Recruitment Form - Inclusive Play Opportunities Project

Recruitment Application Form

Thank you for applying to work with us. We would like to make your application as easy as possible, so if you need help in completing this form, please contact us.Ensure that you clearly complete all sections. You may attach your CV or other relevant information to this form, but it is not essential to do so.

I am applying for the post of: Support Playworker

Closing date for applications:

Name*

Address

Street Address Street Address Line 2 City County Postal / Zip Code Country

Home telephone number

Mobile telephone number

Email*

National Insurance no.

Working in the UK

Are you a UK, EC or EEA National

. Yes

. No

If not, do you have evidence of entitlement to enter and work permanently in the UK

. Yes

. No

Date available to start if offered the post

Education, Qualifications & Experience

Educational establishment

Date range

Educational establishment 2

Date range 2

Educational establishment 3

Date range 3

Subject/Qualification

Place of study

Grade/Result

Year

Subject/Qualification 2

Place of study 2

Grade/Result 2

Year 2

What other experiences have you had that are relevant to this application? This may include voluntary or unpaid work, community work or experience/skills acquired outside of employment, such as caring for a family member. Please include start and end dates.

Current Employment

Employer’s name

Telephone no/email address

Employer’s address

Your job title

Type of business

Your start date

Reason for leaving

Previous Employment

Please list posts in date order.

Employer

Your job title.

Start date End date

Employer(1)

Your job title.(1)

Start date End date(1)(1)(1)

Employer(1)(1)

Your job title.(1)(1)

Start date End date(1)(1)

Employer(1)(1)(1)

Your job title.(1)(1)(1)

Start date End date(1)

Training
Please tell us about any relevant vocational or professional training, short courses or in-house training that you have undertaken.

Course title

Training provider

Duration

Completion

Course title(1)

Training provider(1)

Duration(1)

Completion(1)

Course title(1)(1)

Training provider(1)(1)

Duration(1)(1)

Completion(1)(1)

Course title(1)(1)(1)

Training provider(1)(1)(1)

Duration(1)(1)(1)

Completion(1)(1)(1)

Personal Statement – This section must be completed even if attaching a CV

CV upload

Referees
We will need to obtain references from two people willing to act as referees for you. One must be your current or most recent employer, or your tutor if you are a student. The other person cannot be a member of your family.

Referee name

Referee 1 address

Street Address Street Address Line 2 City County Postal / Zip Code Country

Referee 1 Telephone

Referee 1 email

Relationship to you:

How long have you known this referee?.

Can the referee be approached prior to interview?

. Yes

. No

Referee 2

Referee 2 address

Street Address Street Address Line 2 City County Postal / Zip Code Country

Referee 2 Telephone

Referee 2 email

Relationship to you

How long have you known this referee?

Can the referee be approached prior to interview?.

. Yes

. No

Declaration

I understand that any position offered to me is subject to two satisfactory references, an enhanced Disclosure and Barring Service (DBS) check and Criminal Offences Declaration. I understand that as this position involves substantial access to children and young people the post is considered exempt under the provisions of The Rehabilitation of Offenders Act 1974. I understand that I must inform IPOP of ANY and ALL offences, convictions, bindovers or of any pending court cases I may have.

I certify that, to the best of my knowledge, the information provided on this form is true and accurate. I understand that if any of the information I have supplied on this or any other document is false or misleading it may result in any employment being terminated.

I understand that the information provided on this form may be entered onto a computerised system. I give explicit consent that the information provided by me on this form may be processed in accordance with the Data Protection Act 1998 and authorize the disclosure of personal data when references are taken up. My personal details will not be released to third parties without my consent.

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