Employement FormApplication for EmploymentThank you for expressing an interest in working with Crescent Meadow Children's Home. Our aim is to provide safe, nurturing, trauma-informed and child-centred care in a stable, family-style environment, supporting children and young people to achieve positive outcomes. Guidance for completion: Please familiarise yourself with Crescent Meadow Children's Home, Glenmorag House, and the job description for the role you are applying for. Please complete all sections of the form to avoid delays with your application. Read through the job description for the role you are applying for before you begin. Personal DetailsPosition Applied for- Select -Registered ManagerResponsible IndividualSenior residential care workerResidential care workerTeam leaderBank staffLocation of Service: Glenmorag House, Harley Drive, Wythenshawe, Manchester. Contracted hours depend on the role applied for (see job description) — 168 hours for Residential staff, no set hours for Senior staff, Responsible Individual or Registered Manager.TitleFirst NameAll Middle NamesSurnamePreferred NamePrevious namesDate of birthNationalityDo you have legal right to work in the UK? Yes NoNational Insurance numberDo you hold a UK driving licence? Yes NoHave you any convictions? Yes NoIf yes, please provide detailsCurrent home addressContact number(s)EmailNext of KinNameRelationship to youContact numberEmailAddressWhere did you hear about the vacancy?Have you been referred by an existing employee? Yes NoIf yes, please state whoEmployment & Education HistoryPlease provide your full employment and education history in chronological order, starting with your secondary school. Include any college, university or other learning establishment, whether in the UK or overseas. Include all employment, whether paid or voluntary, regardless of whether you consider it relevant to the role. Missing information will lead to delays with your application. Any gaps must be explained in the next section. For each entry please give: Name of company / educational establishment — Job role / course title — Start date (MM/YY) — Leave date (MM/YY) — Reason for leaving.Full employment and education historyGaps in Employment / EducationPlease look over your full employment / education history above and provide an explanation of any gaps in chronological order. State a clear reason for any gaps and how you were supporting yourself during that time, including any benefits you were in receipt of. For each gap please give: Gap start date (MM/YY) — Gap end date (MM/YY) — Reason for the gap.Gaps in employment / educationQualificationsPlease include details of any qualification you believe is relevant to the role you have applied for. Certificates may be requested at interview or at the point of a job offer being made. For each qualification please give: Name of course — Date completed / certified.QualificationsApplicant Specific QuestionsWhy do you want to work for us?Briefly outline your skills and experiences that make you a good fit for this roleDo you hold an enhanced DBS that is registered on the online update service? Yes NoPlease provide the full certificate number and confirm whether this check covers both the children's and adults' barred list.DeclarationsYou must supply detailed information within this section. Failure to disclose any required information may result in your application being withdrawn.Do you, or have you ever had, any form of relationship with any Crescent Meadow Children's Home staff member or service user? Yes NoPlease provide full detailsDo you currently work, or have you ever previously worked, for Crescent Meadow Children's Home either directly or through a recruitment agency or other third party? Yes NoPlease provide full detailsHave you ever been found guilty of committing an offence, or of having done the act or made the omissions with which you were charged in any proceedings brought by a local authority, in relation to the care of a person under the age of 18? Yes NoPlease provide full detailsHave you ever been convicted / cautioned / warned of an offence (other than a motoring offence not resulting in disqualification) in any criminal proceedings in any court of the UK or elsewhere? Yes NoPlease provide full detailsHave you ever been requested to attend a Disciplinary Hearing where a Disciplinary Penalty has been imposed against you? Yes NoPlease provide full detailsAre there any criminal or employment disciplinary proceedings currently pending against you? Yes NoPlease provide full detailsHave you ever had social care involvement for your own children or children in your care? Yes NoPlease provide full detailsHave you ever been subjected to a DBS referral? Yes NoPlease provide full detailsHave you ever committed one of the offences set out in the schedule to the Disqualification for Caring for Children Regulations 1991 (including offences against children or any offence involving injury or threat of injury to another person)? Yes NoPlease provide full detailsDo you or have you ever owned or been financially involved in a business? Yes NoDo you have any other declarations you may wish to alert us to? I confirm I have read and agree to all of the statements aboveRead Terms & Conditions.Submit Form
