Job Application Form
Today's date
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Day
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Month
Year
Date
YYYYMMDD
Name of form
Which nursery are you applying for?
*
Please Select
Apple Tree
Busy Bodies
Hay Barn
Kensal House
Little Acorns
Little Cherubs
Little Green House
Parsons House
Puddle Ducks
Savernake
Snapdragon
Treetops
Willow Tree
Woodstock
Central Team
Which position are you applying for?
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Your details
Your name
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First Name
Last Name
What is your date of birth?
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Day
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Month
Year
Date
Have you ever gone by a different name in the past?
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Yes
No
Please list any names you have previously used, including the dates you used each name. Add more names as needed. If you can't remember the exact dates, please put the 1st of the month
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Email
*
example@example.com
Mobile phone number
*
Your current address
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Address Line 1
Address Line 2
County
Postcode
How many addresses have you lived at over the last 5 years?
*
Please Select
Only 1
2
3
4
5
More than 5
List all other addresses you have lived at in the past 5 years. If you can't remember the exact dates, please put the 1st of the month
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Living abroad
Have you lived abroad in the last 5 years for a period of 6 months or longer?
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Yes
No
Were you ever employed when you worked abroad?
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Yes
No
Were you ever employed working with children whilst you were abroad?
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Yes
No
List all the countries where you have lived for more than than 6 month in the past 5 years. If you can't remember the exact dates, please put the 1st of the month
*
Please explain why were you living abroad?
*
Please provide the dates you lived abroad and the country of residence
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Citizenship
Nationality
*
Please Select
British
Afghan
Albanian
Algerian
American
Andorran
Angolan
Antiguan and Barbudan
Argentine
Armenian
Australian
Austrian
Azerbaijani
Bahamian
Bahraini
Bangladeshi
Barbadian
Belarusian
Belgian
Belizean
Beninese
Bhutanese
Bolivian
Bosnian
Botswanan
Brazilian
Bruneian
Bulgarian
Burkinabé
Burmese
Burundian
Cabo Verdean
Cambodian
Cameroonian
Canadian
Central African
Chadian
Chilean
Chinese
Colombian
Comorian
Congolese (Congo-Brazzaville)
Congolese (Congo-Kinshasa)
Costa Rican
Croatian
Cuban
Cypriot
Czech
Danish
Djiboutian
Dominican
Dominican (Dominican Republic)
Dutch
East Timorese
Ecuadorian
Egyptian
Emirati
Equatorial Guinean
Eritrean
Estonian
Ethiopian
Fijian
Filipino
Finnish
French
Gabonese
Gambian
Georgian
German
Ghanaian
Greek
Grenadian
Guatemalan
Guinean
Bissau-Guinean
Guyanese
Haitian
Honduran
Hungarian
Icelandic
Indian
Indonesian
Iranian
Iraqi
Irish
Israeli
Italian
Ivorian
Jamaican
Japanese
Jordanian
Kazakh
Kenyan
Kiribati
North Korean
South Korean
Kosovar
Kuwaiti
Kyrgyz
Laotian
Latvian
Lebanese
Liberian
Libyan
Liechtensteiner
Lithuanian
Luxembourger
Maldivian
Malian
Maltese
Marshallese
Mauritanian
Mauritian
Mexican
Micronesian
Moldovan
Monegasque
Mongolian
Montenegrin
Moroccan
Mozambican
Namibian
Nauruan
Nepalese
New Zealander
Nicaraguan
Nigerien
Nigerian
Norwegian
Omani
Pakistani
Palauan
Palestinian
Panamanian
Papua New Guinean
Paraguayan
Peruvian
Polish
Portuguese
Qatari
Romanian
Russian
Rwandan
Saint Lucian
Saint Vincentian
Salvadorean
Samoan
San Marinese
Saudi
Senegalese
Serbian
Seychellois
Sierra Leonean
Singaporean
Slovak
Slovenian
Solomon Islander
Somali
South African
South Sudanese
Spanish
Sri Lankan
Sudanese
Surinamese
Swazi
Swedish
Swiss
Syrian
Tajik
Tanzanian
Thai
Togolese
Tongan
Trinidadian/Tobagonian
Tunisian
Turkish
Turkmen
Tuvaluan
Ugandan
Ukrainian
Uruguayan
Uzbek
Vanuatuan
Venezuelan
Vietnamese
Yemeni
Zambian
Zimbabwean
Do you hold any other citizenships?
*
Yes
No
What other citizenships do you hold?
*
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Safeguarding
Have you ever been convicted of a criminal offence?
*
Yes
No
Have you ever been involved in an incident that has/may raise questions about your suitability to work with children (for example, a safeguarding concern)?
*
Yes
No
Have you ever been involved in an incident that has/may result in disciplinary action?
*
Yes
No
Are you on the DBS update service?
*
Yes
No
Please provide your DBS number
*
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Right to work
Do you have the right to work in the UK?
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Yes
No
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Current or most recent employer
If you are unsure of exact dates, please put the the first of the month
When did you leave school?
*
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Day
-
Month
Year
Date
Have you been employed since leave school?
*
Yes
No
Are you currently employed?
*
Yes
No
Who is your most recent employer?
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Who is your current employer?
*
When did you start working here?
*
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Day
-
Month
Year
Date
When did you finish working here?
*
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Day
-
Month
Year
Date
Does this job involve working with children?
*
Yes
No
Why are you looking to change job?
*
Please Select
Higher Salary/Better Benefits
Career Advancement
Work-Life Balance
Workplace Environment
Health Reasons
Career Change
Family Responsibilities
Maternity/Paternity Leave
Company Restructuring
Business Closed
Completed Studies
Return to Studies
Contract Ended
Retirement
Involuntary Termination
Other
Why did you leave this job?
*
Please Select
Higher Salary/Better Benefits
Career Advancement
Work-Life Balance
Workplace Environment
Health Reasons
Career Change
Family Responsibilities
Maternity/Paternity Leave
Company Restructuring
Business Closed
Completed Studies
Return to Studies
Contract Ended
Retirement
Involuntary Termination
Other
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Employment and Education History
Please provide a complete history of your activities since leaving school, including education, employment, voluntary work, training, and any periods not working. Please ensure the timeline covers all periods without leaving gaps of more than three months. If there is any period longer than three months that is not explained, you will be asked to clarify this at interview. If you cannot remember the exact dates, please enter the 1st of the relevant month. Example: If you left a job and then spent four months looking for work, you should record this as an activity (e.g. “Seeking employment”) and include the relevant dates for that period.
*
Please provide a complete history of your activities since leaving school, including education, employment, volunteer work, and any breaks for personal reasons. Add more roles or positions as needed. If you can't remember the exact dates, please put the 1st of the month
*
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Qualifications
Do you have a qualification that meets the Department of Education's criteria for counting in staff:child ratios in an early years setting?
*
Yes
No
When did you achieve this qualification?
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Day
-
Month
Year
Date
When did you achieve this qualification?
*
Please Select
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
What is the name of this qualification? (e.g., Level 3 Diploma in Early Years Education and Care)
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What is the name of the awarding organisation? (e.g., NCFE or City of Guilds)
*
What is the qualifcation number? (e.g., 601/2147/6)
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What is the highest qualification you have achieved? Please include the type (e.g., GCSE, A-Level, Bachelor's Degree), subject, grade, and year. Add more rows as needed
*
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Training
Please place a check mark next to any of the trainings you have completed within the past three years
Safeguarding
Advanced Safeguarding for DSLs
Safer Sleep
Food Hygiene
Food Allergens
Baby or Under 2s
Prevent Duty
FGM
Online Safety or e-Safety
Safer Recruitment
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Personal statement
Please provide a statement of the personal qualities and experience that you believe are relevant to your suitability for the post and how you meet the person specifications. Explain why you are interested in this position and what skills, knowledge and ideas you could bring to the role
*
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Upcoming holiday or time-off
Do you have any upcoming holidays or planned time off that we should be aware of?
*
Yes
No
Please list any upcoming dates for holidays or planned time off. Add more rows as needed
*
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References
How many employers have you had (in total across your career)?
None
One
More than one
Are you currently employed?
Yes
No
Are you currently employed working with children?
Yes
No
Have you worked with children before?
Yes
No
Have you worked with children with more than one employer?
Yes
No
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First Reference
Your first reference must be from:
A character reference
Where you currently work
Your most recent employer
Where you most recently worked with children
Professional references must come from one of the sources listed below. Please confirm who will be providing your reference:
Manager / General Manager
Business Owner / Director
HR Manager / HR Representative
Head Teacher / Head of School
Character references must come from one of the sources listed below. Please confirm who will be providing your reference:
Teacher / Head Teacher
College Lecturer / Tutor
Training Assessor / Course Provider
Scout Leader / Youth Group Leader
Charity / Volunteer Organisation Leader
Community Organisation Leader
Sports Coach / Club Leader
Faith Leader
The name of your first reference
*
First Name
Last Name
Your reference's job title
*
What is the name of the company where you worked together?
*
How long have your known this person?
*
How do you know this person?
*
What is the telephone number of your reference? This must be a work telephone number for work references
*
What is the email address of your reference? This must be a work email address for work references
*
example@example.com
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Second Reference
Your second reference must be from:
A character reference
Where you currently work
The last company you worked at before your current job
The last place you worked excluding the company providing your first reference
Where you most recently worked with children excluding the company providing your first reference
Professional references must come from one of the sources listed below. Please confirm who will be providing your reference:
Manager / General Manager
Business Owner / Director
HR Manager / HR Representative
Head Teacher / Head of School
Character references must come from one of the sources listed below. Please confirm who will be providing your reference:
Teacher / Head Teacher
College Lecturer / Tutor
Training Assessor / Course Provider
Scout Leader / Youth Group Leader
Charity / Volunteer Organisation Leader
Community Organisation Leader
Sports Coach / Club Leader
Faith Leader
The name of your second reference
*
First Name
Last Name
Your reference's job title
*
What is the name of the company where you worked together?
*
How long have your known this person?
*
How do you know this person?
*
What is the telephone number of your reference? This must be a work telephone number for work references
*
What is the email address of your reference? This must be a work email address for work references
*
example@example.com
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Declaration
I confirm that the information provided in this form is accurate and complete to the best of my knowledge
*
Yes
I am happy for the nursery to contact my references. Note: your current employer will not be contacted without your prior consent
*
Yes
I understand that an enhanced criminal background (DBS) check is necessary for all those working in childcare
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Yes
I understand it is an offence to apply for a role at the nursery if I am barred from engaging in regulated activity relevant to children
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Yes
I understand that before starting work I will be asked to a full Health Declaration Form outlining any medical history that may affect my suitability to care for children
*
Yes
I consent to my data being used and held in accordance with the nursery's privacy policy
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Yes
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Preparation for interview
The interview process involves an in-person interview and may also involve a trial at the setting. Are there any adjustments needed for you to fully partake in the interview process?
*
Yes
No
Please let us know what adjustments are needed
*
As part of our safer recruitment process, we may record interviews to ensure we have an accurate record of what was discussed. This helps us evidence a thorough and consistent process, supports safeguarding screening, and allows for internal review to ensure fairness, quality, and consistency across interviews. Your consent is entirely optional, and your decision will not affect your application in any way. If you select “Yes”, we will confirm this again with you before any recording takes place. Do you consent to your interview being recorded for these purposes?
*
Yes
No
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Signature
I declare that I have completed this form to the best of my knowledge and understanding. If any amendments or updates are required regarding the information provided on this form, I will notify the nursery
*
Setting
Info@ email v2
example@example.com
SM email v2
example@example.com
Minoa HQ
HR
example@example.com
Minoa email
example@example.com
Submit
Submit
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