<p>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</p><p>Personal Details:</p><p>Title:</p><p>Full name:</p><p>Home address:</p><p>Contact telephone number: Email:</p><p>Education and Training</p><p>Please give details of Secondary education </p><p>Name of school and date attended Examinations with grades</p><p>Please give details of any further education or other professional qualifications</p><p>Name of institution and date attended Detail of courses </p><p>Employment</p><p>Please give details of previous or current employment history (starting with most recent)</p><p>Name of employer and date Position held with brief description Christian Life:</p><p>Please tell us about your walk with faith, mentioning any important or significant events that have shaped your beliefs.</p><p>What is your current and recent involvement in church life?</p><p>Please give details of current church:</p><p>Name and town:</p><p>Dates attended: Name of Minister:</p><p>The Post:</p><p>With reference to the job description please tell us what you feel you can bring to this role.</p><p>Please tell us what your particular strengths are and any weaknesses you may have (again with reference to the job description).</p><p>What are your main interests and hobbies outside the church?</p><p>References:</p><p>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. </p><p>1. Name of referee:</p><p>Position:</p><p>Telephone:</p><p>Email:</p><p>2. Name of referee:</p><p>Position: Telephone:</p><p>Email:</p><p>Declarations:</p><p>Do you have any current convictions or Police cautions in relation to a criminal offence? (If yes please full details give with this application)</p><p>Please declare any other information you feel may be relevant regarding this application.</p><p>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. </p><p>Signed Date holder will require enhanced DBS check. </p>