Fillable Juventas RECRUITMENT Application Form April 2018 (Juventas Services)

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Juventas RECRUITMENT Application Form April 2018 (Juventas Services)

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The Juventas RECRUITMENT Application Form April 2018 (Juventas Services) form is 19 pages long and contains:

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5 check-boxes
219 other fields

Country of origin: UK
File type: PDF

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Application Form

Applicant’s Name:

Position Applied for:

Reference Number:

April 2018

Juventas are committed to safe recruitment. All prospective employees are

required to consent to a Disclosure and Barring Service (DBS) Check.

Juventas – Application Form (April 2018)

Application Form

Important Information for All Prospective Employees

Juventas Services Limited are committed to safe recruitment. All prospective employees are required to

consent to a Disclosure and Barring Service (DBS) Check, which will be carried out before work is

commenced. Failure to disclose on this application form any conviction subsequently revealed by the ‘DBS’

check will result in your application not being processed.

Juventas is an equal opportunities employer We welcome applications from all, irrespective of ‘race’, religion,

sex, disability, marital status and age.

Juventas – Application Form (April 2018)

Application Form

Application for Employment

Part One: Personal Details

Surname:

First Name(s):

Address:

(Below)

Gender:

Nationality:

Ethnic Origin:

Marital Status:

Date of Birth:

Postcode:

National Insurance Number:

(Below)

Telephone:

Mobile:

Email Address:

Do you hold a current Driving Licence?

Do you have regular use of a vehicle?

Do you have any motoring convictions?

If you have convictions, please explain below:

Include a brief account of the reason for the conviction and for how long the conviction(s) will remain in

place:

Are you a member of a professional body or organisation?

Name of organisation, professional group or body:

Membership Number:

Dated joined:

SELECT:

Juventas – Application Form (April 2018)

Application Form

Part Two: Present Employer

Name of Business/Organisation

Business Address:

(Below)

Nature of Business:

Department:

Job Title:

Responsible To:

Present salary:

Postcode:

Benefits:

Telephone:

Date Appointed:

Mobile:

Notice Required:

Please provide a summary of your duties and core responsibilities:

Please your reason for seeking other employment:

Is there anything else you wish to say about your present employment?

Juventas – Application Form (April 2018)

Application Form

Part Three: Previous Employment

IMPORTANT:

•

Please detail below your full employment history with the most recent employer first;

•

You are required to explain any gaps in employment and cross-referenced additional sheets may be

attached.

(Please include: (a) Your Name, (b) Post Applied For, and (c) the date).

Organisation/

Company Name

and Address

Job Title

Dates of Employment

Salary

Reason for Leaving

From

Day/Month/Year

Juventas – Application Form (April 2018)

Application Form

Part Three: Previous Employment

(Continued)!

Organisation/

Company Name

and Address

Job Title

Dates of Employment

Salary

Reason for Leaving

From

Day/Month/Year

Part Four: Present Situation

Do you have any other paid employment

(e.g. Consultancy work, seasonal or part-time

work, self-employment)?

Are you applying for this post on a Job Share basis?

How did you learn of this vacancy?

Newspaper Advert

Agency Website

Juventas’ Website

Friend or Acquaintance

Job Centre

Other (Please state below):

SELECT:

Juventas – Application Form (April 2018)

Application Form

Part Five: Education

(Attainment)!

IMPORTANT:

•

To be completed from Secondary Phase Schooling, including Further and Higher Education

Attainments;

•

Please detail your most recent attainment first.

Establishment Name &

Address

Dates

Qualification(s) Gained

Grade(s)

From

Juventas – Application Form (April 2018)

Application Form

Part Six: Professional Qualifications

IMPORTANT:

•

Please give details of any current professional qualifications you hold or are in the process of

obtaining, including level of membership of professional bodies;

•

Please detail your most recent attainment first.

Name of Institute/Professional Body

Examinations:

Date and Level

Qualification/Accreditation

Part Seven: Training

(Enter “N/A” if not achieved or completed)

Relevant Training Completed

Provider

Date

Level

Safeguarding Children and Young People

Safeguarding Adults

Countering Bullying

Countering Substance Misuse

Countering Child Sexual Exploitation (CSE)

Health and Safety (General)

First Aid

Administration of Medication

Equality and Diversity

Other:

Juventas – Application Form (April 2018)

Application Form

Part Eight: Information in Support of Your Application

IMPORTANT:

•

Please use this space (below) to give your reasons for applying for the vacancy.

Please include details of relevant experience and why you consider yourself suitable for the post.

Please attach additional sheets as required. Ensure that you have cross-referenced (a) your name, (b) post

applied for and the date.

Juventas – Application Form (April 2018)

Application Form

Part Nine: Disqualification & Suitability to Work with Vulnerable Groups

IMPORTANT:

•

The post for which you are applying is covered by the Safeguarding Vulnerable Groups

Act (SVGA) 2006 and, where appropriate, disqualification from Caring for Children Regulations

(2002). You are therefore required to complete this form before you are considered for the post.

Surname:

First Name(s):

Date of Birth:

Has child of yours at any time been the subject of a Care Order?

Has an order been made at any time to remove a child from your care or to prevent a child

living with you?

Have you ever been concerned with a voluntary or registered home, which has been

removed from the register?

Has an application made by you for registration of a voluntary or registered home ever been

refused?

Have you ever been prohibited from being a private foster parent?

Have you ever been refused registration to be a child-minder or provider of day care, or had

your registration as either of these cancelled?

Have you (ever) been the subject of any of the following measures:

A child protection investigation:

Disciplinary Action:

Suspension Action:

Dismissal Action:

If “Yes” to any of the above, please provide details on a separate sheet. Ensure that the sheets used are

cross-referenced with: (a) Your Name, (b) Post Applied For, and (c) the date). Ensure all sheets are

identified (marked) as CONFIDENTIAL.

Signed:

Date:

SELECT:

Juventas – Application Form (April 2018)

Application Form

Part Ten: Health and Medical Details

Have you been absent from work through ill health for more than 5 days in total during the

last 12 months?

If Yes, please give reasons for your absences below and include the length of each period of absence.

PLEASE NOTE:

All new employees are required to complete a medical questionnaire and may be asked to undergo a medical

examination.

SELECT:

Juventas – Application Form (April 2018)

Application Form

Part Eleven: Rehabilitation of Offenders Act 1974 (Exceptions Order 1975)

IMPORTANT:

•

The provisions of this Act relating to the non-disclosure of criminal convictions do not apply to

certain occupations. The job for which you are applying is included in the excepted types of

employment under the above Order which means that no conviction can be considered spent and

all must be disclosed*. You are therefore required to answer the following question.

Have you ever been convicted of any criminal offence, received a caution or been bound over,

even as a juvenile?

If Yes, please give full details.

PLEASE NOTE:

All prospective employees are required to consent to an Enhanced Disclosure and Barring Service (DBS)

Check, which will be carried out before work is commenced. Failure to disclose on this application form any

conviction subsequently revealed by the ‘DBS’ check will result in your application not being processed.

SELECT:

Application Form

Part Twelve: Professional Referees

IMPORTANT:

•

You must include your current and a previous employer.

If aged under 25 chronological years, you

may use the Head of your previous educational establishment as one referee.

•

References from family and friends are not appropriate.

Name

(Please Include title):

Name

(Please Include title):

Name

(Please Include title):

Organisation/Company:

Post/Position:

Address (Including Postcode):

Address (Including Postcode

Telephone:

Email:

If None of The Above Are Your Present Employer Please Give Reasons below:

May references be taken up without further approval?

If appointed, how much notice are you required to provide?

Signature of this document confirms that all the information given by you is accurate, to the best of your

knowledge. N.B. The way in which you have completed the form will be part of the selection process.

Signed:

Date:

DATA PROTECTION ACT:

Please note that information on this form may be held on computer. Strict

confidentiality will be observed and disclosures will only be made for payroll and administration processes.

Juventas – Application Form (April 2018)

SELECT:

Juventas – Application Form (April 2018)

Application Form

Protecting Children and Young People

Everyone who works with children and young people has a responsibility for keeping them safe. Juventas

Services Limited are fully committed to safeguarding the welfare of everyone who uses our services. The

company is clear that this expectation is the primary duty of all staff and volunteers.

Our staff know that:

• If, at any point, there is a risk of immediate serious harm to a service user a referral will be made to

Multi-Agency Safeguarding Hub (MASH) or Adult Social Care;

• Anybody can make a child protection or adult social care referral;

• Information must be shared on a need-to-know basis only;

• The duty of care and safeguarding for all service users is paramount.

No form of inappropriate behaviour around service users will be tolerated.

Juventas – Application Form (April 2018)

Application Form

Juventas Services Limited (Registered Office)

Floor – 196 Deansgate – Manchester – M3 3WF

Juventas Services Limited (HUB)

36a Waldemar Avenue – Hellesdon – Norwich – NR6 6TB

Juventas Services Limited

Registered in England and Wales under

Company Number: 09763319

Juventas Services Application Form

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