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Braintree Youth Project Charity

Application for Apprenticeship

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

Receipt of this form will be acknowledged only if accompanied by a stamped addressed


envelope or received by email.
If you have not been contacted within 3 weeks after the closing date for applications, please
assume your application has not been successful.

Position applied for: Apprentice Youth Support Worker

Please state how this vacancy


came to your notice.
If an advertisement, please
state which publication:

Personal Details
Full Name

Home address

E-mail address

Mobile number

Current driving licence Yes No


(Please delete as appropriate)
Any driving endorsements/ Yes No
penalty points?
Do you require a work permit Yes No
in this country?

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

School(s) Examinations passed Grade(s)

Further and Higher Education

Educational Qualifications obtained Grade


establishment(s) (Please state main subject areas)

Other Relevant Training / Qualifications


(Including short courses and seminars)

Brief description/course title Organising body

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

May we contact this person before interview? Yes/No (Delete as appropriate)

2. Name

Address

Telephone number

E-mail address

May we contact this person before interview? Yes/No (Delete as appropriate)

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.

You may continue on a separate sheet if necessary.

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.

Signed ___________________________________________ Date ____________

Print name ___________________________________________________________

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

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