Norfolk Lodge Montessori Nursery School

Job Application Form

	Qualification

First Name:
Family Name:

Current Address:
Street 1:
Street 2:
Town:
County:
Postcode:
From:
To:

If you have more than 1 address in the past 5 years, please put your other addresses in the box below including the duration of stay at each address.
Previous Addresses:

Telephone:
Mobile:
Email:

Current/Most recent Employer:
Position Applied For:
Current Job/Position:
Reason for seeking new post:

Details of your Qualification e.g. NNEB, BTec, Montessori, QTS:






Please give any relevant further training or seminars attended in relation to childcare:

If you do not have childcare training, would you be interested in training:

Number of years experience in childcare:

Which ages have you taught/had experience with:

Given the choice, what age group would you prefer to work with and why?:
How well do you manage change:

Are you seeking full time or part time work:

Are you seeking term time(35 weeks approx) or all year round (46 weeks approx) work:

Do you hold Current:
First Aid Certificate?	YES NO	Date of Issue
Child Protection Certificate?	YES NO	Date of Issue
Current CRB Disclosure?	YES NO	Date of Issue
Health & Safety Certificate?	YES NO	Date of Issue

Do you drive and hold a valid driving licence:

Do you have any specific skills e.g. Art, Music, Drama, Cooking, Singing etc.:
How did you hear about the post at Norfolk Lodge School:
Please List any other relevant comments/information to assist in this job application:

References
Reference 1: Personal(someone other than family who has known you for more than 3 years.)
Name:
Address:
Telephone:
Email:

Reference 2: Work Related(most recent employment)
Name:
Address:
Telephone:
Email: