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Application Form
If you wish to be considered for a place on one of the courses on offer would you please complete the answers below and the medical questionnaire below that. Then you should prepare a description of a learning experience of your own. This could be of anything, e.g. starting your first job, doing a short course, learning to drive, type or ski, etc. It must be hand-written and approximately two sides of A4 paper in length. This must be your own unaided work. Send these, together with your up-to-date curriculum vitae and a photocopy of your highest educational qualification (so if you have H.N.D., for example, do not send a copy of a GCSE certificate) to: The Principal, The Kent & Sussex Montessori Centre, "Hoath Hall", Please telephone the Centre on 01892 870740 if there is anything which is not clear to you. On receipt of your papers we will contact you to discuss your application and arrange an interview, so do please make sure you have given your telephone number(s). Please add a note of any times when you may not be available. PLEASE PRINT Name .......................................................................................................... Address ...................................................................................................... ........................................................................... Post code ....................... Telephone (day): .......................................... (evening): ........................ Course applied for: ..................................................................................... Date course commences: ........................................................................... I wish to apply for a course at the Kent & Sussex Montessori Centre. I understand that completing this form does not commit me to accepting a place, should it be offered, and that place offers are made entirely at the discretion of the Centre. I have enclosed the following papers:
Signed .................................................................. Date .......................... Medical Questionnaire Strictly Private and Confidential As you will be working with children during your course, it is necessary for you to complete this form. Please answer all questions and return the form as directed. If the answer to any question is YES, please give details on a separate piece of paper.1. Have you ever been convicted or found guilty of any offence by any court (even if you were only put on probation, conditionally discharged or bound over)? NO ..... YES ..... 2. Have you had a summons or any charge brought against you (for any offence) which has not yet been disposed of? NO ..... YES ..... Please note that jobs in nurseries and playgroups are exempt from the provisions of the Rehabilitation of Offenders Act 1974 and that successful applicants for posts which bring them into close contact with children will be subject to police checks. 3. Have you suffered, or do you suffer from any of the following? Heart condition NO ..... YES ..... Tuberculosis NO ..... YES ..... Epilepsy NO ..... YES ..... Allergy NO ..... YES ...... Diabetes NO ..... YES ..... Asthma NO ..... YES ..... Migraine NO ..... YES ..... Hepatitis NO ..... YES ..... Any other form of physical disability NO ..... YES ..... Any form of mental illness or breakdown NO ..... YES ..... 4. Have you had any operations or hospitalisations over the past ten years? NO ..... YES ..... 5. Have you ever been tested for H.I.V.? NO ..... YES ..... (if YES, please give date and result of test.) 6. Are you aware of any reason why you should not be in charge of young children? NO ..... YES ..... I certify, under penalty of perjury, that the above information is correct and I understand that I may be liable for prosecution should any of the foregoing information prove to be false. Signed.................................................................. Date ............................ |
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