Employment Application Form Children’s Service Personal DetailsFull Name:Phone Number:Email Address:Street AddressApartment, suite, etcCityState/ProvinceZIP / Postal codeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. MartinSt. Pierre & MiquelonSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweRight to Work in the UK:YesNoPosition Being Applied ForSupport WorkerSenior Support WorkerTeam LeaderRegistered ManagerAdminDriverExperience & QualificationsExperience working with children/young people:Qualifications (NVQ, Care Certificate, Youth Work, etc.):Tick all that apply:Safeguarding training completedFirst Aid training completedMedication training completedDriving LicenceEmployment HistoryAre you currently Employed or have you ever been Employed?YesNoEmployment History 1Previous Employer:Job Title:Dates of Employment:Are you still working there?YesNoDates of Termination:Reason for Leaving:DBS & Children’s Workforce ChecksEnhanced DBS:YesNoUpdate Service:YesNoWilling to complete Children’s Workforce Health Questionnaire:YesNoWilling to complete mandatory safeguarding training:YesNoAvailabilityTick all that apply:Full‑timePart‑timeBankWeekendsNightsReferencesReference 1Full Name:Role/Position:Organisation:Contact Number:Supporting StatementPlease explain why you want to work with HYP and support young people aged 16–18Upload Training CertificatesPlease upload copies of the following (if available):Safeguarding trainingChoose FileNo file chosenDelete uploaded fileFirst AidChoose FileNo file chosenDelete uploaded fileMedication trainingChoose FileNo file chosenDelete uploaded fileCare CertificateChoose FileNo file chosenDelete uploaded fileYouth Work qualificationsChoose FileNo file chosenDelete uploaded fileAny other relevant certificatesDrag and Drop (or) Choose FilesHealthcare Declaration & QuestionnaireGP DetailsGP NameGP PracticeGP Email AddressGP Phone NumberGeneral Health DeclarationTick all that apply:I am in good physical healthI am in good mental healthI am fit to work with children aged 0–18I can carry out lone workingI can carry out physical dutiesIf you have any health conditions that may affect your role, please provide details:Medical ConditionsTick any that apply:AsthmaDiabetesHeart conditionsAllergiesMental health conditionsDescribe how this is managed:MedicationDo you take regular medication?YesNoList medication if applicable:Immunisation Status (Children’s Workforce)Tick any that apply:TetanusMMRHepatitis BCOVID‑19OtherProvide details if applicable:DeclarationConsent *I confirm the information provided is accurate and complete. I understand that providing false information may result in withdrawal of employment.Submit Application
