Playworker Job Application form

When are you available to work? Please tick all that apply*

Weekends
School holidays
Evenings
After School (term-time)

Where would you like to work? Please tick all that apply*

Crawley
Dorking
Epsom
Godstone
Horley
Merstham
Redhill
Reigate
Tadworth

Which of our schemes would you like to work with? Please tick all that apply*

Disability play and youth schemes
After school clubs
School holiday clubs
Children's parties
Youth clubs / Youth work

Where did you see this post advertised?*

Personal information

Title*

First name*

Surname*

Address*

Post code*

Email address (this needs to be provided for the safe receipt of your form)*

Home phone*

Mobile phone*

Do you require a work permit to work in the United Kingdom?*

Yes
No

If yes, do you have one?

Yes
No

Training and education

Please list your academic and other relevant qualifications (and dates passed) starting with the most recent*

Employment

Please give details of your current or previous employment including job title, company name, and dates employed*

Supporting information

Why are you applying for this role? Please provide any relevant experience and skills that you have to meet the job description.*

Personal declarations

The position for which you are applying involves contact with children and/or vulnerable adults and is exempt from the Rehabilitation of Offenders Act 1974 and all subsequent amendments (England and Wales). For these positions you are not entitled to withhold information about police cautions, "bind-overs", or any criminal convictions including any that would otherwise be otherwise considered "spent" under the Act.

Have you ever been convicted of any offence or "bound-over" or given a caution?*

Yes
No

If Yes, please give details

I understand that if my application is successful I will be required to obtain a DBS disclosure at the appropriate level.*

Yes

General Data Protection Regulation

Please note that it is our policy that all recruitment documents, including application forms, for unsuccessful applicants, are kept in secure conditions for a period of 12 months, after which they will be securely destroyed.

I give my consent for YMCA East Surrey to keep my data for up to 12 months for the purpose of recruitment to the role applied for and for consideration for any other suitable vacancies that may arise during this time.*

Yes

If I accept employment with YMCA East Surrey, I consent to my personal information being held securely by the organisation for the purpose of the administration of my Contract of Employment.*

Yes

Declaration (please read carefully)

I declare that the information I have given on this form is complete and accurate and that I am not banned or disqualified from working with children and/or vulnerable adults nor subject to any sanctions or conditions on my employment imposed by The Independent Safeguarding Authority, the Secretary of State or a regulatory body.
I understand that to knowingly give false information, or to omit any relevant information, could result in the withdrawal of any offer of appointment, or my dismissal at any time in the future, and possible criminal prosecution.

Your name*

Date (DD/MM/YYYY)*

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