FST Expression

Overall form progress: 33% Complete

Family Support Team Expression of Interest

1. * Title Mr Mrs Miss Ms Cllr Dr Rev Other
2. * Forename
3. Middle Name
4. * Surname
5. * Please enter your postcode to look up your address
6. * Telephone Number
7. Mobile Number
8. * Email

1. Do you hold any formal childcare qualifications?

   1. Yes
   2. No
2. If yes, please give details below
3. Examples of qualifications we are looking for
4. Certificate in Children and Young Peoples Workforce - NVQ Level 2 in Childcare
5. Diploma in Children and Young Peoples Workforce - NVQ Level 3 in Childcare
6. NNEB Qualification (completed within the last 10 years)
7. Play Work Qualification - Youth Work Qualification or equivalent
8. Name of Qualification
9. Name of College/University attended
10. Date Qualification Achieved

1. * Do you have any relevant childcare experience?

   1. Yes
   2. No
2. If yes, please provide further details
3. * Do you have any other experience which you consider to be relevant?

   1. Yes
   2. No
4. If yes, please provide further details
5. * Can you offer a minimum of 16 hours per week?

   1. Yes
   2. No
6. * Are you available to work in a flexible manner?

   1. Yes
   2. No
7. * Can you work evenings from 4 p.m – 8 p.m?

   1. Yes
   2. No
8. * Can you work on a Saturday between the hours of 9 a.m - 5 p.m?

   1. Yes
   2. No
9. Please note: You may only be required to work a maximum of 4 hours during the times above
10. * Can you work on a Sunday between the hours of 9 a.m - 5 p.m?

    1. Yes
    2. No
11. Please note: You may only be required to work a maximum of 4 hours during the times above
12. * Are you available during school holidays?

    1. Yes
    2. No
13. * Do you have a car available to undertake this role?

    1. Yes
    2. No
14. Please provide any further information regarding your availability
15. Please Note: Before submitting this form, please ensure all details are correct

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