All mandatory fields are highlighted with a
red asterisk *
Surname*:
Title:
Forenames*:
Address 1*:
Address 2:
Address 3:
Post Code*:
Email Address:
Home Telephone Number*:
Mobile Telephone Number:
Nationality:
Date of Birth:
Marital Status:
Drivers Licence:
Car Owner:
EMPLOYMENT
REQUIRED
Type of Employment:
Days Available:
Monday
Friday
Tuesday
Saturday
Wednesday
Sunday
Thursday
Date Available to Start:
Hourly Rate Required:
£
per hour
Are
you willing to temp for the agency?:
Do
you want to be included in our babysitting register?:
PERSONAL
INFORMATION AND EXPERIENCES
Alphabet Childcare will prepare a CV to send to prospective employers.
In order for us to build an accurate picture of your character and
individual qualities, please complete the following sections in as much
detail as possible. If you already have a CV prepared, please email to
enquiries@alphabet-childcare.co.uk, and fill any other relevant information.
RELEVANT
CHILDCARE TRAINING
List all Childcare Diplomas and Certificates held:
Other training courses and certificates gained in first aid, health & safety
etc:
College practical placements (Include ages of children):
EDUCATIONAL
QUALIFICATIONS
Subjects, grades and dates:
Do
you speak any foreign languages? If so, please state language and
level:
HOBBIES AND
INTERESTS
Can
you Swim?:
How well?:
Can
you ride a horse?:
How well?:
Can
you play a musical instrument?:
How well?:
Can
you cook?:
How well?:
Other leisure activities and hobbies?
YOUR
PERSONALITY AND BACKGROUND
Describe your family
background, and mention any involvement with young siblings or other
relatives:
Describe your appearance and
energy levels:
Comment on your personality
and the qualities that you have to offer potential employers:
Describe how you would plan
a typical week with the children in your care:
CAREER HISTORY
Details of all employment
starting with the most recent
(Include dates, name of employer,
duties and reason for leaving):
Other childcare
experience and voluntary work
(Include baby sitting, creche work and brownies/cubs, etc):
REFERENCES
Reference 1
Reference 2
Name:
Address 1:
Address 2:
Address 3:
Postcode:
Telephone No.:
Working relationship to you:
Please confirm whether references may be applied for on receipt of this
application:
HEALTH AND
CRIMINAL STATEMENT
Under the current
legislation for the protection of children, we must ask the following
questions:
Have you recently been police
checked to work in a nursery
or as a childminder?:
If yes, when was the
police check carried out?
Have you ever been convicted of a criminal offence or been involved
in any criminal activities?:
If
yes, please give
full details:
Have you ever been subject
to disciplinary action?:
If
yes, please give
full details:
Have you ever been subject
to a complaint?:
If
yes, please give
full details:
HEALTH
Do
you smoke?:
Are you prepared to not
smoke
during the working day?:
Are
you a vegetarian?:
If yes, will you prepare and
cook meat for children?:
Do
you have any allergies?:
If yes, please specify:
Have you, during the last 5
years, undergone any investigation,
blood test, or attended a hospital
or clinic for treatment?:
If yes, please give
details and dates:
Have you ever had a period
of depression, mental illness or breakdown?:
If yes, please give
details and dates:
Have you, during the past 5
years, been absent from work/school/college through sickness or accident for more than one week?:
If yes, please give
details and dates:
Do you have any physical
defect,
or is there any ailment, disease or condition from which you suffer, or
which you have a tendency?:
If yes, please give
details and dates:
Are you presently taking any
medicines, drugs or receiving
any treatment?:
If yes, please give
details and dates:
I have read over
the replies within the Health & Criminal Statement and declare that to the
best of my knowledge and belief, the information given is correct and I have
not withheld any material fact. I understand that the agency must be
notified of any changes in my health or convictions prior to interviews with
prospective employers*.
EQUAL
OPPORTUNITIES
Alphabet Childcare
operates an Equal Opportunities Policy. In order that full
consideration can be given to your application, please complete this section
of the form. The information provided will be treated in confidence
but may be passed on to potential employers at the discretion of the agency.
Please select the option that best describes your ethnic origin:
Do
you consider yourself
to have a disability?:
If yes, please give details:
DECLARATION
I declare that to
the best of my knowledge, the information given is correct. Alphabet
Childcare may use the information to pass onto potential employers*