The White House Nursery Job Application Form

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* 1. Which nursery are you applying for?

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* 2. Position applied for?

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* 3. Personal Details

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* 4. Do you have a valid driving license? Do you have any endorsements?

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

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* 6. School attended - include dates

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* 7. Qualifications gained at school

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* 8. College and/or university - include dates

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* 9. Qualifications gained at College/university

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* 10. Any further formal training

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* 11. Job related training courses - include dates

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* 12. Qualifications gained

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* 13. Name of current/last employer

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* 14. Address of current/last employer

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* 15. Current/last job title 

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* 16. Description of duties at current/last job

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* 17. Reason for leaving your current/last job

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* 18. Length of service at your current/last job

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* 19. Notice required in current post (if applicable)

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* 20. CURRENT MEMBERSHIP OF PROFESSIONAL BODIES (i.e. CIPD, NMC)

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* 21. Please note any other employment you would continue with if you were to be successful in obtaining this position.

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* 22. References 1

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* 23. References 2

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* 24. Medical details - If you are offered employment, you will be required to complete a Pre-Employment Medical Questionnaire

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* 25. Interests, achievements, leisure activities  (e.g. hobbies, sports, club memberships)

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* 26. Supplementary information - Describe the relevant experience, skills and knowledge you can bring to this job and further information to support your application, e.g. past achievements, future aspirations, personal strengths. (please add extra sheets, if required)

 

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* 27. Do you have any criminal convictions?

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* 28. Do you live in a household where any other person has received any convictions, cautions, court orders, reprimands or other grounds for disqualification from the registration under the childcare (disqualifications 2009)

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* 29. Are there any dates that you would be unavailable for interview in the next 3 weeks?

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* 30. I confirm that the above information is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered without notice.

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* 31. Should we require further information and wish to contact your doctor with a view to obtaining a medical report, the law requires us to inform you of our intention and obtain your permission prior to contacting your doctor.

         I agree that the organisation reserves right the right to require me to undergo a medical examination.  In addition,
         I agree that this information will be retained in my personnel file during employment and for up to six years thereafter
         and understand that information will be processed in accordance with the Data Protection Act.

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* 32. I agree that should I be successful in this application, I will, if required, apply to the DBS/Disclosure for an Enhanced disclosure.  I understand that should I fail to do so, or should the disclosure not be to the satisfaction of the company any offer of employment may be withdrawn and/ or my employment terminated without notice.

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