Trainee Application Form - Camelia Botnar Foundation

Please complete all of the questions to the best of your ability

Your application is to be completed by you but you can ask for help from parents, carers or guardians.
Once completed the application form will be reviewed by the Foundation and we will be in contact in due course.

Step 1 of 12

In this section tell a little about yourself

Your Name(Required)

First Last

Date of Birth(Required)

DD slash MM slash YYYY

Age(Required)

Which department(s) are you interested in - First Choice

First Choice Department

Which department(s) are you interested in - Second Choice

Second Choice Department

Do you have a passport?(Required)

Do you have a driving licence?(Required)

How can we contact you?

Your Email Address

(If you do not have one leave blank)

Your Telephone Number

Your Mobile Number(Required)

National Insurance Number

Do you know your National Insurance No.(Required)

Enter Your National Insurance No.

Your Bank Account

Do you have a Bank Account?(Required)

Parent/Guardian Information

Parent/Guardian Name

First

Parent/Guardian contact number

Parent/Guardian Email

Parent / Guardian Address(Required)

Street Address Address Line 2 City County Postcode Country

Is this the address you will be using if a placement is agreed?(Required)

You have stated that you are not living at the same address as your parents/guardian. Please enter the address you will staying at

The address you are staying at(Required)

Street Address Address Line 2 City County Postcode Country

Your current living arrangements

Your Living Status(Required)

Please tell us about your current living arrangements, including who you live with

Tell us a little about your education

What school or colleges have you attended?

Tell us what subjects and grades you achieved.

Your Employment History (if any)

EMPLOYMENT HISTORY

(Please give dates, details of job title and the company you worked for)

Your Medical History

Do you have any health problems(Required)

Please give details of your health problems(Required)

Do you have any food or medical allergies?(Required)

Please give details of your allergies(Required)

Your Personal History

Do you have a criminal record, or been involved with the Police?(Required)

Please give details of your criminal record(Required)

Do you have a Social/Support worker?(Required)

Please give name and contact numbers for your social worker(Required)

Have you used drugs within the last 3 months?(Required)

Please detail your last 3 month drug history(Required)

We are a drug and alcohol free charity and perform random testing do you understand and agree?(Required)

Is Camelia Botnar Foundation right for you?

What are your life circumstances that make you think Camelia Botnar is right for you?(Required)

Your Comments

Explain how you fit the criteria of being disadvantaged or in a problematic situation.

Is there any other information you would like to add to support your application?

Safeguarding: The Camelia Botnar Foundation is committed to safeguarding and the welfare of all the people we work with. Any safeguarding concerns should be reported to the appropriate person. Details can be found in our Safeguarding policy in our Employee Handbook. If there are any concerns about one of our trainees or a member of our staff, this should be reported to the appropriate person.

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