!TSN - Part Time Nursery Teacher TSN004 - Application Form
!TSN - Part Time Nursery Teacher TSN004 - Application Form
Applications are invited from people from all sections of the community, irrespective of their marital
status, sexuality, age, gender, disability, race, colour, nationality, ethnic, national origins, or religion,
who have the necessary attributes to meet the requirements of the job description and person
specification.
1. Personal details (please include all names that you have been known by in the past)
Address: …………………………………………………………………………………………………………….………………………………
2. Professional qualifications
Please give details if childcare qualifications (Please continue on a separate sheet of paper if need be)
3. Medical details
Do you have a medical condition which would prevent you from working with children? (Examples
may include difficulty with lifting, infectious disease or serious mental illness)
Yes No
Give details of your employment, volunteering, work experience, all paid and unpaid work for the
last five years. College leavers please give details of your last three placements. Most recent position
first. (Please continue on a separate sheet if needed)
Name and address of Position held and Start – leave dates Reason for leaving
employer / school salary
Name and address of Position held and Start – leave dates Reason for leaving
employer / school salary
Name and address of Position held and Start – leave dates Reason for leaving
employer / school salary
Please give details of relevant short courses you have attended with details of training providers/
dates:
6. Motivation, skills, abilities and knowledge relevant to the post
Please indicate your reasons for applying for the post. You are also invited here to give any additional
information which you wish to have taken into account in support of your application. Please link these
to the EYFS 2012 and demonstrate your ability to meet the person specification. You can also enlist
hobbies, spare time activities, interests, membership of voluntary organisations etc. (Continue on a
separate sheet of paper if necessary)
7. References
Please give details of two referees one of whom should be your current or most recent employer.
Both must be able to provide a professional and character reference.
Reference 1:
Address: ……………………………………………………………………………………………………………….…..……………………….
Reference 2:
Address: ……………………………………………………………………………………………………………….…..……………………….
We will make reasonable adjustments to help a person with a disability through the application &
selection process and, if successful, to assist you in carrying out the duties of your job.
8. Declaration
I declare that the information given on this form is correct and understand that any misleading
statements or deliberate omissions will be regarded as grounds for disciplinary action or criminal
prosecution.
I declare that I have/have not been convicted of any criminal offence spent or otherwise - (the post is
exempt from the Rehabilitation of Offenders Act 1974). Please give details of your most recent DBS
check: ……………………………………………
I confirm that I do not live with anyone who has been disqualified to work with children.
Panel members
Date of interview
Comments