Children and Youth Worker Job Application

Job Application Form to complete online

Click on the above link, then click on “edit a copy” to complete the form.

If you require further space please write on a blank sheet of paper and attach it to the application form.

Please email the completed form to vicar@nwanglicanchurch.co.uk

For information only – Job Application details are below

Registered Charity No. 1172631

APPLICATION FORM
1. Personal Information
Title:	Forename(s):			Surname:
Known as:
Any previous names by which you have been known:
Date of Birth:
Home Address: Postcode:
Daytime Tel No:		Mobile Tel No:			Evening Tel No:
Email Address:
Do you hold a current full driving license and have use of a car for work? YES/NO
2. Education, Training & Qualifications Information Please give details of any relevant training and qualifications which you feel equip you to work with children and young people. Please include dates, qualification achieved and grade.

3. Employment & Voluntary Work Experience Please provide a full history since leaving school – education, employment and voluntary work, as well as an explanation of any gaps, including present (or most recent) employment and reason for leaving. Please include a sentenced about the main responsibilities for each post.

4. Church Involvement Please provide a full history (with dates wherever possible) of your church involvement (current and previous).

5. Why do you want to be a Children’s and Youth Worker? Please tell us why you wish to apply for this post and the skills & qualities you think you would bring. Please refer specifically to the job description and describe how you meet the criteria.

6. Health Information Please provide information about any disability or health issue that we should be aware of in order that we can identify what support or reasonable adjustments we can provide for you to undertake duties safely.

7.Criminal Record Have you ever been convicted of an offence involving fraud, theft or other dishonesty, or any other offence which may have a bearing on your employment? If ‘No’, please state that. If ‘Yes’, please give details. (You should not mention any ‘spent’ conviction from which you are rehabilitated under the provision of the Rehabilitation of Offenders Act 1974).

8. Right to work Do you have a legal right to work in the UK? If ‘Yes’ and there are conditions attached, please specify.

9. References At least 2 references will be sought using the information provided at sections 3 & 4 above. Ideally one should be from your current or most recent employment. Please also provide details of personal referees here. Referees must be over 18 and not be family members or relatives. Please note that ‘Self-supplied’, ‘to whom it may concern’ and verbal references will not be accepted.
Name:			Telephone No:
Address (including postcode):			Email Address:
In what capacity do you know this person?
Name:			Telephone No:
Address (including postcode):			Email Address:
In what capacity do you know this person?
10. Declaration
Data Protection Act The information on this form will be used in compliance with the Data Protection Act 1998. By supplying information, you are giving your consent to the information being processed for all employment purposes as defined in that Act. You should note that checks may be made to verify the information provided and may also be used to prevent and/or detect fraud. This form will be kept strictly confidential but may be photocopied and may be transmitted electronically for use by those entitled to see the information as part of the recruitment process. I confirm that to the best of my knowledge the information I have provided on this form is correct and I accept that providing deliberately false information could result in termination of my post. I understand that any offer of appointment to this role is subject to satisfactory pre-appointment checks as well as completion of a Confidential Declaration Form and satisfactory disclosure from the Disclosure and Barring Service at the appropriate level, where this is a requirement of the role as stated on the job description. I understand that if I am appointed there will be a settling in period and that I will be expected to complete an induction programme and undertake relevant safeguarding training.
Signed:			Print Name:
			Date: