PLEASE READ THIS FORM IN FULL BEFORE COMPLETING IT

Save this PDF as:

Size: px
Start display at page:

Download "PLEASE READ THIS FORM IN FULL BEFORE COMPLETING IT"

Transcription

1 Application Form PLEASE READ THIS FORM IN FULL BEFORE COMPLETING IT Please complete all sections of this form when applying for the grant. Please send your completed application form and relevant documentation to: New Childcare Business Grants Scheme, PO Box 894, Newport, South Wales, NP20 9NE. Claim Reference (for office use only) Eligibility Criteria You are eligible for a grant if you intend to start a NEW childcare business in the next 6 months and can demonstrate that you are taking steps towards this, or if you have already started a new childcare business within 12 months of receipt of your Ofsted or Childminding Agency (CMA) registration certificate. If you are eligible, you should apply now, to have your application assessed and approved. The grant will be paid when you have successfully registered with Ofsted or an alternative approved CMA, on the Early Years Register and / or the Childcare Register. A copy of your Ofsted/CMA registration certificate will be required before your grant is paid. If you are already registered with Ofsted but have not yet started trading, you should include a copy of your registration certificate and evidence that you intend to start your business in the next 6 months. If you are not yet registered with Ofsted or an approved alternative CMA, you should fill in this form to demonstrate the steps you are taking to set up your business. As a minimum you must have spoken to your local authority and registered for the necessary training courses before submitting this form. Once submitted and approved you will have 6 months to provide us with a copy of your Ofsted/CMA certificate. In all cases a copy of your registration certificate will be required before your grant is paid. NOTE: THESE START-UP GRANTS ARE TO ENCOURAGE THE ESTABLISHMENT OF NEW CHILDCARE BUSINESSES. IF YOU ARE ALREADY RUNNING A CHILDCARE BUSINESS OF ANY SORT AND YOU HAVE BEEN TRADING FOR LONGER THAN 12 MONTHS YOU ARE NOT ELIGIBLE FOR A GRANT. APPLICATIONS WILL BE ACCEPTED FOR NEW BUSINESSES WHO ARE OPERATING WITHIN THE FIRST 12 MONTHS OF THE RECEIPT OF THEIR OFSTED/CMA CERTIFICATE AND WHO HAVE NOT PREVIOUSLY RECEIVED A GRANT. PLEASE BE AWARE THAT SCHOOLS, EITHER INDEPENDENT, PRIVATE OR PUBLIC WHO ARE PLANNING TO START AN AFTER SHOOLS CLUB, BREAKFAST CLUB, OR OTHER CHILD CARE FACILITY ON SCHOOL PREMISES AND RUN BY THE SCHOOL ARE NOT ELIGIBLE TO APPLY FOR THIS GRANT.

2 In order to prevent delays when processing your application, please ensure that all sections are completed. If you have any queries or doubts regarding your eligibility, or require assistance in completing the form, please contact one of our operators prior to sending the form, on THIS APPLICATION MUST BE COMPLETED IN CAPITALS THROUGHOUT (All fields must be completed, except where indicated otherwise. Your claim will be returned to you if any information is missing.) Section 1: Personal details 1. Title: Mr Ms 2. Forename: Surname: 3. Address: Town/City: County: Post Code: 4. Date of Birth: 5. National Insurance Number: 6. _ 7. Daytime contact number: 8. Please provide your business premises address if different to the address given at 3 above? Address: County: Postcode: _ Section 2: About your business 9. If you are Ofsted/CMA registered, have you already started your childcare business? Yes: No: If so, you should send a copy of your certificate with this application form along with evidence that you intend to start your business soon. This evidence could be your business plan, evidence that you have secured clients, or evidence of discussions with your local authority. 10. Please give the expected start date of your business. 11. Please enter details of the type of childcare business you intend to start and the grant you are applying for: Childminder 500 Nursery: 1000 Out of School Club: 1000 Childcare on Domestic Premises: 1000 If you are starting a childminding business, do you intend to provide care for disabled children? If so, and you expect to incur additional expenditure in doing so, you will be eligible for a grant at the higher rate of Do you expect to incur additional expenditure to provide care for disabled children? Yes: No: To qualify for the higher rate payable grant please give details of what additional expenditure you expect to incur to provide care for disabled children. (You will be required to provide evidence of this expenditure to claim the enhanced grant). Details: 9a. If yes, please provide the date your business started trading: _ Please note that if you are already trading as a business you are only eligible for this grant if your business started trading within 12 months of receipt of your Ofsted/CMA certificate. 9b. If you are not yet trading, do you intend to start a childcare business in the next 6 months? Yes: No: 13. Where did you hear about this grant scheme?

3 Section 3: Your local authority Contacting your local authority should be your first step towards setting up a new childcare business. You should ask about the need for childcare provision in your area and the availability of the required training courses, together with what other support the local authority can offer you in setting up your business. Do not apply for this grant until you have contacted your local authority and booked yourself on the necessary training courses. Section 4: Your Ofsted/CMA Application details (Only complete this section if you are not already registered with either Ofsted or an alternative CMA) Payment of the grant is dependent on you successfully registering with either Ofsted or an alternative CMA. To do this, you will need to complete the following steps. However, don t wait to complete these steps before applying for a grant you may not be able to answer every question at this point. 14. The name of the local authority where the business will be set up: 15. Have you contacted your local authority? Yes: No: 16. Name of the person in your local authority family services department that you ve spoken to: Contact s name: Date you spoke to them: 17. You must have either completed or booked a place on your local authority approved childcare training course before you apply for your grant. Please enter the date when the course was/will be attended. 18. You must have either completed or booked a place on the relevant first aid course before you apply for your grant. A first aid certificate is a requirement for Ofsted/CMA registration. If caring for children under 5 years old this should be a paediatric first aid certificate. Please give the date when this course was / will be attended. 19. Have you applied for Ofsted/CMA registration? If so, please give the date when you did this. _ 20. Which register are you (or will you be) applying for? Early Years: Childcare: Both: 21. Have you applied for your Disclosure and Barring Service check? This will be required for you and for all other adults over 16 who reside at the premises where your business will be held and is mandatory for your Ofsted/CMA registration. If so, please give the date you applied: 22. How many adults will require DBS checks? 23. Have you completed your Health Check booklet section A&B? If so, please give the date when this was completed: 24. Have you contacted your GP to complete part C of the Health Check booklet? If so, date when this was completed?

4 Section 5: Claim Audits Your claim may be selected for a post-payment audit. If so we will require copies of your receipts and records which demonstrate the expenditure you incurred in getting registered with Ofsted or an alternative CMA. Such expenditure may include: Training costs, health check costs, Disclosure and Barring Service costs, Ofsted/CMA inspection costs, equipment costs, and other associated costs. Section 6: Payment Details You should complete this section now. However, no payment will be made until you have registered with Ofsted or an alternative CMA, on either the Early Years Register or the Childcare Register. You will need to submit a copy of your registration certificate to trigger the payment. Bank Account Name: Bank Name: Bank Sort Code: Bank account Number: Building Society Account Name: Building Society Name: Building Society Sort Code: Building Society Account Number: Building Society Roll Number: Section 7: Declaration I confirm that the details I have given here are correct to the best of my knowledge and that I know of no reason why I may be refused registration by Ofsted or an alternative approved CMA. I understand that providing false information will invalidate my application. I also understand that I will not receive a grant until I am Ofsted/CMA registered and sent in a copy of my registration certificate. I confirm that I am not currently running a childcare business, but I intend to do so once I am registered. I agree that my details may be shared with relevant statutory bodies. Signature: Date: Name: (Block Capitals): Section 8: Checklist In order to prevent delays when processing application forms, please ensure that: All of the questions have been answered (except where indicated otherwise) You have attached a copy of your Ofsted/CMA registration certificate (if you are already registered) The form is signed The form is dated You have completed the diversity questionnaire

5 Please send completed application forms with supporting documentation to the following address: Childcare Grant Scheme, PO Box 894, Newport, South Wales, NP20 9NE. Diversity Information The Government is keen to ensure that these grants are accessible to all. To help us monitor this, we would be grateful if you would fill in the form below. It will have no bearing on your application. Information provided will be treated as strictly confidential and will be used for statistical purposes only. It will not be published or used in any way which allows any individual to be identified. Gender: Male Female Are you married or in a civil partnership: Yes No Age: Prefer not to say What is your ethnicity? Ethnic origin categories are not about nationality, place of birth or citizenship. They are about the group to which you as an individual perceive you belong. Please indicate your ethnic origin by ticking the appropriate box; White: English Welsh Scottish Northern Irish Irish Gypsy or Irish Traveller Other White background Mixed/multiple ethnic groups: White and Black Caribbean White and Black African White and Asian Any other mixed background Asian/Asian British: Indian Pakistani Bangladeshi Chinese Any other Asian background Black/ African/ Caribbean/ Black British: African Caribbean Any other Black/African/Caribbean background Other ethnic group: Arab Any other ethnic group Prefer not to say Do you consider yourself to be disabled? Yes No Prefer not to say What is your sexual orientation? Heterosexual/straight Gay woman/lesbian Gay man Bisexual Other Prefer not to say What is your religion or belief? No religion Buddhist Christian Hindu Jewish Muslim Sikh Any other religion Prefer not to say

The CILEx Compensation Fund Claims Application Form

The CILEx Compensation Fund Claims Application Form The CILEx Compensation Fund Claims Application Form Please complete this form to make a claim for a loss you have incurred. When you have filled in the form, please send it to us at: The CILEx Compensation

More information

Guidance Notes: Childcare Business Grants Scheme

Guidance Notes: Childcare Business Grants Scheme This guidance is to accompany the new Childcare Business Grant Scheme which comes into effect in April 2015. PLEASE READ THIS GUIDANCE IN FULL BEFORE COMPLETING YOUR APPLICATION Guidance Notes: Childcare

More information

Claims Management Claim Form. When you have filled in the form, please send it to us at:

Claims Management Claim Form. When you have filled in the form, please send it to us at: For our use only.../... Claims Management Claim Form When you have filled in the form, please send it to us at: Solicitors Regulation Authority Claims Management The Cube 199 Wharfside Street Birmingham

More information

Application Form Foundation Degree in Business 2 years Full-Time (Part-Time attendance)

Application Form Foundation Degree in Business 2 years Full-Time (Part-Time attendance) Application Form Foundation Degree in Business 2 years Full-Time (Part-Time attendance) Please read the online course leaflet page for details of the entry requirements. Personal Details Surname First

More information

Application form trainee solicitors

Application form trainee solicitors Application form trainee solicitors for training contracts commencing in 2018 PERSONAL DETAILS Title: Name (in full): Telephone number(s): Email address: Home address (including postcode): Please give

More information

Prevent unauthorised deductions Antenatal care. Failure to allow time off for trade union activities/safety rep duties

Prevent unauthorised deductions Antenatal care. Failure to allow time off for trade union activities/safety rep duties Fees and Remissions Although this form is not part of the ET1 it must be returned with the claim form if you are making your claim by post. This will assist our staff in confirming that the correct fee

More information

Application form for employment

Application form for employment Position: Ref no: (For office use only) Thank you for your interest in employment with Eden Project Ltd. Please complete this application form in as much detail as possible. We will be using the information

More information

Compliments, Comments & Complaints. This leaflet tells you how to compliment, comment or complain about our Services. www.wakefield.gov.

Compliments, Comments & Complaints. This leaflet tells you how to compliment, comment or complain about our Services. www.wakefield.gov. Compliments, Comments & Complaints This leaflet tells you how to compliment, comment or complain about our Services www.wakefield.gov.uk Comments, Compliments and Complaints We welcome your views We are

More information

Funded Pre-School Education Registration Form 2014/15

Funded Pre-School Education Registration Form 2014/15 REGISTRATION IS NOT THE SAME AS ENROLMENT This registration form should be completed if you wish to apply for a funded pre-school education place for your child. Please return this completed form to the

More information

A CLAIM FOR DISCRETIONARY HOUSING PAYMENTS (DHP) Claim Ref:

A CLAIM FOR DISCRETIONARY HOUSING PAYMENTS (DHP) Claim Ref: A CLAIM FOR DISCRETIONARY HOUSING PAYMENTS (DHP) Claim Ref: SECTION 1 INFORMATION If you are getting Housing Benefit and Local Council Tax Support but you are still having problems meeting your rent and

More information

Housing List Application

Housing List Application Answer all questions on this form fully & truthfully or your application will be delayed. Please use a black pen and write in BLOCK CAPITALS. If you need help filling in this form please contact 020 7364

More information

Compensation for a personal injury following a period of abuse (physical and/or sexual)

Compensation for a personal injury following a period of abuse (physical and/or sexual) Criminal Injuries Compensation Authority Tay House 300 Bath Street Glasgow, G2 4LN Freephone: 0800 358 3601 For office use only Reference number: Compensation for a personal injury following a period of

More information

FULL-TIME APPLICATION FORM

FULL-TIME APPLICATION FORM Learner Number: FULL-TIME APPLICATION FORM St Peters Street Lowestoft Suffolk NR32 2NB Telephone: 01502 583521 Fax: 01502 500031 Email: info@lowestoft.ac.uk www.lowestoft.ac.uk 1 st choice course 2 nd

More information

Surname: Postcode: I can attend each day of the Summer School and all 16 Saturday sessions. I have completed all information in sections A, B, C and D

Surname: Postcode: I can attend each day of the Summer School and all 16 Saturday sessions. I have completed all information in sections A, B, C and D CHOICE Study with the world s leading Social Science institution Summer School: Monday 17 Friday 21 August 2015 16 Saturday Sessions: 19 September 2015 5 March 2016 Deadline Friday 20 March 2015 First

More information

Collecting data on equality and diversity: examples of diversity monitoring questions

Collecting data on equality and diversity: examples of diversity monitoring questions Collecting data on equality and diversity: examples of diversity monitoring questions Subject Page Age 3 Disability 4-5 Race/Ethnicity 6-7 Gender or sex, and gender reassignment 8-9 Religion and belief

More information

School Pupil Data Capture Form (Primary)

School Pupil Data Capture Form (Primary) Information on pupils and parents/carers is stored securely on a computer system. The information gathered is subject to the terms of the Data Protection Act 1998. The information may be used for teaching,

More information

APPLICATION FORM ver.cgm CRC Please note: Before commencing the application form, please read the guidance notes

APPLICATION FORM ver.cgm CRC Please note: Before commencing the application form, please read the guidance notes 1. APPLICATION FORM ver.cgm CRC Please note: Before commencing the application form, please read the guidance notes OFFICE USE ONLY Candidate Ref:. DDA Application for employment as Vacancy Ref Section

More information

St Albans Rent Secure Scheme Referral Form

St Albans Rent Secure Scheme Referral Form St Albans Rent Secure Scheme Referral Form Please provide the following information along with the supporting documents listed on the eligibility criteria to enable the STARSS co-ordinator to make an initial

More information

VOLUNTEER CLUB LEADER TRAINING APPLICATION / ENROLMENT FORM LA: 1. Full name (given name, surname) 2. Male / Female (please circle) 3.

VOLUNTEER CLUB LEADER TRAINING APPLICATION / ENROLMENT FORM LA: 1. Full name (given name, surname) 2. Male / Female (please circle) 3. VOLUNTEER CLUB LEADER TRAINING APPLICATION / ENROLMENT FORM For SpEC office use only Number: LA: Section 1: Personal Details 1. Full name (given name, surname) 2. Male / Female (please circle) 3. Date

More information

The Community Law Partnership. Application for Employment

The Community Law Partnership. Application for Employment The Community Law Partnership Solicitors Housing Law Advice Application for Employment The Community Law Partnership is an Equal Opportunities Employer. We invite applications from men and women from all

More information

Personal Details Surname Surname at birth, if different Any other names by which you have been known

Personal Details Surname Surname at birth, if different Any other names by which you have been known Post applied for: Office Use Only 1 2 3 4 Personal Details Surname Surname at birth, if different Any other names by which you have been known Forenames (in full) Nationality Title (Mr, Mrs, Miss, Ms,

More information

Barking Abbey School Teacher Application Form

Barking Abbey School Teacher Application Form Job position applied for Closing Date Where or how did you hear about the vacancy? PERSONAL DETAILS Your preferred title: First name or names: Last name: Address: Home phone number: Work phone number:

More information

Community Asset Transfer 2 (CAT2) Stage two application form Wales only

Community Asset Transfer 2 (CAT2) Stage two application form Wales only Community Asset Transfer 2 (CAT2) Stage two application form Wales only Please make sure that you read the following guidance on how to fill in this application form before you start to complete it. This

More information

Capita HR Solutions. HR Services Director

Capita HR Solutions. HR Services Director Capita HR Solutions HR Services Director August 2013 Contents The Company... 3 Job Description... 4 The Rewards... 6 Advertisement... 7 How to Apply... 8 Equality & Diversity Monitoring form... 9 Capita

More information

TEACHER APPLICATION FORM

TEACHER APPLICATION FORM TEACHER APPLICATION FORM Please note this post involves working with children or vulnerable adults so appointment will be subject a Criminal Records Bureau disclosure. See supporting information for further

More information

Consultation on Non-Emergency Patient Transport Services

Consultation on Non-Emergency Patient Transport Services Consultation on Non-Emergency Patient Transport Services Cambridgeshire and Peterborough Clinical Commissioning Group wants people, their families and carers to have a say about things that are important

More information

CANARY WHARF MANAGEMENT LIMITED

CANARY WHARF MANAGEMENT LIMITED CANARY WHARF MANAGEMENT LIMITED SECURITY DEPARTMENT APPLICATION FORM The information provided on this application form will help us to assess your suitability for employment with Canary Wharf Management

More information

Three Rivers Housing Association Customer Survey

Three Rivers Housing Association Customer Survey Three Rivers Housing Association Customer Survey Q1. Address Q2. Postcode Tenancy Ref (if known) Q3. Daytime Phone Number Q4. Evening Phone Number Q5. Mobile Phone Number Q6. Do you have internet access?

More information

Islington Housing Services in partnership with London Metropolitan University delivering an accredited course on housing issues

Islington Housing Services in partnership with London Metropolitan University delivering an accredited course on housing issues Islington Housing Services in partnership with London Metropolitan University delivering an accredited course on housing issues Please return the completed form by Wednesday 22 June 2013, 10.00am Application

More information

JOB DESCRIPTION ASSET MANAGEMENT OFFICER

JOB DESCRIPTION ASSET MANAGEMENT OFFICER JOB DESCRIPTION ASSET MANAGEMENT OFFICER Responsible to: Asset Manager Role of Property Team The Asset Management team provides a comprehensive property maintenance service to tenants including capital

More information

NHS Family doctor services registration GMS1

NHS Family doctor services registration GMS1 NHS Family doctor services registration GMS1 Patient s details Please complete in BLOCK CAPITALS and tick as Appropriate Mr Mrs Miss Ms Surname Date of birth d d m m y y First names NHS No. Male Female

More information

Job Application form

Job Application form Job Application form Post Applied for: Closing Date: form Job Reference: form Please complete this form in black ink. Applications received after the closing date will not normally be considered. THE INFORMATION

More information

Version 2 November 2014 ADULT INFORMATION FORM. scouts.org.uk

Version 2 November 2014 ADULT INFORMATION FORM. scouts.org.uk Version 2 November 2014 ADULT INFORMATION FORM. scouts.org.uk This form is to be used by any person over 18 years of age who wishes to help with Scouting, or become a member of Scout Network. The form

More information

Fast Track Pathway Tool for NHS Continuing Healthcare

Fast Track Pathway Tool for NHS Continuing Healthcare Fast Track Pathway Tool for NHS Continuing Healthcare DH INFORMATION READER BOX Policy Clinical Estates HR / Workforce Commissioner Development IM & T Management Provider Development Finance Planning /

More information

SPECIALIST TENANCIES MANAGER PERSON SPECIFICATION

SPECIALIST TENANCIES MANAGER PERSON SPECIFICATION SPECIALIST TENANCIES MANAGER PERSON SPECIFICATION The Selection Panel has identified this comprehensive specification for the ideal candidate and will use this to examine the internal candidate(s) who

More information

2011 Census: Cultural diversity in Kent

2011 Census: Cultural diversity in Kent Business Intelligence Statistical Bulletin January 2013 2011 Census: Cultural diversity in Kent Related documents 2011 Census results 2011 Census release timetable Equality & diversity The Office for National

More information

Haringey Council - Test of Tenant Opinion

Haringey Council - Test of Tenant Opinion TENANT NAME ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LINE 3 TOWN/CITY POSTCODE Survey Reference number: 123456 If you would prefer to complete this questionnaire online, please visit www.m-e-l.co.uk/haringey.aspx

More information

Leicester Charity Link Grant application form

Leicester Charity Link Grant application form Leicester Charity Link Grant application form Client reference (for office use only) 20a Millstone Lane, Leicester LE1 5JN t: 0116 222 2200 f: 0116 222 2201 w: www.charity-link.org e: info@charity-link.org

More information

RICHMOND HOUSING REGISTER

RICHMOND HOUSING REGISTER For office use only App. type Initial Surname Registration. RICHMOND HOUSING REGISTER CHANGE OF CIRCUMSTANCES FORM GUINNESS TRUST RICHMOND HOUSING REGISTER CHANGE OF CIRCUMSTANCE FORM Please answer all

More information

Department for Transport / Office of Rail Regulation

Department for Transport / Office of Rail Regulation Department for Transport / Office of Rail Regulation Director, Strategic Roads Network Monitor Candidate Information Brief October 2014 431223 1 About the Strategic Roads Network Monitor The Government

More information

Civic Government (Scotland) Act 1982

Civic Government (Scotland) Act 1982 Corporate Resources Legal Services Civic Government (Scotland) Act 1982 Application pack to substitute a vehicle for that designated as a taxi licence or a private-hire car licence This application pack

More information

Director - Business Development, Partnerships & Communications - Application pack

Director - Business Development, Partnerships & Communications - Application pack Director - Business Development, Partnerships & Communications - Application pack Thank you for downloading this application pack! In this document you will find: Information about Future First; our history,

More information

PTL1 Tuition Fee Loan and Course Grant application form for new part-time students 2014/15

PTL1 Tuition Fee Loan and Course Grant application form for new part-time students 2014/15 PTL1 Tuition Fee Loan and Course Grant application form for new part-time students 2014/15 About this form Who should complete this form? Complete this form if you re living in Wales and: you re a part-time

More information

Sample Give and Let Live survey questions

Sample Give and Let Live survey questions Sample Give and Let Live survey questions Here are some closed questions you might think about using in your questionnaire. The questions you ask will depend on who your target audience is if everyone

More information

Maidstone is the largest district in Kent with a resident population of 155,143. This grew by 11.7% between 2001 and 2011.

Maidstone is the largest district in Kent with a resident population of 155,143. This grew by 11.7% between 2001 and 2011. Census 2011 Briefing Ethnicity & National Identity The 1991 Census was the first census to include a question about ethnic background to monitor equal opportunities /anti-discrimination policies. Over

More information

Application for Employment

Application for Employment Principal: Stephen M Davies Application for Employment PLEASE COMPLETE ALL SECTIONS REGARDLESS OF WHETHER A CURRICULUM VITAE IS SUBMITTED Please Complete in Black Ink or Typescript POST APPLIED FOR: Personal

More information

Finance and Business Development Manager 21 hours per week 22,000 pro rata Actual salary 12,745

Finance and Business Development Manager 21 hours per week 22,000 pro rata Actual salary 12,745 Finance and Business Development Manager 21 hours per week 22,000 pro rata Actual salary 12,745 An exciting opportunity has arisen for finance and Business Development Manager with sound financial skills,

More information

If you have not heard from us by then, please consider your application unsuccessful.

If you have not heard from us by then, please consider your application unsuccessful. Governance and Executive Support Assistant Chief Executive Section Job Type: Full time 37 hours per week Location: Hull, East Yorkshire Salary: 25,000 per annum Start Date: ASAP Duration: 6 months fixed

More information

Recruitment Pack. Debt and Benefits Advisor. Wellingborough Homes. August 2015

Recruitment Pack. Debt and Benefits Advisor. Wellingborough Homes. August 2015 Recruitment Pack Debt and Benefits Advisor Wellingborough Homes August 2015 Wellingborough Homes 9f Silver Street Wellingborough NN8 1BQ Email : Recruitment@whomes.org www.wellingboroughhomes.org Contents

More information

The examination fee and all relevant information must be included with the application. Please write in capital letters.

The examination fee and all relevant information must be included with the application. Please write in capital letters. The examination fee and all relevant information must be included with the application. Please write in capital letters. Give details of any username or personal ID issued to you by the College to which

More information

Thank you for your interest in volunteering with the Avon and Somerset Constabulary.

Thank you for your interest in volunteering with the Avon and Somerset Constabulary. Human Resources Department, South Gloucestershire District Concorde House, Harlequin Office Park, Fieldfare, Emersons Green, Bristol, BS16 7FN Telephone: 0117 928 6099 Facsimile: 0117 928 6150 E-mail:

More information

JOB DESCRIPTION INCOME MANAGEMENT OFFICER

JOB DESCRIPTION INCOME MANAGEMENT OFFICER JOB DESCRIPTION INCOME MANAGEMENT OFFICER PURPOSE OF ROLE To contribute to the AHP Group s (Aberdeenshire and Moray Housing Partnerships) Income Management process and our aim of providing a supportive;

More information

IMPORTANT NORTHERN IRELAND FIRE & RESCUE SERVICE PROCESSES THE INFORMATION PROVIDED ON THIS FORM FOR THE PURPOSES OF MEETING ITS LEGAL OBLIGATIONS.

IMPORTANT NORTHERN IRELAND FIRE & RESCUE SERVICE PROCESSES THE INFORMATION PROVIDED ON THIS FORM FOR THE PURPOSES OF MEETING ITS LEGAL OBLIGATIONS. IMPORTANT ALL SECTIONS OF THIS APPLICATION FORM SHOULD BE COMPLETED. IT IS THE APPLICANT'S RESPONSIBILITY TO PROVIDE SUFFICIENT INFORMATION FOR THE APPLICATION TO BE ASSESSED, AND CARE SHOULD BE TAKEN

More information

Housing Benefit and Council Tax Support application form

Housing Benefit and Council Tax Support application form For office use only Reference Date issued Date received stamp Housing Benefit and Council Tax Support application form If you want to claim help with paying your rent or Council Tax, please fill in this

More information

Consultation on Proposed Changes to the Non-Residential Social Services Contributions Policy ONLINE CONSULTATION QUESTIONNAIRE

Consultation on Proposed Changes to the Non-Residential Social Services Contributions Policy ONLINE CONSULTATION QUESTIONNAIRE Consultation on Proposed Changes to the Non-Residential Social Services Contributions Policy ONLINE CONSULTATION QUESTIONNAIRE Introduction The Council are reviewing our policy about the contributions

More information

Please refer to the job description and person specification (on the recruitment page on our website) before applying for this role

Please refer to the job description and person specification (on the recruitment page on our website) before applying for this role Please complete the application form below and return it to: Mrs Helen Dowling, Unit 29, Basepoint Evesham, Crab Apple Way, Evesham, Worcestershire WR11 1GP by no later than the closing date of Friday

More information

Degree Application Form 2015/16

Degree Application Form 2015/16 Degree Application Form 2015/16 BCME collects information about you on this form to ensure that we are fully prepared to offer you the best experience. Please complete it clearly, in black ink if possible.

More information

Project Manager s Introduction

Project Manager s Introduction Dear prospective volunteers, Project Manager s Introduction It is fantastic that you are interested in helping us support young and vulnerable people in Cheshire. Nightstop is a way of volunteering from

More information

FREELANCE TRAINER APPLICATION FORM

FREELANCE TRAINER APPLICATION FORM FREELANCE TRAINER APPLICATION FORM PERSONAL DETAILS: Full Name: Address: Contact (day) (eve) (mobile) (e-mail) QUALIFICATIONS and MEMBERSHIP: Please detail your academic or professional qualifications

More information

Application form LARGE PRINT. Northern Ireland. URN Office use only

Application form LARGE PRINT. Northern Ireland. URN Office use only LARGE PRINT Northern Ireland URN Office use only Welcome to the Big Lottery Fund s Awards for All Programme in Northern Ireland. Please contact us on 028 9055 1455 (text phone 028 9055 1431 - for those

More information

Application form for childminders and providers of childcare on domestic premises to seek approval to operate from non-domestic premises

Application form for childminders and providers of childcare on domestic premises to seek approval to operate from non-domestic premises Application form for childminders and providers of childcare on domestic premises to seek approval to operate from non-domestic premises Please complete this form online and return via email if possible.

More information

Tamworth Borough Council Housing Application Form

Tamworth Borough Council Housing Application Form Tamworth Borough Council Housing Application Form Please read this form carefully and complete all sections. An incomplete form will be returned to you for completion. The information you give us will

More information

Do you have any restrictions to times and days you can work?

Do you have any restrictions to times and days you can work? Office Use Only Pre-screened by HR Yes By: Passed Pre Screen RTW Y / N Driving Licence Y / N / NA 5 Year History Y / N SIA Y / N Pre screen comments: Interview Date & Time: Proceed to Vetting? Post interview

More information

Guidance and Application

Guidance and Application Guidance and Application for trading at the Manchester Street Markets The Manchester Street Markets are monthly markets at various locations across the city, including: Northenden (Northenden Village,

More information

Referral Form. What benefits does the applicant receive? allocated?

Referral Form. What benefits does the applicant receive? allocated? Please return to Christopher Davies Heantun Housing Association 3 Wellington Road Bilston West Midlands WV14 6AA 01902 571131 christopher.davies@heantun.co.uk Referral Form Personal details: Name of applicant:

More information

APPLICATION FORM AND GUIDANCE NOTES

APPLICATION FORM AND GUIDANCE NOTES APPLICATION FORM AND GUIDANCE NOTES Application to Register for a teacher who is recognised as a qualified teacher by a member state of the EU, EEA or Switzerland and is seeking recognition under EU Directive

More information

The Best People: The Best Services

The Best People: The Best Services The Best People: The Best Services This form and its guidance are available in alternative formats (see back page) or you can apply online at www.leics.gov.uk/jobs Free internet access is available at

More information

APPLICATION FORM. Application for Housing Registration

APPLICATION FORM. Application for Housing Registration APPLICATION FORM Application for Housing Registration The purpose of this application form is to register your need for housing. Registration does not guarantee that you will be made an offer of accommodation.

More information

Gambling Therapist. Residential Treatment Centre for Compulsive Gamblers. 35 hours per week to include Saturdays on a rota basis

Gambling Therapist. Residential Treatment Centre for Compulsive Gamblers. 35 hours per week to include Saturdays on a rota basis Gambling Therapist Residential Treatment Centre for Compulsive Gamblers 35 hours per week to include Saturdays on a rota basis 22,945 plus OLW 1755 and 6% pension. Would you like to make a difference to

More information

Membership application form

Membership application form Membership application form Mr / Mrs / Miss / Ms / Other Surname First name(s): Address: Post Code: Tel. Mobile Email address If you have lived at this address for less than three years, please give previous

More information

Tenant transfer application

Tenant transfer application For office use Registration No. Tenant transfer application Main applicant Place passport sized photo of main applicant here Place passport sized photo of joint applicant here If you would like any part

More information

Title: Mr / Mrs / Miss (Please indicate as appropriate) Other: Surname: Full forenames: Address: Post Code: E-mail: Home Tel No: Mobile Te No:

Title: Mr / Mrs / Miss (Please indicate as appropriate) Other: Surname: Full forenames: Address: Post Code: E-mail: Home Tel No: Mobile Te No: 4 Saxon House Warley Street Upminster Essex RM14 3PJ Tel: 01708 227100 Fax: 01708 250140 Application for Employment 1. Please note that Ultimate Security Services Limited is an equal opportunities employer

More information

Review of Drug & Alcohol Services In Derby

Review of Drug & Alcohol Services In Derby Review of Drug & Alcohol Services In Derby Take part from 9 June until 20 July 2014 To take part: Please read the background information contained within this document. If you have any questions about

More information

Graduate Diploma in Professional and Clinical Veterinary Nursing

Graduate Diploma in Professional and Clinical Veterinary Nursing Graduate Diploma in Professional and Clinical Veterinary Nursing Please complete this form in typescript or black ink and return with the required documents via email to admissions@rvc.ac.uk or via post

More information

To Let. The One Stop Shop Brent House, 347-359 High Road, Wembley, HA9 6BZ. By Informal Tender

To Let. The One Stop Shop Brent House, 347-359 High Road, Wembley, HA9 6BZ. By Informal Tender To Let The One Stop Shop Brent House, 347-359 High Road, Wembley, HA9 6BZ By Informal Tender A rare opportunity to lease a self contained ground floor wing of Brent Councils former offices in central Wembley.

More information

A-Z Hospitals NHS Trust (replace with your employer name)

A-Z Hospitals NHS Trust (replace with your employer name) Department of Health will be issuing new guidance relating to the monitoring of equality in April 2013. The equality and diversity sections within NHS Jobs application forms will be reviewed and updated

More information

Year 12 Young Persons University 2015 Residential Summer School Programme

Year 12 Young Persons University 2015 Residential Summer School Programme Year Young Persons University 2015 Residential Summer School Programme Application Form There are three sections to this application form: Section 1: To be completed by the applicant Please complete all

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT APPLICATION FOR EMPLOYMENT PLEASE COMPLETE IN BLACK INK INCORPORATING Reference Number: POSITION APPLIED FOR: PERSONAL DETAILS Title: Surname: First Name: Home Address: Post Code: Email Address: Contact

More information

Application Form to Full-time Courses for 2015/2016

Application Form to Full-time Courses for 2015/2016 Application Form to Full-time Courses for 2015/2016 Official Use Only Interview Details Date and Time first for training & skills STUDENT NO. Venue Interviewer Please complete in BLOCK capitals using a

More information

REGISTRATION FORM. www.valeofglamorgan.gov.uk

REGISTRATION FORM. www.valeofglamorgan.gov.uk REGISTRATION FORM Homes4U is a Choice based Lettings Scheme for rented properties owned by the Council and partner Housing Associations in the Vale of Glamorgan. The Council also uses this information

More information

Course Title (as shown in prospectus eg. Level 2 Diploma Horticulture): Preston (Bilsborrow)

Course Title (as shown in prospectus eg. Level 2 Diploma Horticulture): Preston (Bilsborrow) To submit this form online, open the pdf file in Adobe Reader (available to download from www.adobe.com) and type your details in the relevant spaces. Once completed, save the application form on your

More information

Annex C Arden, Herefordshire and Worcestershire Area Team Patient Participation Enhanced Service 2014/15 Reporting Template

Annex C Arden, Herefordshire and Worcestershire Area Team Patient Participation Enhanced Service 2014/15 Reporting Template Arden, Herefordshire and Worcestershire Area Team Patient Participation Enhanced Service 2014/15 Reporting Template Practice Name: Whitehall Medical Practice Practice Code: M84004 1. Prerequisite of Enhanced

More information

Dear Applicant, We look forward to hearing from you. Kind Regards. Admissions. Newham College 020 8257 04495

Dear Applicant, We look forward to hearing from you. Kind Regards. Admissions. Newham College 020 8257 04495 Dear Applicant, Please print the following application form (4 pages), complete all fields and send it to Admissions at the above address along with the 40.00 administration fee, if applicable. This course

More information

APPLICATION FOR GENERAL MEDICAL SERVICES WITH THE CHARTER MEDICAL CENTRE

APPLICATION FOR GENERAL MEDICAL SERVICES WITH THE CHARTER MEDICAL CENTRE Your GP will be: APPLICATION FOR GENERAL MEDICAL SERVICES WITH THE CHARTER MEDICAL CENTRE Dr From AUG 2015 PLEASE COMPLETE THIS FORM IN CAPITAL LETTERS Have you been registered at this practice before?

More information

AYLESBURY GRAMMAR SCHOOL

AYLESBURY GRAMMAR SCHOOL AYLESBURY GRAMMAR SCHOOL APPLICATION FORM PLEASE COMPLETE USING BLACK INK OR TYPE. APPLICATION FOR THE POST OF: APP 2 - POLICE CHECK SURNAME: FORENAME(S): TITLE: ADDRESS FOR CORRESPONDENCE: POSTCODE: E-MAIL

More information

Choice Homes housing application form

Choice Homes housing application form Choice Homes housing application form Attach passportsize photograph (you) Attach passportsize photograph (your partner, if this applies) Important information - please read this before you fill in your

More information

EARLY YEARS AND CHILDCARE LEARNING AND DEVELOPMENT PROGRAMME BOOKING FORM OCTOBER 2015 MARCH 2016

EARLY YEARS AND CHILDCARE LEARNING AND DEVELOPMENT PROGRAMME BOOKING FORM OCTOBER 2015 MARCH 2016 EARLY YEARS AND CHILDCARE LEARNING AND DEVELOPMENT PROGRAMME FORM OCTOBER 2015 MARCH 2016 Please ensure you have completed a workforce audit form for any new staff since Sept 2014 if you have not already

More information

Harlow Council Job Application Form

Harlow Council Job Application Form Harlow Council Job Application Form Post Applied for: Closing Date: Post Number: Interview Date: It is important that you read the guidance notes before completing this application form. Please complete

More information

Housing Application Form

Housing Application Form Housing Application Form 1 Red Row Renton Office Use Only: G82 4PL Date received: 01389 721216 Reference Number: 07974 745 462 info@cordalehousing.org.uk www.cordalehousing.org.uk This is a housing application

More information

2014/15 Patient Participation Enhanced Service Reporting

2014/15 Patient Participation Enhanced Service Reporting Practice Name: PLANE TREES GROUP PRACTICE 2014/15 Patient Participation Enhanced Service Reporting 1. Prerequisite of Enhanced Service Develop/Maintain a Patient Participation Group (PPG) Does the Practice

More information

The Frank Buttle Trust & BBC Children In Need Small Grants Programme. Child Support Application Form

The Frank Buttle Trust & BBC Children In Need Small Grants Programme. Child Support Application Form The Frank Buttle Trust & BBC Children In Need Small Grants Programme Child Support Application Form As well as giving grants from its own funds, the Trust administers the BBC Children In Need Small Grants

More information

Loan Application Form

Loan Application Form FOR OFFICE USE ONLY Loan Number: Membership Number: Loan Application Form To apply for a loan, you must provide evidence of your income (and be an existing member of LASA Credit Union). Acceptable forms

More information

Bedfordshire Housing Register Application Form

Bedfordshire Housing Register Application Form Bedfordshire Housing Register Application Form The Bedfordshire allocations scheme operates in 3 areas of Bedfordshire: Bedford Borough Central Bedfordshire Luton You will need to complete one form for

More information

Application form for the Early Years Register: childcare provider on domestic or non-domestic premises (not as a childminder) (form EYO)

Application form for the Early Years Register: childcare provider on domestic or non-domestic premises (not as a childminder) (form EYO) Application form for the Early Years Register: childcare provider on domestic or non-domestic premises (not as a childminder) (form EYO) April 2010 We will use a computer to scan this form. Please complete

More information

Learning Agreement 2015-2016

Learning Agreement 2015-2016 FOR OFFICE USE ONLY Student ID No. Learning Agreement 2015 2016 Employer/Sponsor On completion of this form, it must be signed and returned to the Student Advice Centre. Bath College, Avon Street, Bath,

More information

Application to make a Disability Discrimination Claim

Application to make a Disability Discrimination Claim SENTW 4 Application to make a Disability Discrimination Claim It is important that you read our guidance booklet, How to make a claim before filling in this form. Please write clearly in BLACK ink. If

More information

DIPLOMA IN DENTAL HYGIENE AND DENTAL THERAPY APPLICATION FORM FOR ADMISSION IN Jan 2016

DIPLOMA IN DENTAL HYGIENE AND DENTAL THERAPY APPLICATION FORM FOR ADMISSION IN Jan 2016 DIPLOMA IN DENTAL HYGIENE AND DENTAL THERAPY APPLICATION FORM FOR ADMISSION IN Jan 2016 Please complete clearly in BLACK ink Use the information on the website to ensure that you complete this form correctly

More information

APPLICATION FOR FINANCIAL ASSISTANCE

APPLICATION FOR FINANCIAL ASSISTANCE CHARITY NUMBER 1106218 APPLICATION FOR FINANCIAL ASSISTANCE ALTERNATIVELY APPLY ONLINE VIA THE TRUST S WEBSITE WWW.BRITISHGASENERGYTRUST.ORG.UK BEFORE COMPLETING THE APPLICATION FORM, PLEASE CAREFULLY

More information

APPLICATION FOR FINANCIAL ASSISTANCE

APPLICATION FOR FINANCIAL ASSISTANCE APPLICATION FOR FINANCIAL ASSISTANCE ALTERNATIVELY APPLY ONLINE VIA THE FUND S WEBSITE WWW.NPOWERENERGYFUND.COM BEFORE COMPLETING THE APPLICATION FORM, PLEASE CAREFULLY READ THE NOTES BELOW. When you have

More information

National Activist Education Programme: Employment Law Courses 2016

National Activist Education Programme: Employment Law Courses 2016 https://www.unison.org.uk/get-involved/learning-development/activists/activist-training-pathways/ National Activist Education Programme: Employment Law Courses 2016 The following in-depth employment law

More information