Please complete the entries below clearly stating your employment history for the last 5 years. Please note that all periods must be accounted for including maternity leave, unemployment, visits to other countries etc. Please ensure that you write the start month and year, and finish month and year for each job/ period of other undertaking. Please note that periods of over one month must be verified by a suitable professional person (e.g. Job centre plus official, doctor, teacher etc.)
Please provide as much detail as you can. We will need to contact these organisations to verify your work history.
Please start with the most recent first, and work chronologically backwards.
Please don't leave the 'date finished' field blank if still employed in this role.
Please provide at least 1 work history.
Please sign at the bottom to verify your work history and to give consent for us to contact the listed workplaces.
Career History 1
Date started
(mm/yyyy ) *
Date finished
(mm/yyyy )
What were you doing? (E.g. job title, unemployed, maternity)
*
Organisation name
*
Address
*
Postcode
*
Contact name
*
Telephone / Fax
*
Email
Career History 2
Date started
(mm/yyyy )
Date finished
(mm/yyyy )
What were you doing? (E.g. job title, unemployed, maternity)
Organisation name
Address
Postcode
Contact name
Telephone / Fax
Email
Add another career entry
I confirm that this is a true account of my career history and give my consent to contact the above named for references.
Bretsa are required to ask all employees to make a declaration about whether they are a disqualified person under the Childcare (Disqualification) Regulations 2009.
A person may be disqualified under the regulations because:
They have certain orders, directions or restrictions placed upon them in relation to children or childcare
They have been cautioned or convicted of certain offences
They live or work in the same household as someone who is disqualified
You are required to complete the declaration below confirming that you are not disqualified under these regulations.
Section 1 - Orders or other restrictions
Have any orders or other determinations related to childcare been made in respect of you or anyone else in your household?
Yes
No *
Have any orders or other determinations related to childcare been made in respect of a child in your care?
Yes
No *
Have any orders or other determinations been made which prevents you or anyone in your household from being registered in relation to childcare, children’s homes or fostering?
Yes
No *
Have you had any changes in circumstances since your last DBS check was carried out?
Yes
No *
Are you barred from working with children by the Disclosure and Barring Service (DBS)?
Yes
No *
Are you prohibited from teaching?
Yes
No *
Section 2 - Specified and Statutory Offences
Have you ever been cautioned, reprimanded, given a warning for or convicted of:
Any offence against or involving a child? (A child is a person under the age of 18)
Yes
No *
Any violent or sexual offence against an adult?
Yes
No *
Any offence under the sexual offences act?
Yes
No *
Have you ever been cautioned, reprimanded, given a warning or convicted of any similar offence in another country?
Yes
No *
Section 3 - Disqualification by Association
To the best of your knowledge is anyone in your household (family, lodgers, house sharers, household employees) disqualified from working with children under the Regulations, for any of the reasons in sections 1 and 2 above?
Yes
No *
Section 4 - Provision of Information
If you have answered YES to any of the questions above you should provide details below in respect of yourself, or where relevant the member of your household: (You may provide this information separately if you wish, but you must provide this without delay).
Section 5 - Declaration
In checking this box, I confirm that the information provided is true to the best of my knowledge and that I will notify Bretsa immediately of any information that affects my suitability for working with children, including cautions, convictions, warnings, orders, and other determinations made in respect of me or a member of my house that would disqualify me from working with children. *
Current law states that Bretsa Recruitment must limit your work to 48 hours per week unless you declare otherwise.
You may refuse work at any time and will never be asked to work over 48 hours per week. However you may do so if you choose that the limit shall not apply to you. Bretsa Recruitment wishes to have an agreement with you.
It proposes an agreement (which will apply until terminated by notice) on the basis that:
The 48-hour limit on average weekly working time will not apply to you;
You may terminate the agreement (so that the 48-hour time limit would apply to you) by giving the person
at the Company to whom you usually report 4 weeks written notice.
Under the Regulations, the Company must keep records relating to your working time.
This is the case whether or not you reach an agreement with the company about waiving time limits.
Please read the statement below and delete as appropriate:
I agree to opt out of the limit of 48 hours per week
Yes
No *
Please upload an up to date CV - simply browse and choose your recent CV then press upload.
Since 1st October 2011, have you worked for the same nursery, school or setting for more than 12 weeks without taking a break of at least 6 weeks?
If yes, please state the agency, nursery/school/setting name, dates (mm/yyyy) and duration of placements.
Data Protection Statement
The information that you provide on this form and on any CV given will be used by Bretsa Recruitment to provide you work finding services. In providing this service to you, you consent to your personal data being included on a computerised database and consent to us transferring your personal details to our clients. We may check the information collected, with third parties or with other information held by us. We may also use or pass to certain third parties information to prevent or detect crime, to protect public funds, or in other way permitted or required by law.
Declaration
I hereby confirm that the information given is true and correct. I consent to my personal data and CV being forwarded to clients. I consent to references being passed onto potential employers.
If, during the course of a temporary assignment, the Client wishes to employ me direct, I acknowledge that Bretsa Recruitment will be entitled either to charge the client an introduction/transfer fee, or to agree an extension of the hiring period with the Client (after which I may be employed by the Client without further charge being applicable to the Client).
Terms and Conditions
I have read, understood and accepted the terms and conditions .
*
By sending this application, I declare the information in this application to be true & correct. I understand that if any of the data is untrue, misleading or I have failed to declare facts, future employment offers may be withheld or removed without Notice.