQ)
Level 3 BTEC National Extended Diploma in Children's Play, Learning and Development (Early Years Educator)
Level 3 Diploma for the Children and Young People's Workforce (Early Years Educator)
Level 3 Diploma for the Children's Workforce (Early Years Educator)
Level 3 Diploma For the Early Years Practitioner (Early Years Educator) (QCF)
Level 3 Diploma in Childcare and Education (Early Years Educator)
Level 3 Diploma in Children’s Learning and Development (Early Years Educator) (QCF)
Level 3 Diploma in Early Learning and Childcare (Early Years Educator) (QCF)
Level 3 Diploma in Early Years Education and Care (Early Years Educator)
Level 3 Diploma in Holistic Baby and Child Care (Early Years Educator)
Level 3 Diploma in Montessori Pedagogy – Birth to Seven (Early Years Educator)
Level 3 Diploma Steiner Waldorf Early Childhood Studies (Early Years Educator)
Unqualified
Other (Please Specify in box below)
Childcare Qualification Awarding college/Body
*
Other Childcare related Qualifications
Do you have a current driving licence?
Yes
No
Do you have access to a car?
Yes
No
Are you in good health and physically able to carry out this role as set out in the job description?
Yes
No
If No please give details of any medical complaint which may restrict your work:
Do you have any allergies or medical conditions we should be aware of?
Suitability To Work With Children
Are you on the DBS update service?
Yes
No
Have you ever had any convictions or police cautions including spent convictions?
Yes
No
Do you currently have any convictions which may bar you from working with children? A person may be disqualified through:
Having certain orders or other restrictions placed upon them.
Having committed certain offences.
Living in the same household as someone who is disqualified by virtue of the above points. This is known as disqualification by association.
Yes
No
If you have answered yes to any of the above questions, please provide details:
Rehabilitation Of Offenders
The Rehabilitation of Offenders Act 1974 allows certain people to consider their criminal convictions as ‘spent’ meaning that they don’t have to reveal those convictions when applying for jobs. This job is exempt from the provisions of the Act in order to protect the children in our care. As such you need to inform us of any criminal convictions you have received. Any of the information you give us will be treated as confidential and will not necessarily mean that your application will fail.
Have you ever been convicted of a criminal offence?
Yes
No
If yes, please give details
Asylum And Immigration Act
It will be a condition of employment that evidence of eligibility to work in the UK is provided. This evidence could include a Birth Certificate, Passport, P45, Pay Slip or National Insurance Card.
Declaration
I hereby confirm that the information I have provided in this application is, to the best of my knowledge, accurate and true. I understand that if I give any false or misleading information that my application may be rejected or, if I am offered a job, it might lead to dismissal.
Signature
*
Date
References
Please give details of two referees you have worked for, one of which must be your current or most recent employer. Please sign if you give permission for Little Leaders Preschool House to send for references prior to job offer.
Signature
*
Reference 1
Name of Organisation
Name of Referee
*
Job Title
*
Address
*
Telephone Number
*
Email Address
*
Reference 2
Name of Organisation
Name of Referee
Job Title
Address
Telephone Number
Email Address
Candidate Information
Candidates will be advised of the outcome of their application, as soon as practical.
We are an Equal Opportunities employer and the successful candidate will be selected on merit only.
We are committed to Safeguarding and promoting the welfare of children and expect all staff and volunteers to share this commitment. We carry out enhanced DBS checks on all staff and volunteers.
All appointments will be made on receipt of a satisfactory DBS clearance.
Data protection statement
The information that you provide on this form and that is obtained from other relevant sources will be used to process your application for volunteering. The personal information that you give us will also be used in a confidential manner to help us monitor our recruitment process.
We may check the information collected, with third parties or with any other information held by us. We may also use or pass to third parties, information to prevent or detect crime, to protect public funds, or in other ways as permitted by law. By signing this application form we will be assuming that you agree to the processing of sensitive personal data (as described above), in accordance with our registration with the Information Commissioner.
Equal Opportunities Monitoring
Little Leaders Preschool Day Nurseries Ltd is committed to a policy of equality of opportunity and aims to provide a working environment which is free from unfair discrimination and will enable staff to fulfil their personal potential. We aim to ensure that no individual is unjustifiably discriminated against on the basis of gender or marital status, race, ethnic or national origin, disability, religious or political beliefs, sexual orientation, age, family circumstance or other irrelevant distinction.
The information you provide will be treated as strictly confidential and will be used only for Equal Opportunities purposes. It will not be taken into consideration for short listing or interviewing purposes.
Little Leaders Preschool will adhere to the Equality Act 2010 which makes in unlawful to discriminate against ‘Protected Characteristics’. More information on this can be found in our Equal Opportunities and Equality policy.
Equal Opportunities Monitoring Form
This section of the application form will be detached and used solely for monitoring purposes. Please complete in block capitals and tick the boxes which most closely relate to you.
Gender
Please tick the boxes which describe you most closely:
Gender
*
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Male
Female
Prefer Not to Say
Ethnicity
Ethnic origin categories are not about nationality, place of birth or citizenship. They are about the group to which you as an individual perceive you belong.
Please indicate your ethnic origin by ticking the appropriate box below.
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Arab – Middle Eastern
Arab – North African
Asian or Asian British – Bangladeshi
Asian or Asian British – Indian
Asian or Asian British – Pakistani
Black or Black British – African
Black or Black British – Caribbean
Chinese
Japanese
Latin American
Mixed – White and Asian
Mixed – White and Black African
Mixed – White and Caribbean
Other Asian Background
Other Black background
Other Ethnic background
Other Mixed background
Other White background
If any ‘other’ category ticked, please specify if you wish:
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White – British
White – Irish
Prefer not to say
Nationality
*
Sexual Orientation
Religion Or Belief
Please tick the boxes which describe you most closely:
Bisexual
Gay Woman/Lesbian
Gay Man
Heterosexual/Straight
Other
Please tick the boxes which describe you most closely:
Other
Disability
The Equality Act 2010 defines disability as ‘A physical or mental impairment which has a substantial and long term adverse effect on a person’s ability to carry out normal day to day activities.’ Long term in this context means likely to last longer than 12 months or likely to recur. Please note that cancer, HIV and multiple sclerosis are covered by the Act from the point of diagnosis.
Do you have a disability as defined in the Equality Act 2010?
Yes
No
Prefer not to say
If yes, please state the nature of your disability or long term condition
Please indicate your current interview availability (Dates and Times)
*
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