Professional Documents
Culture Documents
Please complete this form in black ink or typescript. The downloaded version can be completed
on a computer. All information will be treated in confidence.
Return the form by post or email to:
Kirsty Huxter, Centre Manager, BYPC, 2 St Michael’s Road, Braintree, Essex CM7 1EX
or: khuxter@braintreeyouth.org.uk
Personal Details
Full Name
Home address
E-mail address
Mobile number
Braintree Youth Project Charity, 2 St Michael’s Road, Braintree, Essex, CM7 1EX 1
Registered in England no. 7437568 Registered with the Charity Commission no. 1139014
Tel: 01376 323764 email: contact@braintreeyouth.org.uk
Please tell us about your past and current employers (most recent first)
You may include unpaid voluntary work and additional sheets as required.
Employers Employed Employed Job Title, salary and Reason for leaving
Name & Address from Date to Date Description of Duties
Braintree Youth Project Charity, 2 St Michael’s Road, Braintree, Essex, CM7 1EX 2
Registered in England no. 7437568 Registered with the Charity Commission no. 1139014
Tel: 01376 323764 email: contact@braintreeyouth.org.uk
Education and Training
Secondary School
Braintree Youth Project Charity, 2 St Michael’s Road, Braintree, Essex, CM7 1EX 3
Registered in England no. 7437568 Registered with the Charity Commission no. 1139014
Tel: 01376 323764 email: contact@braintreeyouth.org.uk
References
Please give details of two people whom we may approach for references. One should be
from your current employer. If you are not in employment, this referee should be your
most recent employer. Your second referee should be from someone who has known
you for at least two years.
1. Name
Job title
Address
Telephone number
E-mail address
2. Name
Address
Telephone number
E-mail address
Braintree Youth Project Charity, 2 St Michael’s Road, Braintree, Essex, CM7 1EX 4
Registered in England no. 7437568 Registered with the Charity Commission no. 1139014
Tel: 01376 323764 email: contact@braintreeyouth.org.uk
Additional Information in Support of your Application
This is your opportunity to tell us how your experience and abilities make you a suitable
candidate for this post. Please refer to the job description and the person specification,
taking into account the essential and desirable criteria, and use this space to provide any
other information you wish us to consider, which has not already been provided
elsewhere. This can include relevant experience and abilities gained in voluntary
employment and/or community activities.
Braintree Youth Project Charity, 2 St Michael’s Road, Braintree, Essex, CM7 1EX 5
Registered in England no. 7437568 Registered with the Charity Commission no. 1139014
Tel: 01376 323764 email: contact@braintreeyouth.org.uk
Criminal Convictions
This position involves substantial contact and involvement with children and young
people. You are therefore required to declare any convictions or cautions you may have,
even if they would otherwise be regarded as ‘spent’ under the Rehabilitation of Offenders
Act 1974 e.g., juvenile offences. The information you give will be treated in confidence
and will only be taken into account in relation to your application to which the exception
for the 1974 Act applies. Information received from the police will be kept in strict
confidence and will be destroyed immediately the decision on the application has been
made. The disclosure of a criminal record or other information will not debar you from
appointment unless it is considered, in all the circumstances, that the nature of the
offence, however long ago and whatever age you were when it was committed and any
other factors which may be relevant, ought properly to prevent you from being employed
by The Braintree Youth Project Charity.
Have you ever been convicted of a criminal offence? (Delete as appropriate) Yes/No
If yes, please give details:
_____________________________________________________________________
Are there any health or illness reasons that may directly affect your work with
young people? Yes/No
If yes, please give details here or on a separate sheet:
_____________________________________________________________________
Declaration of applicant
I declare that the information set out in this application form is correct and true
in all respects. I consent to all necessary enquiries being made about me in
connection with this application for employment with the Braintree Youth
Project Charity. I agree that the information contained in this application form
may be used for registered purposes under The Data Protection Act 1998 and
passed on to those within the Braintree Youth Project Charity to assess my
suitability as an employee/volunteer, and thereafter to any Local Authority or
any registration, regulatory or statutory body having supervisory or statutory
powers in relation to the affairs of the Braintree Youth Project Charity or those
individuals working for it.
Braintree Youth Project Charity, 2 St Michael’s Road, Braintree, Essex, CM7 1EX 6
Registered in England no. 7437568 Registered with the Charity Commission no. 1139014
Tel: 01376 323764 email: contact@braintreeyouth.org.uk