Job Application (SV) | Kiddies Kottage Nursery School

Private and Confidential

Position Applied For *

Title *

Forename *

Surname *

Street Address *

City *

ZIP / Postal code *

Date of Birth *

Nationality *

Telephone No. *

Mobile No. *

Are there any restrictions on you taking up employment in the UK? *YesNo

(if yes, please provide details)

Education

Secondary School, Qualifications and Dates *

Colleges/Universities, Qualifications and Dates *

Other Qualifications

Training

Please give details of any courses or training you have taken

Course Title *

Training Provider *

Duration *

Dates *

Awards (if any)

Experience

Please tell us how your skills, knowledge and experience match the requirements of the job. Please make sure that you refer to the person specification and also include:

The reasons why you are applying for this post
The personal qualities and experience that you feel are relevant to your suitability for the post.

Employment History

Please complete in full and use a separate sheet if necessary

From-To *

Name & Address of Employer *

Job Title & Duties *

Start/EndSalary *

Reason for Leaving *

Reference

Please note the names and addresses of two professional persons from whom the company may obtain both character and work experience references.

Reference 1

Name *

Street Address *

City *

ZIP / Postal code *

Contact Phone *

Reference 2

Prefix

First Name *

Middle Name

Last Name *

Street Address *

City *

ZIP / Postal code *

Contact Phone *

Leisure

Please note here your leisure interests, sports, hobbies, other pastimes *

Criminal Record

Criminal Record details *Please note any criminal convictions except those ‘spent’ under the Rehabilitation of Offenders Act 1974. If none, please state. Employment is dependent upon obtaining a satisfactory enhanced disclosure from the Disclosure and Barring Service (DBS).

Reason for Application *Please note any criminal convictions except those ‘spent’ under the Rehabilitation of Offenders Act 1974. If none, please state. Employment is dependent upon obtaining a satisfactory enhanced disclosure from the Disclosure and Barring Service (DBS).

General Comments

Any Impairments *Do you have a physical or mental impairment which has a substantial and long term effect on your ability to carry out day to day activities?YesNo

Special impairment arrangementsPlease specify any special arrangements for work associated with any impairment.

Special interview arragementsPlease specify and special arrangements you will need to attend an interview.

Special impairment arrangementsPlease specify any special arrangements for work associated with any impairment.

Do you suffer any disorder? *Please list any disease, disorder, allergies, muscular or musculoskeletal injuries from which you have suffered or do suffer.

Are you on any medication? *Please detail any form of medicine, drugs or treatment you are currently and/or regularly receiving.

Absences work? *Please list all absences from work in the past 12 months and the reasons form such absences.