NCS Summer 2019 Staff Application Form

Title *

Name *

First Name Last Name

Email *

example@example.com

Phone Number *

Area Code Phone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Do you have any restrictions on your continued residence or employment in the UK? *

Yes No

Applications from ex-offenders are welcomed and will be considered on their merit. Convictions that are irrelevant to this job will not be taken into account. You are required to disclose any convictions, which are not 'spent' by virtue of the Rehabilitation of Offenders Act 1974. Have you been convicted of a criminal offence, which is not spent, as defined in the above Act in the UK?* *

Yes No

Please also confirm that you are not listed on the either of the following (as appropriate)* *

I confirm that I am not listed on the Children's Barred List I confirm that I am not listed on the Adult's Barred List I declare that I have no past convictions, cautions or bind-overs and no pending cause affecting why I might be considered unsuitable to work with children/vulnerable adults.

Do you have a valid enhanced DBS with children's barred list and currently registered online with the update service?* *

Yes No

Do you have a valid driving licence (and car) *

Yes, I have a driving licence Yes, I have a driving licence and car No

Summer 2020 dates

Wave 1 29th June – 24th July 2020 Wave 2 27th July – 21st August 2020

Which Wave would you like to work on? (dates below) *

*Summer 2020 Staff Training Days*

Saturday 20th and Sunday 21st June

*Attendance at both training days is mandatory and will be paid.*

If so, for which provider, in what role and when?

Employment History

Please upload your CV* *

Browse Files

Have you worked on the NCS programmes before? *

Yes No

Please tell us about your experience of working with young people in a voluntary or paid capacity *

Max 150 words

Do you have experience working in a residential setting? If yes, please give details and state whether it was paid/voluntary? *

Max 150 words

Please give the names and contact details of two referees whom we can contact to provide information in support of your application. One of these should be your current employer. If you are not in employment, please supply the name of your most recent employer or an academic reference (eg tutor or teacher). To assist us with our safeguarding responsibilities to children and vulnerable adults, we may seek references prior to interview. Please indicate below whether references may be taken up prior to an offer of employment being made and accepted and ensure that your referees are aware of this application.

Please detail any other relevant skills or experience in relation to this role. *

Max 150 words

Please tell us why you would like to work on NCS? *

Max 150 words

Please tell us about your experience in supporting or leading a group of people? *

Max 150 words

Organisation *

References

Referee 1: Name* *

First Name Last Name

Job title* *

Email* *

Organisation *

Email *

Telephone number*

Relationship to you* *

Telephone

Do you agree to this referee being contacted prior to an offer of employment being made?*

Yes No

Referee 2: Name* *

First Name Last Name

Job title* *

Relationship to you* *

Do you agree to this referee being contacted prior to an offer of employment being made?* *

Yes No

Declaration

If you have a disability, and there are any special arrangements which need to be made should you be shortlisted for interview, please contact us to notify us of these.

Under the General Data Protection Regulation (GDPR), Groundwork is required to notify applicants and prospective employees on how their data will be processed and used. All of this application form apart form the equal opportunities monitoring form will be retained by Groundwork for a maximum of six months, unless you are the successful applicant for the post, in which case the application form will become part of your employee record. Some of the data you provide is considered to be Sensitive Personal Data under the GDPR i.e. gender, race. This information will be used to assist us with recruitment monitoring. It will be held separately from application forms. It will also be held in computer format.

By submitting this form you are giving consent to Groundwork to use this data in the way described above. I confirm that the information I have given on this form is correct and complete and that misleading statements may be sufficient for cancelling any agreements made. I confirm I am not subject to immigration control (Asylum and Immigration Act 1996).

NCS Summer 2020 Staff Application Form