Liss Cricket Club

Liss Cricket Club - Application Form for Role of Coach/Volunteer

 

Application for Role of Coach/Volunteer


Post applied for:

 

Part One: Personal Details

 

Title:

 

 

Last name:

 

First name:

 

 

Address:

 

Postcode:

 

 

Home telephone no:

 

National Insurance no:

 

 

 

 

 

 

 

 

 

 

Daytime telephone no:

 

Mobile telephone no:

 

 

Email address:

 

 

 

Part Two: Qualifications and Experience (please enclose copies of any certificates)

 

Coaching Qualifications

Course

Date

 

 

 

 

 

 

 

Continue on a separate sheet (if necessary).

 

Other Training and Development Courses

 

Course

Date

 

 

 

 

 

 

Continue on a separate sheet (if necessary).

 

Additional Information

 

Do you hold a current and clean car driving licence?

Yes

 


No

 


 

 

 

Do you consent to completing a medical clearance form, self-disclosure form and undertaking an enhanced DBS check if required?

 

Yes

 


No

 


 

 

Have you been convicted of a criminal offence (other than motoring offences and
spent convictions)?

 

Yes

 


No

 


 

If yes, please give details/dates of offence(s) and sentence:

 

 

 

Referees

 

Please give the names and addresses of at least two people from whom references may be requested. One of them should be your present or most recent employer (if applicable).

Please note: This should not be a relative.

 

Reference 1

Reference 2

Name:

 

Name:

 

Position (job title):

 

Position (job title):

 

Organisation:

 

Organisation:

 

 

 

 

 

 

Address:

 

 

Postcode:

Address:

 

 

Postcode:

Telephone no:

 

Telephone no:

 

Email:

 

Email:

 

Capacity in which the applicant is known
to you:

 

 

Capacity in which the applicant is known
to you:

 

 

 

 

 

 

Abilities, Skills, Knowledge and Experience

 

Please use this section to explain in detail how you meet the requirements of the job description and person specification, referring to current/previous employment, voluntary work and any personal interests or hobbies, in particular relating to coaching. Attach and label any additional sheets used.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Continue on a separate sheet (if necessary).

 

I certify that, to the best of my knowledge, the information provided in this application form is correct. I understand and acknowledge that any false claims made or withholding of any relevant information may result in the withdrawal of any offer of appointment or termination of employment.

 

Signature: ______________________ Date: __________________________

 

 

 


Equal Opportunities Monitoring Information

 

Liss Cricket Club is committed to the promotion of equality of opportunity in its employment policy, practices and procedures.

 

This form will be separated from your application form and treated in the strictest of confidence. The information you provide will be used for statistical purposes only and will not be used as part of the recruitment selection process. It is helpful if you complete all sections of the form.

 

Date of birth:

 

Age:

 

Gender:

Male Female

 

Please tick the box below that best describes your ethnic origin.

White

Mixed

Black or Black British

 

British

 

White and Black Caribbean

 


Caribbean

 

Irish

 

White and Black African

 


African

 

Non-UK

 

White and Asian

 


Any other
black background

 

 

Any other
mixed background

 


 

 

Asian or Asian British

Chinese or other ethnic group

Please tick this box if you do not wish to provide
this information.

Indian

 

Chinese

 

Pakistani

 

Vietnamese

 

Bangladeshi

 

Other ethnic group

 

 

Any other
Asian background

 

 

 

 

Disability

Do you consider yourself disabled?

Yes

 

No

 

If yes, please give details:

 

 

 

Do we need to make any specific arrangements in order for you to attend the interview?

Yes

 


No

 


 

If yes, please detail:

 

 

How did you hear about this vacancy?