Leader Application Form

Please complete all sections of this form. All information supplied will be treated in the strictest confidence and will be stored under the terms of the Data Protection Act 1998.

First name(*)
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Surname(*)
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Address(*)
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Postcode(*)
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Telephone(*)
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Mobile
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Email(*)
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Date of birth(*)
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Please outline any previous experience, skills and areas of special interest
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Do you hold a current driving licence?(*)
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Have you any driving licence endorsements?(*)
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Do you have any relevant qualifications, eg First aid?(*)
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Please give details here
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Please give details of two referees

Name of 1st referee(*)
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Email(*)
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Telephone(*)
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Name of 2nd referee(*)
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Email(*)
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Telephone(*)
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This voluntary role is exempt from the provision of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975. Applicants are therefore, not entitled to withhold information about convictions which for other purpose are spent under the provisions of the Act and in the event of employment, any failure to disclose such convictions could results in dismissal or disciplinary action. Any information given will be completely confidential and will be considered only in relation to any application for positions of which the order applies.

Have you ever been convicted of a criminal offence?(*)
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Please give details here
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What's on

Whats on


Club Sessions (Term Time only)

£1 per session

 

Mondays

5.30 to 7pm Years 5,6 and 7

 

Wednesdays

6.30 to 8.30 pm

Includes outdoor football and more Years 7 to 11

 

Fridays

No Friday club at present.