Ncs assistant team leader application form

NCS ASSISTANT TEAM LEADER APPLICATION FORM
Personal Information:
Name:		NI number:
Gender:		Nationality:
Do you have a full driving licence?		Yes 		No 
Do you hold a British/European Passport?		Yes 		No 
If not, do you hold a valid work permit?		Yes 		No 
Contact Details:
Mobile:		E-mail:
Address:

Full Employment History: Most reason first, please account for any gaps and to cover at least the last 5 years
Employers Name and Address	Employers Business	Position Held	From (date)	To (date)	Brief nature of duties	Reason for Leaving

Education and Training:
Nature of Course	Qualification Obtained	Dates

Questions

Please detail (if any) specific qualifications for working with young people (particularly those aged 15 – 17), e.g. Youth Worker Level 2, coaching awards, teaching qualifications. (Current or working towards)

Please give examples of relevant volunteering experience: (Please include any residential experience)

Please give examples of any leadership experiences working young people aged 15 -17 years of age if any:

Please give examples any group work you have done with young people:

Please describe your experiences of guiding young people through personal development activities and residential’s and include how you evaluated their progress:

What skills, qualities and experience would you bring to this role? What are you expecting to gain?

Please tell us why you want to work on the National Citizen Service programme and a bit about yourself, your hobbies and interests:

Please tell us your availability over Summer 2022: For example can you work all of July and August?

Rehabilitation of Offenders Act 1974 (Exceptions Order 1975)
This post is exempt from the provisions of Section 4 (2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. Applicants are not entitled to withhold information about convictions which for other purposes are deemed ‘spent’ under the provision of the 1974 Act. In the event of employment by Concordia any failure to disclose such convictions could result in dismissal or disciplinary action by Concordia. All information given will be treated as strictly confidential. All staff who work on NCS with Concordia must have returned an enhanced Disclosure and Barring Service (DBS) and 2 satisfactory references regarding their suitability to work with children, prior to starting the role.
Please indicate whether you have any convictions:	Yes 	No 
If you have ticked yes, please give detail:

Disability Discrimination Act 1995
In order for the Concordia to meet its responsibilities towards people with disabilities under the Disability Discrimination Act it would help us to be made aware of any disability you have. We would also be grateful if you could indicate whether there are any special arrangements or assistance that we should consider regarding interview arrangements if you are shortlisted.
Do you have a disability?	Yes 	No 
If you have ticked yes, please give detail:

Declaration

I declare that the information contained in this application form is accurate to the best of my knowledge. I understand that failure to disclose any of the information requested may disqualify me from selection and/or appointment and that any appointment offered will be subject to satisfactory reference and the provision of evidence of my entitlement to live and work in this country. I also understand that for posts with substantial access to children or young adults with learning disabilities a DBS will be required. DATA PROTECTION ACT I, the undersigned, give Concordia consent to process the information provided on this form in accordance with the Data Protection Act1998 and GDPR Regulation 2016/679

Signed: (Type name if electronic)			Date:
References:
Please provide two references, one of which should be your current or most recent employer. References will only be contacted if you are successful in your application.
Ref 1 Name:			Ref 2 Name:
Phone:			Phone:
E-mail:			E-mail:
Company Name:			Company Name:
Company Address:			Company Address:
Relationship:			Relationship:

NCS Assistant Team Leader Application Jan 2022