All sections, where applicable, must be completed

Please give details of Secondary and Further Education including any ‘A' Levels or equivalent vocational courses Dates

Please give details of all previous employments, full and part time, paid or unpaid, including those in a voluntary capacity. Please list in order, starting with the most recent first.

You are invited to provide further information in support of your application. Please make full use of this section, and continue on additional sheets if necessary. Please include: Example of what information you may require from the candidate
• Any information about your past experience in Childcare/Early Years/Playwork
• Details of any relevant experience gained at work, in a voluntary capacity, or at home
• Details of relevant training or positions of responsibility
• How do you meet the person specification/job description for the role

Please provide the names and addresses of two referees who can comment on your suitability for this position. (Note: If you are not currently working with children but have done so in the past, the second referee should be the employer by whom you were most recently employed/volunteering in work with children). References will not be accepted from relatives, or persons who only know you as a friend.
Additionally please note: We will contact these referees if your application is short listed for the position and where possible and seek reference before interview, please state if you would prefer for the reference to be taken up after interview. Also in relation to work with children we will seek information about any past disciplinary issues relating to children and/or child protection concerns you may have been subject to. If you have any concerns about this please contact: mrssamanthagreen@yahoo.co.uk

The position for which you are applying involves contact with children and is exempt from the Rehabilitation of Offenders Act 1974 and all subsequent amendments (England and Wales). For these positions you are not entitled to withhold information about police cautions, ‘binds-overs’ or any criminal convictions that include any that would otherwise be considered ‘spent’ under the Act. The amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are protected and are not subject to disclosure to employers, and cannot be taken into account. Guidance and criteria on the filtering of these cautions and convictions can be found at the Disclosure and Barring Service website. Green Garden Child Care is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults and expects all staff and volunteers to share this commitment. Please be aware that an enhanced DBS check will be required for any position with access to these individuals or sensitive information.

(please read carefully) For the purpose of the Data Protection Act 1998, I consent to the information contained on this form, and any information received by or on behalf of Green Garden Childcare relating to the subject matter on this form, being processed by them in administering the recruitment process.
By submitting this form I declare that the information I have given on this form is complete and accurate and that I am not banned or disqualified from working with children nor subject to any sanctions or conditions on my employment imposed by The Independent Safeguarding Authority, The Secretary of State or regulatory body. I understand that to knowingly give false information, or to omit any relevant information, could result in the withdrawal of any employment offer and possible criminal prosecution.