Spark of Genius Application Form (England)

Spark of Genius Application Form (England)
Position Applied For*
Location*
Which Shifts are you applying for?*

DayNightEither
Name*

First NameLast Name
Date of application*
Copyright © Spark of Genius. All rights reserved. Updated Sept 2019

PART 1 - PERSONAL DETAILS
Name*

First NameLast Name
Are you now, have you ever been, or were you at birth known by a different name?*

NoYes - Please give details.
Address
House number/name*
Street*
City/Town*
Postcode*
Telephone Home*
Mobile*
Email*
Have you ever worked for Spark of Genius in the past including through an agency placement? If yes, please ensure detail is captured in employment history (along with all other agency or student placements)*

YesNo
Copyright © Spark of Genius. All rights reserved. Updated Sept 2019

PART 2 - PRESENT OR MOST RECENT EMPLOYER
Present or previous Employer (If unemployed please state dates).*
Building name or number*
Street*
City/Town*
Postcode*
Telephone*
Salary £*
Position held*
Full timePart time
Date started*
Notice period or leave date*
Key responsibilities of post and main achievements*
Reason for leaving/wishing to leave*
Copyright © Spark of Genius. All rights reserved. Updated Sept 2019

PART 2 - Contd..
Present or previous Employer (If unemployed please state dates).*
Building name or number*
Street*
City/Town*
Postcode*
Telephone*
Salary £*
Position held*
Full timePart time
Date started*
Notice period or leave date*
Key responsibilities of post and main achievements*
Reason for leaving/wishing to leave*
Copyright © Spark of Genius. All rights reserved. Updated Sept 2019

PART 3 - FULL EMPLOYMENT HISTORY (including any voluntary work, details of any agency placements, periods of training/education and accounting for any gaps in employment history - please provide explanations for any employment gaps)
Name of Employer*
Building name or number*
Street*
City/Town*
Postcode*
Start Date*
End Date*
Job Title and Main Duties*
Reason for leaving*
Name of Employer*
Building name or number*
Street*
City/Town*
Postcode*
Start Date*
End Date*
Job Title and Main Duties*
Reason for leaving*
Name of Employer*
Building name or number*
Street*
City/Town*
Postcode*
Start Date*
End Date*
Job Title and Main Duties*
Reason for leaving*
Name of Employer*
Building name or number*
Street*
City/Town*
Postcode*
Start Date*
End Date*
Job Title and Main Duties*
Reason for leaving*
Name of Employer*
Building name or number*
Street*
City/Town*
Postcode*
Start Date*
End Date*
Job Title and Main Duties*
Reason for leaving*
Name of Employer*
Building name or number*
Street*
City/Town*
Postcode*
Start Date*
End Date*
Job Title and Main Duties*
Reason for leaving*
Name of Employer*
Building name or number*
Street*
City/Town*
Postcode*
Start Date*
End Date*
Job Title and Main Duties*
Reason for leaving*
Name of Employer*
Building name or number*
Street*
City/Town*
Postcode*
Start Date*
End Date*
Job Title and Main Duties*
Reason for leaving*
Name of Employer*
Building name or number*
Street*
City/Town*
Postcode*
Start Date*
End Date*
Job Title and Main Duties*
Reason for leaving*
Copyright © Spark of Genius. All rights reserved. Updated Sept 2019

PART 4 - SCHOOL EDUCATION
Qualifications*

LevelSubject
GradeYear
LevelSubject
GradeYear
LevelSubject
GradeYear
LevelSubject
GradeYear
LevelSubject
GradeYear
LevelSubject
GradeYear
LevelSubject
LevelSubject
GradeYear
GradeYear
Copyright © Spark of Genius. All rights reserved. Updated Sept 2019

PART 5 - FURTHER EDUCATION
University/College/ProviderDegree or Qualification gained
Course Start DateCourse End Date
University/College/ProviderDegree or Qualification gained
Course Start DateCourse End Date
University/College/ProviderDegree or Qualification gained
Course Start DateCourse End Date
University/College/ProviderDegree or Qualification gained
Course Start DateCourse End Date
University/College/ProviderDegree or Qualification gained
Course Start DateCourse End Date
Copyright © Spark of Genius. All rights reserved. Updated Sept 2019

PART 6 - MEMBERSHIP/REGISTRATION OF PROFESSIONAL BODIES
Professional BodyRegistration No.
Conditions Affecting Registration
Year GainedExpiry Date
Professional BodyRegistration No.
Conditions Affecting Registration
Year GainedExpiry Date
Professional BodyRegistration No.
Conditions Affecting Registration
Year GainedExpiry Date
Please give details of any former registration with any professional bodies
Professional BodyRegistration No.
Conditions Affecting Registration
Year GainedExpiry Date
Reasons for ceasing to be registered

PLEASE USE THIS SPACE TO PROVIDE A WRITTEN STATEMENT IN SUPPORT OF YOUR APPLICATION, FOCUSING PARTICULARLY ON ANY SKILLS INCLUDING TRANSFERABLE SKILLS/EXPERIENCES/QUALITIES THAT YOU CAN OFFER OUR ORGANIZATION AND THE YOUNG PEOPLE THAT WE CARE FOR AND/OR EDUCATE.

PART 8 - REFERENCES – We will seek 3 references at the short listing stage. If you have been employed in a relevant sector (eg Care, Education, Vulnerable Groups), please provide these reference details prior to details for references out with these sectors with exception of your most recent employers. If you have worked abroad, please provide a reference for time worked abroad. Spark of Genius reserves the right to contact any previous employer to verify information regarding your employment to ensure the safe guarding of the young people in our care.
Most Recent/ALL Current EMPLOYERS must be listed as references
Name (Person must still be employed by company)*

First NameLast Name
Referees Job Title - (You must have reported to person at time you were employed)*
Dates you were employed here*

Date toDate From
Type a question*
Business Name*
Building name or number*
Street*
City/Town*
Postcode*
Telephone*
Business Email*
Contact*

YesNo
Previous employer (relevant sector as 1st option)
Name (Person must still be employed by company)*

First NameLast Name
Referees Job Title - (You must have reported to person at time you were employed)*
Dates you were employed here*

Date toDate From
Business Name*
Building name or number*
Street*
City/Town*
Postcode*
Telephone*
Business Email*
Previous employer (relevant sector as 1st option)
Name (Person must still be employed by company)*

First NameLast Name
Referees Job Title - (You must have reported to person at time you were employed)*
Dates you were employed here*

Date toDate From
Business Name*
Building name or number*
Street*
City/Town*
Postcode*
Telephone*
Business Email*

PART 9 - DECLARATION
- I certify that, to the best of my knowledge, all the statements made above are true and accurate and, in particular, that I have not omitted any facts which may have a bearing on my application.
- I give explicit consent that the information given on this form may be stored and processed in accordance to the Data Protection Act 1998.
- I hereby give permission for Spark of Genius (Training) Limited to take any necessary approach with regards to attaining a reference of my employment, professional history, and/or academic history and verify other information I have provided. Where applicable this may involve contacting my previous and or any current employers/associations (not only those given as referees if it is deemed there are more appropriate references or we require more information) including if applicable Job Centre Plus, Department for Work and Pensions, School or College. Any such information obtained will be used strictly with regard to the attached application in order to seek satisfactory clearance in line with the Safer Recruitment Policy.
- I am aware that providing false information could result in my application being rejected or may lead to summary dismissal if I am selected for a position within Spark of Genius. If I am registered with any professional body Spark of Genius will inform them that I have provided false information on my application form.
I understand the above Declaration*

YesNo
Name*

First NameLast Name
Date*
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