"*" indicates required fields Step 1 of 11 9% Before you start your job application We are delighted that you are interested in applying for a position to join our team at Green Roots. Please do not hesitate to contact us if you have any questions or would like any assistance in completing your application. Towards the end of this application, you have the option to upload your CV as part of the application process. This can be in Microsoft Word (.doc/.docx formats) or as a PDF up to a limit of 1MB. Job details Job title* Preferred working arrangements* – Please select –Full timePart timeTemporaryVolunteer / Work placement Please provide details of your availability* Full time is normally 43 hours per week between 7.30am and 6pm. Your details Name* First Last Address* Address Address Line 2 County Post code Email address* Phone* National insurance number* Date of birth* Day Month Year References Please give the names and full addresses of two people who can verify or confirm your employment record. One must be your line manager at your current/last employer. Please do not use relatives, partners or friends as referees. References Organisation name Position held and relationship Name Actions Edit Delete There are no References. Add Reference Maximum number of references reached. Qualifications Qualifications achieved Institution name From To Actions Edit Delete There are no Qualifications. Add Qualification Maximum number of qualifications reached. Start with the most recent Qualifications currently being studied Institution name From To Actions Edit Delete There are no Qualifications. Add Qualification Maximum number of qualifications reached. Professional or other qualifications, apprenticeships, memberships of professional organisations and/or other training you have received which you consider relevant Employment (current) Please note any other employment that you would continue with if you were to be successful in obtaining this position. Name and address of most recent/current employer* Date started Day Month Year Date left Day Month Year If applicable Job title Basic salary per annum Brief description of duties At a later stage we will be getting a reference from this employer, please estimate how many sick days you have had in the past 2 years Notice period Reason for leaving Employment history Starting with the most recent. Please give your full employment history; accounting for any gaps Past jobs Post From To Employer name Actions Edit Delete There are no Jobs. Add Job Maximum number of jobs reached. Experience / relevant skills Please state how your experience and achievements to date would make you a suitable candidate for this post.* Why do you want to work for Green Roots?* Transport Do you have a driving license?* YesNo Groups* Expiry Date* Day Month Year Details of endorsements Do you have access to a vehicle?* YesNo Do you have access to public transport?* YesNo Further details Do you have any relationship (i.e. family, friends) with anyone working for Green Roots?* YesNo Please give details Because this position involves the care of children employment is dependent on the following: 1. An enhanced DBS certificate with barred list check 2. If lived or worked outside the UK further checks may be considered appropriate 3. Verification of professional qualifications, as appropriate and including Teacher Checks 4. Proof of identity 5. Two satisfactory written references 6. Evidence of physical or mental suitability for your work 7. Right to work in the UK Do you authorize us to obtain any necessary information in connection with this application for employment?* YesNo Do you have any convictions, cautions, reprimands or final warnings that are not “protected” as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013)* YesNo Please provide details Are you on either of the 2 lists banning you from working with children or vulnerable adults imposed by the Independent Safeguarding Authority?* YesNo Please provide details Are there restrictions on you taking up Employment in the UK?* YesNo Please provide details CV If you would like to upload your CV, please do so here. CV File Accepted file types: doc, docx, pdf, Max. file size: 1 MB. Data protection We are aware of our obligations under data protection legislation, including the obligation to collect only the data that is required for our specific purpose. The information collected in this application form is specific to our recruitment exercise and necessary for the performance of the role that you have applied for. If you are recruited for the role you have applied for, or any other role you are offered by us, the information provided will then be used for the purposes of your employment with us, together with further information collected upon recruitment for those purposes. We will treat all personal information about you with utmost integrity and confidentiality. Our policies sets out our approach to ensuring that your data is processed in line with the data protection principles within current data protection legislation. Our privacy notice gives you information on, amongst other things, the data we will hold about you during the recruitment exercise and what we use it for. Our Privacy Notice and policies for Record Retention, Access and Storage of Information and Data Protection and Confidentiality are on our website www.green-roots.com If you have any queries please contact Gemma Lawson by emailing hello@green-roots.com. Declaration* Check this box to confirm that you have read and agree to the following: 1. I confirm that the above information is complete and correct and that any untrue or misleading information will give my employer the right to terminate any employment contract offered. 2. Should we require further information and wish to contact your doctor with a view to obtaining a medical report, the law requires us to inform you of our intention and obtain your permission prior to contacting your doctor. I agree that the organisation reserves the right to require me to undergo a medical examination. In addition, I agree that this information will be retained in my personnel file during employment and for up to six years thereafter and understand that information will be processed in accordance with the General Data Protection Regulation. 3. I agree that should I be successful in this application, I will, if required, apply for a disclosure of criminal records. I understand that if I fail to do so, or should the disclosure not be to the satisfaction of the company any offer of employment mat be withdrawn or my employment terminated. 4. I understand that Green Roots may process, by means of a computer database or otherwise, any information which I provide to it, for the purpose of employment with company. Δ