JOB APPLICATION FORM

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Date of Birth *

Email *

National Insurance number *

Which Nursery are you apply to?

Desired salary:

Phone *

What position are you applying for? *

Available start date: *

Do you have the right to work in the UK? *

Please detail any additional personal information which could not be entered above, such as overseas living/teaching/DBS information/Online search

School/college/training attended

School/college/training attended (copy)

School/college/training attended (copy) (copy)

Start date (month/year)

Start date (month/year) (copy)

Start date (month/year) (copy) (copy)

End date (month/year)

End date (month/year) (copy)

End date (month/year) (copy) (copy)

Qualifications obtained

Qualifications obtained (copy)

Qualifications obtained (copy) (copy)

Please detail all qualifications you hold including up to date Safeguarding and Child Protection, First Aid, Health and Safety and Food Hygiene certificates you may hold:

Certificate obtained

Certificate obtained (copy)

Certificate obtained (copy) (copy)

Certificate obtained (copy) (copy) (copy)

Expiry date if applicable

Expiry date if applicable (copy)

Expiry date if applicable (copy) (copy)

Expiry date if applicable (copy) (copy) (copy)

Awarded by

Awarded by (copy)

Awarded by (copy) (copy)

Awarded by (copy) (copy) (copy)

Do you have prior knowledge of EYFS? *

Yes
No

Do you have prior knowledge of the Reggio Emilia Approach?

Yes
No

Additional Education Information

Please detail any additional education information which could not be entered above: School/college/ training centre , start/leave dates, qualification obtained:

Work History

Please detail your work history chronologically from most recent to first. Should there be any periods of unemployment/study leave, please detail this in the additional information section at the end of this section. Your work history should cover any positions held for a minimum of 15 years.

As per safer recruiting guidelines, all gaps in employment must be accounted for within the application form. Failure to do so may delay the processing of your application.

What is your current employment status? *

Employed
Self-Employed
Unemployed
Student

Company

Manager

Address

Address Line 1

Address Line 2

City

State

Zip Code

Contact for a reference?

Your job title and responsibilities

Final salary

Reason for leaving

Date employed from

Date employed to

Additional Work Information

Please detail any additional work information which could not be entered above: Name of employer, job title, responsibilities and start/leave dates

Reference Information

Please list 3 professional references. If three professional references are unobtainable, please provide 2 professional and 1-character reference. All references must cover a minimum of the last 5 years.

Name *

First

Last

Email *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Relationship to Referee

Company and position held

Phone

Name *

First

Last

Email *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Relationship to Referee

Company and position held

Phone

Name *

First

Last

Email *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Relationship to Referee

Company and position held

Phone

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my application being withdrawn and I will be disqualified. If I am appointed this could lead to dismissal. I understand that a Criminal Records check will be carried out before employment commences. *

I Agree

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my application being withdrawn and I will be disqualified. If I am appointed this could lead to dismissal. I understand that a Criminal Records check will be carried out before employment commences. *

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Additional Education Information

Additional Work Information

Reference Information

ATELIER 21 FUTURE SCHOOL

JOB APPLICATION FORM

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Additional Education Information

Additional Work Information

Reference Information

ATELIER 21 FUTURE SCHOOL

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