APPLICATION FORM
Personal data supplied on this form will be held on and/or verified by reference to
information already held on computer. In signing this application form you give permission
for Blue Sky Fostering to access, store and process data, some of which will include
‘sensitive data’. – Data Protection Act 1998
Job Title:
Location:
Closing date:
Where did you see this post advertised?
PERSONAL DETAILS
Title:
Address:
First Names:
Surname:
Any Previous Surname(s)
Evening Tel. No:
Postcode:
Mobile No:
Daytime Tel. No:
Email Address:
Date of Birth:
Place of Birth:
Do you hold a current valid full car driving licence?
Are you prepared to use your own transport for work?
At Blue Sky Fostering ‘we aim to seek, to realise, to recognise and to reward the best in everyone’.
Please note you will be asked to provide evidence of relevant professional qualifications
EDUCATION, TRAINING, QUALIFICATIONS
(Please give relevant details, including those gained overseas)
Dates
Qualifications
Secondary
gained:
Grade
Date
School/College/University
From
To
Subject/Level
(Continue on a separate
sheet if required)
Details of current membership of any professional organisation e.g. HCPC (please detail
membership/registration number)
CURRENT EMPLOYER OR LAST EMPLOYER’S DETAILS
Dates From:
Dates To:
Job Title:
Current Salary:
Responsible to:
Employer’s Name:
Employer’s Address:
At Blue Sky Fostering ‘we aim to seek, to realise, to recognise and to reward the best in everyone’.
Postcode:
Reason for leaving:
PREVIOUS EMPLOYMENT
Name and Address
Job Title and
of Employer
Main Duties
Reason for leaving
Dates
From
dd/mm/yyyy
To
dd/mm/yyyy
(Continue on
separate sheet if
required,
accounting for any
gaps in
employment)
Have you ever been involved in any disciplinary proceedings or subject to a disciplinary
investigation?
 Yes
 No
Have there been any allegations raised against you previously in respect any matter which may be
of relevance to your employment in a fostering agency working with children and young people?
 Yes
 No
At Blue Sky Fostering ‘we aim to seek, to realise, to recognise and to reward the best in everyone’.
If you have answered yes to any of the above, please state the nature of the allegation/
investigation/proceeding and the outcome.
How much notice are you required to give your current employer? none
Experience, Skills and Ability.
(Please pay close attention to the person specification supplied with the details of the post you are
applying for. You should ensure that you demonstrate how you meet the requirements of the
essential and desirable criteria, paying particular attention to those criteria that will be used to
determine whether or not your application is short-listed for interview. In your own words please
explain why you consider yourself suited to this position.
(Continue on separate sheet if required, using no more than 3 additional sheets)
Programmes used?
Where used: ie
work/home?
How often?
Please provide details of
your IT skills:
CRIMINAL CONVICTIONS
Rehabilitation Of Offenders Act 1974 (Exceptions order 1975 and 1986). This post is exempt from
the Rehabilitation Of Offenders Act, please give details of any criminal convictions for any offence
At Blue Sky Fostering ‘we aim to seek, to realise, to recognise and to reward the best in everyone’.
below. As you are applying for a job, which involves you working with children and young people,
you must declare any convictions and/or cautions for criminal offences, even where they are
‘spent’. Due to the nature of the work, all prospective staff will be asked to complete an application
for an enhanced disclosure from the Criminal Records Bureau.
Details of criminal convictions: Please state NONE if appropriate
Please give details of any charge or summons at present outstanding against you
Date of alleged offence
Nature of alleged offence
Court/Police Station dealing with
this matter
REFEREES Please give details of 3 people who are prepared to act as referees for you. You
should ensure your referees are in a position to respond promptly. One of these referees must be
your current employer. Please note we cannot accept references from close personal friends or
relatives. We reserve the right to contact all previous employers should you be offered this post.
If you do not wish your employer to be contacted at this stage, please tick the box
Name:
Name:
Name:
Position Held:
Position Held:
Position Held:
Address:
Address:
Address:
Horsham
Postcode:
Postcode:
Postcode:
Telephone:
Telephone:
Telephone:
Email:
Email:
Email:
How long have they known
you?
How long have they known
you?
How long have they known
you?
In what capacity do they know
you? manager
In what capacity do they know
you? Practice assessing
In what capacity do they know
you?
Organisation:
At Blue Sky Fostering ‘we aim to seek, to realise, to recognise and to reward the best in everyone’.
DECLARATION AND SAFEGUARDING STATEMENT
To the best of my knowledge, the information I have supplied in this form is correct. I understand that
giving false information or omitting relevant information could disqualify my application and, if I am
appointed, could lead to my dismissal.
Blue Sky Fostering is committed to safeguarding and promoting the welfare of children and young
people. We expect all staff and volunteers to share this commitment. It is the expectation that all staff
will report safeguarding concerns including vulnerabilities to radicalisation, child sexual exploitation,
female genital mutilation and young people who may have been trafficked.
Blue Sky Fostering provide a systematic approach to the recruitment and selection process for
permanent, casual staff and volunteers. As such, the same processes and checks apply to all. It is
vital that these procedures deter, reject or identify people who might abuse children and young
people, or are otherwise unsuited to work with them. Accordingly, a Safeguarding Children
perspective will permeate all stages of the selection and recruitment process. I declare that there is
no reason why I should not be considered suitable to work with children.
Signature:
Date:
Return to:
By email: [email protected]
or by post:
Enquiries:
Any enquiries about your application should be
made by telephone to:
At Blue Sky Fostering ‘we aim to seek, to realise, to recognise and to reward the best in everyone’.