Relevant Experience including any previous experience of working with children and young people:
Reasons for applying:
References:
Please provide the names and addresses of two people who know you well (one personal, one professional – current or previous employer, who are not related to you) whom we can contact to obtain a reference:
Name:
Address:
Telephone Number:
Name:
Address:
Telephone Number:
Data Protection Notification:
Information you have provided in completing this form will be used to process your application. PRGC will keep the information you have supplied confidential and will not divulge it to third parties, except where required by law, or where we have retained the services of a third party representative to act on yout/our behalf.
Authorisation:
I have read the Data Protection notification and understand and agree to the use of my personal data in accordance with the Data Protection Act 2018, GDPR and all relevant data protection legislation.
Signed: Date:
Declaration:
I confirm that the information I have provided is correct and that any false or misleading information may lead to the termination of my appointment.
