Job Application Declaration Form - Thanet Early Years Project

Post Applied For

Personal Details.

Surname

Forenames

Email

Thanet Early Years Project Declaration

Please answer the questions and sign the declaration below to demonstrate that you are safe to work with children. If there are any aspects of the declaration that you are not able to meet, you should disclose this immediately to the manager/senior responsible for your recruitment.

This post is exempt from the Rehabilitation of Offenders Act 1974. Applicants must be prepared to disclose any orders made against them even if they are spent. For all applicants who are offered a job with Thanet Early Years project, an enhanced disclosure will be requested through the Disclosure and Barring Service (DBS) at the Applicant’s expense.

Are you related to, live with or in a relationship with any of our employees or management board members?

Yes

No

If yes, please give details below:

Have you been cautioned, subject to a court order, bound over, received a reprimand or warning or found guilty of committing any offence any offences since the date of your most recent enhanced DBS disclosure?

Yes

No

If yes, please give details below:

Have you been cautioned, subject to a court order, bound over, received a repFimand or warning or found guilty of committing any offence either before or during your employment at this setting?

Yes

No

If yes, please give details below:

Are you “Disqualified for Caring for Children”: (to include)

Yes

No

A person may be disqualified through:

Having certain orders or other restrictions placed upon them
Having committed certain offences

Have you committed any offences against a child?

Yes

No

Have you committed any offences against an adult (e.g. rape, murder, indecent assault, actual bodily harm etc)?

Yes

No

Have you been barred from working with children (DBS)?

Yes

No

Have your own children been taken into care?

Yes

No

Have/are your own children the subject of a child protection order?

Yes

No

Have you been made the subject of a disqualification order?

Yes

No

Have you been refused registration previously or had a registration cancelled, unless your registration was cancelled on or after 01.09.2008 solely for failing to pay the fee for continued registration?

Yes

No

Has your name been placed on the DBS barring list?

Yes

No

Do you have any medical conditions that could affect your ability to care for children?

Yes

No

Are you taking any medication on a regular basis or any other substances?

Yes

No

If you have answered YES to any of the above questions, please provide further information below.

I understand my responsibility to safeguard children and am aware that I must notify my manager of anything that may affect my suitability.

Yes

No

I will ensure I notify Thanet Early Years Project of any convictions, cautions, court orders, reprimands or warnings I may receive.

Yes

No

I am aware that if I am taking medication on a regular basis, I must notify Thanet Early Years Project, and must keep the medication in a safe place, out of reach of children.

Yes

No

I will ensure I notify my manager if I experience any health concerns which could impact upon my ability to work with children.

Yes

No

I give permission for you to contact any previous setting, local authority staff, the policy, the DBS or any medical professionals to share information about my suitability to care for children.

Yes

No

I authorise Thanet Early Years Project to obtain references to support this application once an offer has been made and accepted and release Thanet Early Years Project and referees from any liability caused by giving and receiving of the information.

Yes

No

I confirm that the information I have provided is correct and understand that false statements may be sufficient cause for rejection or, if employed, may subsequently lead to dismissal.

I confirm by ticking this box that I have received a copy of the TEYP Data Protection Policy which sets out TEYP’s commitment to processing data in accordance with its responsibilities under the General Data Protection Regulation (GDPR).

I have received the TEYP Data Protection Policy

Data Protection Act 2018: By signing and returning this application form, I confirm understand the purpose of collecting of this data, and I give consent to Thanet Early Years Project to hold this data on file and understand at any point that I can withdraw my consent.

Thanet Early Years Project Self-Disclosure Form (to accompany Application Forms)

This form should be completed by all applicants.

As the role you have applied for involves frequent or regular contact with or responsibility for children, you will also be required to provide a valid enhanced DBS (Disclosure and Barring Service) certificate, which will provide details of criminal convictions.

All information you provide will be treated as confidential and managed in accordance with relevant data protection legislation and guidance. You have a right of access to information held on you under the Data Protection Act 2018.

Have you ever been known to any children’s services department or to the police as being a risk or potential risk to children?

Yes

No

If yes, please provide further information:

Have you been the subject of any disciplinary investigation and/or sanction by any organisation due to concerns about your behaviour towards children?

Yes

No

If yes, please provide further information:

Do you have any convictions, cautions, reprimands or final warnings that are not “protected” as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amended) 2013?

Yes

No

If yes, please provide further information:

Confirmation of declaration (tick box below)

I agree that the information provided here may be processed in connection with recruitment purposes and I understand that an offer of employment may be withdrawn or disciplinary action may be taken if information is not disclosed by me and subsequently come to the organisation’s attention.

In accordance with the organisation’s procedures, I agree to provide a valid DBS certificate and consent to the organisation clarifying any information provided on the disclosure with the agencies providing it.

I agree to inform the organisation within 24 hours if I am subsequently investigated by any agency or organisation in relation to concerns about my behaviour towards children or young people.

I understand that the information contained on this form, the results of the DBS check and information supplied by third parties may be supplied by the organisation to other persons or organisations in circumstances where this is considered necessary to safeguard children.

Final Check

Please go back and check all of your answers, then press the button below ONCE to send your application.

Thank you.