Step by Step - Application Form

Other Staff Application

Gender: *

First Name *

Last Name *

Registered name *

Date Of Birth *

Address *

Address Line 2

City

Town

Postcode *

Enter your Email *

Phone Number

Mobile Number *

National Insurance Number

Occupation *

If you're studying, then where?

Upload Profile Image:

Emergency Contact

Name *

Contact Number *

Doctor Info

Name *

Contact Number *

DBS

Place of birth *

DBS Number

DBS Date

If you dont have a DBS
Please upload a picture of 2 of either;

birth certificate
passport
driving license

additionally upload a bank statement

Qualifications

Do you have an up-to-date First Aid certificate?*

If yes what is your first aid certificate expiry date

Any other qualifications?

Position

What Department are you applying for?*

Do you have a work permit? *

Experience with special needs *

If so please describe:

What experience and / or skills do you have that would make you a good candidate for the position you are applying for? *

References

Upload your References:

Download a sample reference document

Download Reference Template

Bank Info

Bank Name *

Account Name *

Account Number *

Sort Code *

Employee statement

Select one

Your current job status

This is my first job since last 6 April and I have not been receiving taxable Jobseeker’sAllowance, Employment and Support Allowance, taxable Incapacity Benefit,State or Occupational Pension.

This is now my only job but since last 6 April I have had another job, or received taxableJobseeker’s Allowance, Employment and Support Allowance or taxable Incapacity Benefit.I do not receive a State or Occupational Pension.

As well as my new job, I have another job or receive a State or Occupational Pension

Student Loan

Do you have a Student Loan which is not fully repaid? *

Did you complete or finish your studies before the last 6 April? *

Are you repaying your Student Loan directly to the Student Loans Company by agreed monthly payments?*

What type of Student Loan do you have?*
Student Loan Plans
You will have a Plan 1 Student Loan if:
• You lived in Scotland or Northern Ireland when you started your course, or
• You lived in England or Wales and started your course before September 2012
You will have a Plan 2 Student Loan if you lived in England or Wales and started your course on or after 1 September 2012.

Postgraduate Loan

Do you have a Postgraduate Loan which is not fully repaid? *

Did you complete or finish your studies before the last 6 April? *

Are you repaying your Postgraduate Loan directly to the Student Loans Company by agreed monthly payments?*

I confirm that the information I have given on this form is correct.