Appletree Treatment Centre Ltd

Application for the post of ……………………………………………………………………….…………………

Applications to be returned to the following address:

[email protected] Or Appletree Treatment Centre Natland Kendal LA9 7QS [email protected] Personal Details

Surname:

Forenames:

Any other surname known by:

Address:

Postcode:

Telephone number: Mobile:

Email address:

National Insurance number:

Nationality:

Do you hold a current full driving license?

Are you eligible to work in the UK?

1 Present Employment

Name and address of current employer:

Nature of business:

Post held:

Date appointed: Present salary:

Notice period required:

Brief description of duties and responsibilities:

2 Previous Employment – (most recent first)

Please complete this section in full giving all periods of employment since leaving school/college/university. Any gaps in your history should be explained. Continued on additional sheet if required

Employers name, address Position held Dates Dates Reason for leaving and nature of business /responsibilities from to

4 Qualifications

Schools/Colleges/Work Based Dates Attended Qualifications Gained Grades

Professional Training Courses Attended

Date from and to Details

Skills and Knowledge

Please tell us how your experience both personal and professional, skills and knowledge fulfil the requirements of the position (in no more than 500 words).

6 Why do you want to join us?

Leisure Interests and Hobbies

References

Please give the names and addresses of two referees who can comment on your ability to fill this position. Both referees should have worked with you or have been/are well known to you within the last 5 years and one must be from your current or most recent employer. If you are not currently working with children but have done so in the past, the second reference MUST be from the last place where you worked with children. References cannot be accepted from relatives or friends.

If you are short listed to the next stage of our recruitment and selection process, we will need to contact at least one of your referees prior to inviting you to interview.

1. Name

7 Position Relationship

Address Postcode

Telephone number Email:

May this referee by approached before interview

2. Name

Position Relationship

Address Postcode

Telephone number Email:

May this referee by approached before interview

PLEASE NOTE: The Company reserves the right to contact referees by telephone in order to discuss an applicant’s suitability to the post in addition to obtaining written references

Criminal Convictions

Rehabilitation of Offenders Act 1974

The post for which you are applying is an “exempt” post under the provision of the Rehabilitation of Offenders Act. However, since May 2013, standard and enhanced checks no longer disclose ALL cautions and convictions. Following a Court of Appeal ruling, the Government introduced a process of ‘filtering’. Before answering the questions below, please read this guide on ‘filtering’ on hub.unlock.org.uk.

Please sign below and state whether you have any cautions or convictions that are either ‘unspent’ or would not be filtered by the Disclosure & Barring Service. If yes, please give details (this will not necessarily debar you from appointments). If no, please state “no convictions or cautions” in the space provided below.

Failure to declare a conviction or caution may disqualify you from appointment or result in summary dismissal if the discrepancy comes to light.

If you are invited for interview, a statement of these details should be sent under separate cover in an envelope marked ‘Private and Confidential – For the Addressee Only’ in the top left hand corner with ‘The Principal Personnel Adviser – Recruitment’ in the centre of the envelope and with the words ‘Conviction Information’ marked in the bottom left hand corner.

8 Have you ever been found guilty of a criminal offence or received an official police caution that is either unspent or would not be filtered by the DBS? Yes / No

Signature of applicant Date

…………………………………………………………………………………………………………… ………………………………………………

Disclosure and Barring Service

I understand that an Enhanced Disclosure will be sought from the Disclosure and Barring Service and I am aware that convictions, cautions, reprimands and final warnings will be disclosed. I understand that if the post is in regulated activity, a check of the children’s barred list will also be undertaken, and checks with other regulatory bodies where relevant (e.g. HCPC, NCTL)

Signature of applicant Date

…………………………………………………………………………………………………………… ………………………………………………

Have you ever been the subject of an investigation / disciplinary procedure?

General information

How did you learn of this vacancy? Professional Journal National Paper

Local Paper Job Centre Word of Mouth Web Site Other

Please give name of the Journal/Newspaper/ Job Centre/Web Site

We are committed to safeguarding and promoting the wellbeing of children and young people and expect all team members to share this commitment. All appointments are dependent upon an enhanced DBS disclosure.

Additional Information