If you are interested in applying to work at Ripley Town Council as a Youth Worker, please continue ahead, complete the application form and click send! 

Education & Training 

Date from
Date to
Name of school/college/university
Qualifications gained
1
2
3
4
5
6
Additional Training/Qualifications (Must be relevant to the post) 
Name of Training/course
Duration
Date obtained
1
2
3
4
5
6
7
8
9
10
 

Employment history 

Name and address of employer
Date from
Date to
Job title and brief description of main duties and responsibilities
Salary
Reason for leaving
1
2
3
4
5
6

Suitability for this post 

Please Note: We will seek to match the information you provide against the job description / person specification. Therefore, you should ensure that you address each point identified in the job description / person specification and provide evidence of relevant experience and skills, including areas other than paid work. 

DBS Information 

The post you are applying for is subject to an order under Section 4(4) of the Rehabilitation of Offenders Act 1974, as amended by the Protection of Freedom Act 2012. 
 
Applicants are therefore not entitled to withhold information about convictions which, for other purposes are spent under the provisions of the Act. If you are to be recommended for the post, you will be subject to a Disclosure and Barring Service check. This will be an enhanced disclosure. 
 
You must, therefore, disclose any convictions, cautions, warnings, reprimands, binding over or other orders, pending prosecutions or criminal investigations. Failure to disclose this information could result in the withdrawal of a job offer, dismissal or disciplinary action. Any information given will be completely confidential and will be considered only in relation to an application for positions to which an order applies. 

References 

Please give the names and addresses of two references. Ideally, these should both be employment. If you are unable to do this, please clearly outline who your second referee is. (NB. References will only be taken if you commence employment with us). 
Reference 1
Reference 2
Name
Position
Work relationship
Organisation
Dates employed (to/from)
Address
Postcode
Telephone number
Email

Declaration 

I confirm that the information provided in this application is both truthful and accurate. I have omitted no facts that could affect my employment. I understand that any false misleading statements could place any subsequent employment in jeopardy. I understand that any employment entered into is subject to documentary evidence of my right to work in the UK and satisfactory references. I expressly consent to personal data contained within this form being recorded for the purposes of assessing suitability for the post and may form the basis of any subsequent personnel file. 
Ripley Town Council confirm that it will treat any personal information that you provide to us, or that we obtain from you, in accordance with the requirements of the Data Protection Act 1998. 

Equal Opportunities Monitoring 

This part needs to be completed and submitted along with the application form. The information you provide will be kept separately from your application form and does not form part of the selection process. It will be retained by the Town Clerk for monitoring purposes. 
What is your Ethnic Group? 
Choose ONE section from A-E and then select the appropriate box to indicate your cultural background. 
Disability 
Disability is defined as “physical or mental impairment, which has a substantial and long-term adverse effect on a person’s ability to carry out normal day to day activities”. 
Age Group 
 
Please check through all your answers above, then submit your application to Ripley Town Council for consideration. 
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