Red Balloon Application Form

CONFLICTS OF INTEREST

(Personal relationships include immediate family, sexual relationships, very close personal relationships and close business, commercial or financial relationships)
Do you have any personal relationships with current members of staff?*

YesNo
If yes, please give details.

EDUCATION & QUALIFICATIONS
Do you have experience in supporting young people and their families*

YesNo
Do you hold relevant professional qualifications, training or experience in supporting young people regarding their wellbeing or education*

YesNo
Do you have your own transport and clean driving license*

YesNo
Do you have exceptional IT and Administration skills?*

YesNo
What is your highest level of qualification?

Please list all further education and qualifications (most recent first)

	Name of Institution attended	Certificates/Qualifications/Grade	Graduating Year
1
2
3
4
5

Professional body membership
Please give details of any professional membership which you hold, including level and start date.

AVAILABILITY FOR WORK
What is your current notice period? *
If successful, when would you be available to start? *
STATEMENT

Please outline your motivation for applying for this role and describe specifically how your experience, skills, knowledge and personal attributes match those in the job description. Please also include any specific responsibilities or achievements from previous roles that you feel would support you in this role. Maximum 1000 words
Statement of application*

0/1000

CURRENT or MOST RECENT EMPLOYER

It is a requirement of safeguarding and our inspection bodies that we hold full chronological details of howyou have spent your time since leaving full-time education.In the table below, please provide a full history in date order, most recent first, since leaving secondaryeducation, including periods of any post-secondary education/training, and part-time and voluntary workas well as full-time employment, with start and end dates, explanations for periods not in employment oreducation/training, and reasons for leaving employment.Please enter dates as month/year (mm/yy). For example 01/20 - 05/22
Business / School Name *
Address*
Job title*
Start date*

DayMonthYear
End date

DayMonthYear
Are you currently employed here?

YesNo
Reason for leaving
Please supply a brief outline of your main duties and responsibilities*

0/250
Please detail any significant achievements during your employment*

0/250

PREVIOUS EMPLOYMENT

Please give details of all previous positions held (most recent first) since completing your full-time education. Please state dates employed as month / year and brief reason for leaving. To add a new row click the "Add more employment history" button. To remove a row click the x button.
Previous employment*
Please outline any additional periods of work, voluntary work, travel, career breaks and unemployment.*
Have you ever been dismissed from employment?*

YesNo
If yes please give the reason(s)
Please note any employment, paid or unpaid, you would continue if you were successful in obtaining this position and the number of hours you would work
Have you worked or lived outside the UK for a period of six months or more in the last five years?

YesNo
If 'Yes' please give further details regarding this period outside the UK

REFERENCES

Please provide details of two people (not relatives or friends) who we can contact to provide information in support of your application. One of these must be your current/latest employer.
First reference
Name*

First NameLast Name
Position*
Relationship to you*
Organisation*
Address*

Street Address

Street Address Line 2

CityCounty

Postcode
Daytime telephone number*
Email*
example@example.com
Can we contact this referee prior to an interview?*

YesNo
Can we contact this referee following a conditional offer and acceptance of employment?*

YesNo
Second reference
Name*

First NameLast Name
Position*
Relationship to you*
Organisation*
Address*

Street Address

Street Address Line 2

CityCounty

Postcode
Daytime telephone number*
Email*
example@example.com
Can we contact this referee prior to an interview?*

YesNo
Can we contact this referee following a conditional offer and acceptance of employment?*

YesNo

REFERENCE DECLARATION

In compliance with the General Data Protection Regulation (GDPR), we would like to ensure that you are
aware of the data we will collect and process when requesting your references.
Reference requests sent to your referees will ask the referee to confirm as a minimum:
- The referee’s relationship with the candidate.
- Details of the applicant’s current post and salary.
- Performance history.
- All formal time-limited capability warnings which have not passed the expiration date.
- All formal time-limited disciplinary warnings where not related to safeguarding concerns which have not passed the expiration date.
- All disciplinary action where the penalty is “time expired” and relates to safeguarding concerns.
- Details of any child protection concerns, and if so, the outcome of any enquiry
- Whether the referee has any reservations as to the candidate’s suitability to work with children. If so, the school will ask for specific details of the concerns and the reasons why the referee believes the candidate
may be unsuitable to work with children.
By signing this form, I consent to my named referees being contacted in accordance with the above.
APPLICATION DECLARATION
- I confirm that the information I have given in this application, and any supporting documents is correct and complete;
- I understand that failure to disclose any relevant information, or the provision of false information may lead to dismissal or withdrawal of any offer of employment;
- I understand that Red Balloon may check any of the information provided as part of my application or given in references;
- I understand that an appointment, if offered, will be subject to the receipt of references, and the outcome of any relevant pre-employment checks.
- I understand that as part of the shortlisting process, RBET may carry out an online and social media search as part of their due diligence process, per KCSIE (Keeping Children Safe in Education). This may help identify any incidents or issues that have happened, and are publicly available online, which RBET might want to explore with me at interview.
Are you happy to be contacted about other roles that may be of interest to you ?*

YesNo
Signature

Clear
REQUEST FOR REASONABLE ADJUSTMENTS
If you need any adjustments for interview, please provide details below. If you would prefer to discuss over the phone please contact the HR Officer on 07878 837902.
Should be Empty:

	Yes	No
A passport showing that you are a British citizen or a citizen of the United Kingdom and Colonies and have the right of abode in the United Kingdom
A current document issued by the Home Office to a family member of an EEA or Swiss citizen, and which indicates that the holder is permitted to stay in the United Kingdom indefinitely.
Utility bill or other document to verify your name and address ( dated within 3 months)
Birth Certificate or a full adoption certificate issued in the United Kingdom
Photocard Driving License

Link Mentor Application Form

PERSONAL DETAILS

Advertising Source

ELIGIBILITY FOR EMPLOYMENT

Visa's and sponsorship

CONFLICTS OF INTEREST

EDUCATION & QUALIFICATIONS

AVAILABILITY FOR WORK

STATEMENT

CURRENT or MOST RECENT EMPLOYER

PREVIOUS EMPLOYMENT

REFERENCES

APPLICATION DECLARATION

REQUEST FOR REASONABLE ADJUSTMENTS