PART-TIME CHILDREN & FAMILIES WORKER Application Form Please return this application form to Rev Gussie Walsh: by email [email protected] Or by post to The Rectory, Chapel Lane, Thornborough MK18 2DJ by 22nd December 2015

Personal Details:

Title:

Full name:

Home address:

Contact telephone number: Email:

Education and Training

Please give details of Secondary education

Name of school and date attended Examinations with grades

Please give details of any further education or other professional qualifications

Name of institution and date attended Detail of courses

Employment

Please give details of previous or current employment history (starting with most recent)

Name of employer and date Position held with brief description Christian Life:

Please tell us about your walk with faith, mentioning any important or significant events that have shaped your beliefs.

What is your current and recent involvement in church life?

Please give details of current church:

Name and town:

Dates attended: Name of Minister:

The Post:

With reference to the job description please tell us what you feel you can bring to this role.

Please tell us what your particular strengths are and any weaknesses you may have (again with reference to the job description).

What are your main interests and hobbies outside the church?

References:

Please give details below of two referees (not family members, and one should be a recent, previous employer). You will be notified before references are taken up.

1. Name of referee:

Position:

Telephone:

Email:

2. Name of referee:

Position: Telephone:

Email:

Declarations:

Do you have any current convictions or Police cautions in relation to a criminal offence? (If yes please full details give with this application)

Please declare any other information you feel may be relevant regarding this application.

I declare that the above information in this application is accurate to the best of my knowledge and I have not omitted any relevant information.

Signed Date holder will require enhanced DBS check.