Job Application Form

LIFE Employee application form

1. Personal Information
2. Qualifications
3. Job Position
4. Tell us about you?
5. Criminal convictions
6. References

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Personal Information (optional)

Title:

Forename:

Middle name:

Surname:

Date of birth:

Month
January
February
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Year
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Gender:

Address:

Home phone:

Mobile phone:

Email address:

Are you currently employed?

Yes

Do you have a driving licence?

Yes

Are you a UK citizen?

Yes

If no how long have you lived in the UK?

Previous employment (optional)

Can you provide a brief outline for leaving this job?

Employer name/Establishment:

Date of employment started:

Month
January
February
March
April
May
June
July
August
September
October
November
December

Year
1922
1923
1924
1925
1926
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1932
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1977
1978
1979
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1981
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1987
1988
1989
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1991
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2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042

Date of employment:

Month
January
February
March
April
May
June
July
August
September
October
November
December

Year
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
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1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
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2027
2028
2029
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2031
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Reason for leaving

Would you like to add more previous employment?

Choose
Yes
No

Employer name/Establishment #2

Date of employment started #2

Month
January
February
March
April
May
June
July
August
September
October
November
December

Year
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
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2026
2027
2028
2029
2030
2031
2032
2033
2034
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2040
2041
2042

Date of employment #2

Month
January
February
March
April
May
June
July
August
September
October
November
December

Year
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
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2027
2028
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2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042

Reason for leaving #2

Current Qualifications (optional)

Can you tell us about your qualifications? Please note that we only expect you to share qualifications achieved after school ( A levels, Btec, Diplomas, Gegrees, Masters, PHD, additional Training Academy's).

Qualification title:

Institution/ training provider:

Accrediting body:

Grade achieved:

Level of qualification:

Year completed:

Would you like to add more qualification?

Choose
Yes
No

Qualification title

Institution/ training provider

Accrediting body

Grade achieved

Level of qualification

Year completed

Job Position (optional)

What job position are you applying for?

Please state the position you are applying for:

Choose
Family psychotherapist
Senior Psychologically informed practioner
Psychologically informed practioner
Apprentice psychologically informed practioner

What is your available start date?

Month
January
February
March
April
May
June
July
August
September
October
November
December

Year
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042

Employment desired:

Choose
Full Time
Part Time
Temporary

Availability (optional)

Can you please indicate your working availability in the table below?

Can you please indicate your working availability in the table below?

Day (AM)

Night (AM)

Not Available

Monday

Day (AM)

Night (AM)

Not Available

Tuesday

Day (AM)

Night (AM)

Not Available

Wednesday

Day (AM)

Night (AM)

Not Available

Thursday

Day (AM)

Night (AM)

Not Available

Friday

Day (AM)

Night (AM)

Not Available

Saturday

Day (AM)

Night (AM)

Not Available

Sunday

Day (AM)

Night (AM)

Not Available

Can you tell us about you? (optional)

Do you have any experience working with young people who are in the care system, if so can you give us a detailed explanation?

What interests you with working with young people?

What do you understand about trauma amongst young people?

Why would you like to work for LIFE?

What skills do you have that you can use to help a young person emotionally recover?

What do you understand about intergenerational trauma?

Criminal convictions (optional)

Please give us a clear understanding if you have any convictions.

Have you ever been convicted of a crime?

Choose
Yes
No

Criminal convictions (optional)

Please note that when answering this question, you need not to disclose (a) convictions for traffic offenses were adjudicated in a juvenile court under a youth offender law

If yes, explain number of conviction(s) nature of the offense(s) committed, sentence(s) imposed and type(s) of rehabilitation

References (optional)

Please state the referees that you would like us to contact to support your application.

Name:

Job Position:

Company email:

Contact number:

Name 2 (optional)

Job Position 2 (optional)

Company email 2 (optional)

Contact number 2 (optional)

Name 3 (optional)

Job Position 3 (optional)

Company email 3 (optional)

Contact number 3 (optional)

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LIFE Employee application form