SECTION A: (Personal Details) If you are not a British passport holder or a European Citizen, or you do not have the permanent right to remain in the UK, you will require a work permit.Username Title First Name Any other names you are known by? Last Name E-mail Address Phone Number Nationality At Birth National Insurance Number: Password Confirm PasswordDo you need a work permit to be employed in the UK?YesNoIf you already have a work permit, when does it expire? SECTION B: Present or Most Recent Employment It is important you provide exact dates of work history (dd/mm/yy)Title of Post Type of Business Name, Address & Postcode of Current Employer Date Commenced Date Ended Name of Line Manager Salary Please outline your main responsibilities, to whom you are/were responsible and staff responsible to you (if applicable)Reason for leaving / wishing to leave Notice Period SECTION C: Previous Work History / Experience . Please list all of your work & voluntary experience dating back to when you left education. It is important you provide exact dates of work history (dd/mm/yy). Please list in order starting with your most recent employment.Date: From and To Position Held? Employer Name, Address & Type of BusinessName of Line Manager Reason for leaving If anymore previous work,please add below SECTION D: Gaps in Educational History Please explain any gaps in your employment and education history. Gaps are considered as any period longer than 4 weeks. Any gaps not listed will affect short-listing.Any Educational Gaps SECTION E: Educational History (Please list all education and higher education)Date: From and To Training Establishment School / College / University Qualification Obtained Grade Obtained If anymore educational history SECTION F: Professional Courses & Qualifications Original documents will be required at interview as proof of qualification. Please state your most recent qualifications first. Please ensure all qualifications required for the post are listed.Date: From and To Relevant Educational or Training Course Training Establishment Are there more courses?YesNoInformation on other courses SECTION G: Skills, Experience & Knowledge Please state the reasons why you wish to apply for the position and give details any experience, skills and training you think is relevant together with any other information in support of your application Please ensure you refer to the person specification and use examples that demonstrate how you meet the criteria.Reasons for applying SECTION H: References Professional Reference: Please provide at least two professional references (who are not friends or relatives).It is important that your professional references are/were line managers who can comment on your work practice. One reference must be from your current or most recent employment. You may wish to provide 3 professional references in order to speed up the recruitment process. It is important you provide exact dates of work history (dd/mm/yy). Please list in order starting with your most recent employment.Name & Job Title Company Name and Address In what capacity does the referee know you? Employment Dates Contact Number & Professional Email Address Second RefereePlease state if we may obtain your references prior to interviewYesNoCharacter Reference: Please provide at least one Character Reference (who is not a friend or relative). You may wish to provide 2 Character References in order to speed up the recruitment process.Section I: Additional Information What activities outside work interest you? (State any positions held you consider relevant.)Activities you are interested in?Do you have a Drivers Licence?YesNoDrivers Licence UploadUpload Drivers Licence Upload UploadDo you own a car?YesNoHave you ever had a Safeguarding / CQC / Ofsted investigation against you?YesNoSafeguarding CQC DetailsHave you ever had a written warning or disciplinary?YesNoProvide Details or Warning or DisciplinaryDo you consider yourself to be disabled under the Disability Discrimination Act?YesNoDetails of Disability If selected for interview, do you require any assistance / adaptations to help you attend?YesNoIf Yes, what assistance/adaptations do you require?DECLARATION: Rehabilitation of Offenders Act 1974 Convictions and ‘Spent’ Convictions of a Criminal Nature This post is exempt from the provisions of the Rehabilitation of Offenders Act 1974 and, because of the sensitive nature of the duties that the post holder will be expected to undertake, a satisfactory Enhanced Disclosure will be required in the event of a successful application. Applicants are therefore not entitled to withhold information about convictions which for other purposes are ‘spent’ under the provisions of the Act, and in the event of employment any failure to disclose such convictions could result in dismissal or disciplinary action. The fact that conviction(s) have been recorded against you will not necessarily debar you for consideration for this appointment. As a condition of your contract as an employee working in a post which is exempt from the provisions of the Rehabilitation of Offenders Act 1974 and, because of the sensitive nature of the duties that you are expected to undertake, you are required to notify your line manager of any future criminal justice record details, including when you know you are under investigation for a criminal offence; or charged; and convictions, cautions, reprimands, warnings and other information so that Next Stage can take a view as to whether this has a bearing on your employment. Similarly, you are expected to have declared any past criminal record details as requested at the time of your application and appointment. Failure to comply with any of the above is likely to lead to disciplinary action which could include dismissal under the Disciplinary procedure. Have you ever been convicted of a criminal offence or been given an official written caution?YesNoIf yes, details of criminal offenceI understand that if my application is successful I will be required to obtain an enhanced DBS Disclosure deemed satisfactory by the Company and successfully registering with the Independent Safeguarding Authority I declare that the information I have given on this application form is complete and accurate and that I am not banned or disqualified from working with adults or children nor subject to any sanctions or conditions on my employment imposed by a regulatory body or the Secretary of State. I understand that to knowingly give false information, or to omit information, could result in the withdrawal of any offer of appointment, or my dismissal at any time in the future, and possible criminal prosecution.Sign with Full Name The information provided by you on this form as an applicant will be stored either on paper records or a computer system in accordance with the Data Protection Act 1998 and will be processed solely in connection with recruitment. You can also view our Privacy Notification for Employees and GDPR here: http://next-stageltd.org.uk/wp-content/uploads/Next-Stage-A-Way-Forward-Privacy-Notification-Employees-v1.0.docx ABOUT THIS NOTICE This Privacy and Cookie Notice provides information on how Arise Teen and Adult Support Services collects and processes your personal data when you visit our website or mobile applications. THE DATA WE COLLECT ABOUT YOU We collect your personal data in order to provide and continually improve our products and services. We may collect, use, store and transfer the following different kinds of personal data about you: Information you provide to us: We receive and store the information you provide to us including your identity data, contact data, delivery address and financial data. Information on your use of our website and/or mobile applications: We automatically collect and store certain types of information regarding your use of the Arise Teen and Adult Support Services marketplace including information about your searches, views, downloads and purchases. Information from third parties and publicly available sources: We may receive information about you from third parties including our carriers; payment service providers; merchants/brands; and advertising service providers. COOKIES AND HOW WE USE THEM A cookie is a small file of letters and numbers that we put on your computer if you agree. Cookies allow us to distinguish you from other users of our website and mobile applications, which helps us to provide you with an enhanced browsing experience. For example we use cookies for the following purposes: Recognising and counting the number of visitors and to see how visitors move around the site when they are using it (this helps us to improve the way our website works, for example by ensuring that users can find what they are looking for). Identifying your preferences and subscriptions e.g. language settings, saved items, items stored in your basket and Prime membership; and Sending you newsletters and commercial/advertising messages tailored to your interests. Our approved third parties may also set cookies when you use our marketplace. Third parties include search engines, providers of measurement and analytics services, social media networks and advertising companies. HOW WE USE YOUR PERSONAL DATA We use your personal data to operate, provide, develop and improve the products and services that we offer, including the following: Registering you as a new customer. Processing and delivering your orders. Managing your relationship with us Enabling you to participate in promotions, competitions and surveys Improving our website, applications, products and services Recommending/advertising products or services which may be of interest to you. Complying with our legal obligations, including verifying your identity where necessary. Detecting fraud. HOW WE SHARE YOUR PERSONAL DATA We may need to share your personal data with third parties for the following purposes: Sale of products and services: In order to deliver your products and services purchased on our marketplace from third parties, we may be required to provide your personal data to such third parties. Working with third party service providers: We engage third parties to perform certain functions on our behalf. Examples include fulfilling orders for products or services, delivering packages, analysing data, providing marketing assistance, processing payments, transmitting content, assessing and managing credit risk, and providing customer service. Business transfers: As we continue to develop our business, we might sell or buy other businesses or services. In such transactions, customer information may be transferred together with other business assets. Detecting fraud and abuse: We release account and other personal data to other companies and organisations for fraud protection and credit risk reduction, and to comply with the law. When we share your personal data with third parties we: Require them to agree to use your data in accordance with the terms of this Privacy and Cookie Notice, our Privacy Policy and in accordance with the law; and Only permit them to process your personal data for specified purposes and in accordance with our instructions. We do not allow our third-party service providers to use your personal data for their own purposes. DATA SECURITY We have put in place appropriate security measures to prevent your personal data from being accidentally lost, used or accessed in an unauthorised way, altered or disclosed. In addition, we limit access to your personal data to those employees, agents, contractors and other third parties who have a business need to know. They will only process your personal data on our instructions and they are subject to a duty of confidentiality. We have put in place procedures to deal with any suspected personal data breach and will notify you and any applicable regulator of a breach where we are legally required to do so. YOUR LEGAL RIGHTS It is important that the personal data we hold about you is accurate and current. Please keep us informed if your personal data changes during your relationship with us. Under certain circumstances, you have rights under data protection laws in relation to your personal data, including the right to access, correct or erase your personal data, object to or restrict processing of your personal data, and unsubscribe from our emails and newsletters. Show privacy policy Please confirm that you agree to our privacy policy Only fill in if you are not human Login Register