Join Supply Register

Please complete the following form details to register on our supply register.

Title:

First name:

Last Name:

Tel. No.

Address:

Town/City:

County/Borough:

Post Code:

Email:

Note : If you DO NOT have an email address, please leave this field as 'no email'

Date of Birth:

Year:

Capability:

Select any areas in which you have any experience and/or qualifications. (please tick all that apply)

Administrator
Classroom Assistant
Cleaner
Cook
Creche Worker
Deputy Manager
Manager
Nursury Nurse
Nursery Assistant
Play Leader
Play Worker
Playgroup Worker
Special Needs Support Assistant
Teaching Assistant

Settings:

Select any settings in which you are keen to work. (please tick all that apply)

Creche
Day Nursery
Holiday Playscheme
Out Of School Club
Playgroup
Pre-School
School

Areas where I could work:

Select the areas of Tees Valley you are able to work. (please tick all that apply

Darlington
Hartlepool
Middlesbrough
Redcar and Cleveland
Stockton on Tees

Availability:

Check the box next to all the days of the week you could be available and enter the starting and finishing hours you would be able to work on those days.

Monday from

to

Tuesday from

to

Wednesday from

to

Thursday from

to

Friday from

to

Saturday from

to

Sunday from

to

Do you have an enhanced police check disclosure form?

Yes     No

Education and Qualifications:

Please list all your qualifications including where studied, full qualification title, level and date achieved.

Experience Brief:

This is an opportunity for you to tell us about your relevent experience, skills and places you have worked.

Additional Information:

This is an opportunity to sell yourself to a potential employer and could include a covering letter or any additional information that may support your application.

Referee 1 :

Please provide details of two persons who can provide references for your applications.

Referee 2 :

NOTE: The following information is strictly confidential and will under no circumstances be viewed by potential employers or any other members of the public. The information will simply be used for statistical monitoring purposes by your local Early Years Development and Childcare Partnership.

Gender:

Male      Female

Are you aged 40 or over?:

Yes      No

Do you have a disability or special need?:

Yes      No

Are you registered disabled?:

Yes      No

Where did you hear about this website?:

Ethnicity:

Employment Status:

Current Qualifications:

Using this site
Please choose a username and password for use with this site. Maximum 20 characters using letters a-z and numbers 0-9 only.

username:

password:

   

  

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