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Join our nurturing childcare team

At Bloom&grow, we are passionate about providing a safe, engaging, and enriching environment for children from the age of 8 at St Matthew's Centre in Walsall. As an Ofsted-registered setting, we are looking for enthusiastic, caring childcare practitioners to help young minds flourish. If you hold relevant childcare qualifications, love inspiring children, and want to be part of a supportive community team, we would love to hear from you. Get in touch with us at [[email]] or call [[phonenumber]] to learn more about our current openings and how to apply.

Learn more about us

Employment Information Form

This form is designed to collect the information Bloom & Care needs to employ an individual. Please review all details carefully and ensure that the information provided is complete and correct before submitting the form.

Jobe Title / Role *

Childminding Assistant
Childminding Volunteer
Manager

Date of Application *

Available Start Date *

Employment Type *

Full Time
Part Time
Casual/Bank

Personal Details

Please complete this section accurately. Make sure your name, contact information and any other details match your official records. This helps us process your information correctly and contact you if necessary.

Full Legal Name *

Previous Names / Maiden Names *

Date of Birth *

Home Address *

Postcode *

Telephone *

Email *

National Insurance Number (if applicable) *

Right to Work and Identity

Before you start work, we must check that you have the legal right to work in the UK. This usually means reviewing original identity and immigration documents, such as a British or Irish passport or biometric residence permit.

Do you have the right to work in the UK? *

Yes
No

Any work restrictions/ visa expiry date *

Photo ID - Passport - Driving Licence - Other *

Proof of Address *

New field *

Employment History

Please provide details of your employment history and education, including the names of employers or institutions, job titles or courses, and relevant dates. Please also explain any gaps in your employment history, such as periods spent studying, caring for family, travelling, volunteering, or seeking work.

Employer/Organisation *

Roles & Duties *

Start Date *

End Date *

Reason for Leaving *

Employer/Organisation *

Roles & Duties *

Start Date *

End Date *

Reason for Leaving *

Explain any gaps in employment / education *

Education, Qualifications and Certificates

Please list any education, professional qualifications and certifications relevant to the role. Original certificates should be checked and verified where appropriate.

Qualification / Certificate *

Provider *

Date Achieved *

Expiry (if any) *

Qalification / Certificate *

Provider *

Date achieved *

Expiry (if any) *

Upload relevent details *

Experience and Suitability

Why do you want to work with children ages 8+ at Bloom & Care Childcare? *

Describe your experiences of working with children or young people? *

How would you keep children safe and respond to a safeguarding concern? *

References

Please provide the details of a referee who can comment on your suitability for the role. Bloom & Care will contact your referees directly and carry out any checks appropriate to the position.

Name / Job Title *

Organisation *

Email / Telephone *

Is this your current or most recent employer? *

Yes
No

Name / Job Title *

Organisation *

Email / Telephone *

Safeguarding, Criminal Record Checks and Suitability Decisions

Please answer all safeguarding and criminal record check questions honestly, accurately and in full. Any information you provide will be considered fairly and confidentially as part of the suitability assessment. Having a criminal record does not automatically prevent someone from being considered.

Have you ever been barred, prohibited, or otherwise prevented from working with children or vulnerable adults? If yes, please provide details below: *

Do you have any convictions, cautions, or other information that you are required to disclose? If yes please provide details below *

Are you currently subject to any safeguarding, disciplinary, regulatory, or professional investigation relating to your suitability to work with children? If yes, please provide relevant details below: *

Do you know of any health / capability matter requiring a workplace adjustment or relevent suitability assessment? *

Yes
No

Reasonable adjustments / relevent details you wish us to know *

Applicant Declaration

I confirm that the information provided in this application is true, accurate and complete to the best of my knowledge. I understand that misleading information may affect my application or employment.

Applicant Name / Signature *

Date *

Leave this field empty