Poplars Daycare Nursery Swindon - Employment Opportunities

If you wish to be considered for a childcare position at Poplars Daycare Nursery, please fill in the form below.

All information given in this application will be treated in confidence. If you need to send us more information, please email us at enquiries@poplars-nursery.co.uk

Position applying for:

Title:
First Name:	Surname:
Address:	Post Code:
Address:	Country:
Telephone (required):	Fax:
Mobile/Cellular Phone:	Email (required):
Date Of Birth (optional):	Do you hold a current driving licence? Yes No
Date available (if appointed):

Education and Qualifications Received Please list all qualifications relevant to the post (eg. First Aid)
Dates: From - To	Name and Address of College or Other Institution:	Qualification (including date gained)	Grade
Further Education
Secondary Education

Other Courses Please give details of any other course currently being undertaken including whether attended as an evening class or on day release and expected duration.
Dates: From - To	College or Other Institution:	Qualification on Completion	Evening / Day Release

Employment History Please list all Employers putting the most recent first.
Employer Name and Address	Date From	Date Until	Position Held Please give brief details of responsibilities	Reason for leaving and final salary
Current Employment
Previous Employment

Please list your hobbies and interests:

Your interest in Poplars Daycare Nursery
Please indicate why you wish to apply for this particular position at Poplars Daycare Nursery. You may wish to use the following topics as a guideline:
(i) The reasons why this positions interests you.
(ii) Your background and experience and relevance to the job.
(iii) Your personal strength and interests and relevance to the job.
(iv) Your career development and training interests.

Additional Information
Have you any physical disability or had any major recurring illness over the past 5 years? If Yes, please give details:	Yes No
Are you registered disabled?	Yes No
Do you have a health problem or disability which is relevant to your job application? If Yes, please give details:	Yes No
Criminal Convictions These quesions are subject to the provisions of the Rehabilitation of Offences Act (974). You are legally entitled to withhold information about convictions which may, under the Act, be regarded as spent.
Do you have any criminal convictions? If Yes, please give full details of the nature of the offence, court and date of convictions and sentence.	Yes No
Have you received cautions or binding over orders? If Yes, please give full details:	Yes No
Are you subject to any outstanding criminal proceedings that may result in a conviction? If Yes, please give full details:	Yes No

References Please give the names and addresses of two referees, one of which should be current or last employer or head-teacher (if a school leaver). Please indicate their status and relationship to you.
Referee 1		Referee 2
Name:		Name:
Address:		Address:
Telephone:		Telephone:
Status:		Status:
Relationship:		Relationship:

Declaration I understand that any false or misleading information given in this application may, if I am appointed, result in my contract of employment being declared invalid. I declare that to the best of my knowledge, the above information and that submitted in any accompanying document(s) is correct.
Signed (enter your full name):
Date: