PLEASE COMPLETE ALL SECTIONS OF THIS FORM
Your application will not be considered unless this form is fully completed. |
| Full Name * |
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| Are you * |
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Male |
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Female |
| Date of birth * |
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| National Insurance no. |
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Alternative address (if applicable)
remember to give dates you will be at this address |
| Address * |
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| Postcode |
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| Telephone no. |
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| Email |
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Dates at this address
please give dates you will be at this address below |
Present occupation *
(job title, date started work, typical/average hours per week and main duties) |
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EDUCATION
(courses studies and exams passed) |
| Dates |
School/College |
Qualifications Achieved |
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| Earliest date available for work? * |
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Which season(s) are you applying for? *
We will consider you for the first season for which you are available, but do sometimes offer deferred entry for the following season if we have a number of high quality applicants. You can apply for more than one start date. |
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Summer 2010 (starting 1st April 2010) |
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Spring 2011 (starting 1st Feb) |
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Do you require a work permit / visa to work in the UK? *
It is unlawful for Robinwood Activity Centre Ltd to employ anyone who does not have permission to work in the UK. All staff will be required to provide proof of identification when attending a selection day eg. passport, work permit or other legal documentation. |
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Yes |
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No |
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If yes, do you currently hold one? |
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Yes |
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No |
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If yes, please state expiry date: |
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| Where did you hear about Robinwood? (if internet, please give details/site) |
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| If recommended by a member of Robinwood staff, please give their name: |
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| Do you hold a driving licence? * |
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Yes |
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No |
| Have you previously applied for Robinwood? * |
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Yes |
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No |
| Are you applying with a friend? * |
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Yes |
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No |
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If yes, give friend's name: |
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| Which centre would you like to work at? * |
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No preference |
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Old School, Todmorden |
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Barhaugh Hall, Alston |
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Dobroyd Castle, Todmorden |
| Would you prefer a live in position? * |
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No preference |
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Live in - Robinwood Accomodation |
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Live out - Own Accomodation |
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EXPERIENCE / QUALIFICATIONS |
Please give details of any experience and qualifications in the following Robinwood activities. Please also grade experience level as follows:
- considerable instructing experience
- high proficiency level & some instructing experience
- some personal experience
- No experience
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Experience |
Qualifications |
| Open Canoeing |
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| Level |
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| Climbing |
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| Level |
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| Hill walking |
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| Level |
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| Archery |
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| Level |
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| Problem solving & other teamwork activities |
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| Level |
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| Stream walking |
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| Level |
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| Other Relevant Activities |
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Swimming Ability *
Are you confident in water and able to swim at least 100 metres? |
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Yes |
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No |
| N.B. Photocopies of all relevant certificates and/or qualifications will be required. |
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PREVIOUS EXPERIENCE WORKING WITH CHILDREN |
| Please list any previous experience working with children * |
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EMPLOYMENT / EDUCATION |
| Please state all employment and/or college courses attended over the last 5 years. Please state periods of unemployment if applicable and do not leave any gaps. |
| Dates |
Employment / College Course |
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| To * |
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| Continue here if necessary: |
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| Please give details of any other releveant previous experience, including positions of responsibility held. |
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PERSONAL STATEMENT |
| Why do you feel you are a good candidate to work for Robinwood? * |
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| Are you aware of any condition caused by disability, illness of accident which may affect your working capacity? * |
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Yes |
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No |
| Do you require any specific assistance, equipment, support or adjustments to be made to enable you to work as a group leader? * |
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Yes |
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No |
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If yes to either question, please give details: |
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REFERENCES |
You must provide the name, address and telephone number or e-mail address of three people who we can contact for a confidential reference. These must be people who you have been in some contact with over the past 2 years and who can give a reference regarding your suitability, experience and skills for the position of group leader with Robinwood.
Employers, college tutors, coaches, teachers and supervisors for any voluntary work completed would all be suitable referees. Friends and family will not be accepted as referees. We will contact all referees immediately, unless you are currently employed and indicate specifically that you do not want us to contact your current employer until a later stage. All job offers are subject to satisfactory references. |
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| Name of referee * |
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Address * |
| Telephone no. |
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| Email |
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Capacity in which known * |
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| Name of referee * |
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Address * |
| Telephone no. |
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| Email |
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Capacity in which known * |
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| Name of referee * |
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Address * |
| Telephone no. |
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| Email |
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Capacity in which known * |
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DECLARATION OF CRIMINAL RECORD |
| Due the sensitive nature of the duties the postholder will undertake, you are required to disclose details of any criminal record. Only relevant convictions and other information will be taken into account so disclosure need not necessarily be a bar to obtaining this position. This information will be kept confidential. |
Have you ever been convicted by the courts or cautioned, reprimanded or given a warning by the police? *
(The post you have applied for is excepted from the Rehabilitation of Offenders Act 1974, which means that all convictions, cautions, reprimands, and warnings on your criminal record need to be disclosed, including those which would normally be considered spent.) |
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Yes |
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No |
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If yes, please give details of offences, penalties and dates: |
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| Are you aware of any police enquiries undertaken following allegations made against you, which may have a bearing on your suitability for this post? * |
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Yes |
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No |
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If yes, please give details: |
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| Because of the sensitive nature of the duties the postholder will be required to undertake, I also understand that the declaration includes details of any criminal convictions, cautions, reprimands and final warnings, and any other information that may have a bearing on my suitability for the post. I understand that an Enhanced Disclosure will be sought in the event of my application being successful. |
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DECLARATION |
| Declaration * |
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I confirm that the information I have given on this form is correct and complete and that, if offered employment by Robinwood, any material changes to this information will be declared. Misleading or incomplete statements may be sufficient for cancelling any agreements made, including the withdrawal of any employment contract offered.
N.B. Photocopies of relevant instructor certificates and your driving licence will be required. |
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Ignore this: |
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(You will have the opportunity to print out your application form on the next screen.) |