New Staff Form






    GUILDFORD CITY STAFF FORM
    PLEASE COMPLETE THIS FORM IF YOU WISH TO APPLY FOR A PAID VACANCY OR VOLUNTEER POSITION
    (This form must be completed by an applicant 18 years+ or by a Parent/Guardian).


    1. IF YOU ARE COMPLETING THIS FORM AS A PARENT OR GUARDIAN ON BEHALF OF AN APPLICANT PLEASE GIVE YOUR DETAILS BELOW (if you are the applicant please start from Question 2):

    Parent / Guardian Details

    Full Name

    Relationship to Applicant

    Address (if different from applicant’s address)

    Email Address

    Mobile Number for use in Emergency


    2. STATE POSITION APPLIED FOR

    e.g. Aquatic Helper (Poolside Helper) / Swimming Teacher / Swimming Coach; other please state


    3. IF YOU HAVE ALREADY SPOKEN TO A MEMBER OF STAFF ABOUT A VACANCY PLEASE STATE THEIR NAME HERE

    e.g. Claire Nash / Jan Griffiths / Richard Garfield / Janette Smith if other please state name & Squad


    4. APPLICANT’S DETAILS

    Have you or your applicant belonged to another Swimming Club? If yes, please give details of the last 3 clubs including dates and reason for leaving (if you have had any disputes or disagreements with any teachers/coaches/volunteers or Committee members at the club that may affect a reference being submitted please ensure that this is recorded below even if this is not your reason for leaving):

    a) Please give your Swim England Membership Number (numbers can be found by searching ‘Swim England Membership Check’ online)

    b) Name of Swimming Club(s)

    c) Reason for Leaving

    Do you have a current Passport? Please type yes or no?

    if yes please give the following information:

    Passport Number

    Passport Expiry Date

    Country Of Issue

    PLEASE ENSURE THAT YOU GIVE YOUR FULL NAME AS RECORDED ON YOUR BIRTH CERTIFICATE

    First Name

    Middle Name

    Last Name

    Date of Birth

    Address

    Post Code

    Your Email (required)

    Please note that the Club uses email to communicate with staff and an up to date email address and mobile number is essential.
    Applicants under 18 must be able to supply their own mobile and email address, once employed the club will only communicate directly with the applicant, not through parents etc.

    Applicant’s Home Phone No

    Applicant’s Mobile


    5. APPLICANT’S AGED BETWEEN 13 TO 16* – IT IS MANDATORY TO HAVE A YOUNG WORKERS LICENCE FOR VOLUNTARY OR PAID WORK

    Under the Acts governing children in work, a Young Person’s Work Permit must be secured for all young workers (13-16) who are of compulsory school age and are being paid for work. *This is until the last Friday in June in the school year in which they reach the age of sixteen years. The hours that a young worker can work are restricted,

    Permitted hours of work
    Employment may only take place between 7am and 7pm.

    Hours of work for children aged 13 and 14 years
    • 2 hours on Sundays
    • 2 hours on school days (either one hour before and one hour after school, or two hours after school)
    • 5 hours on Saturdays
    • Maximum 12 hours per week during term time
    • 5 hours daily during school holidays but not to exceed 25 hours per week

    Hours of work for children aged 15 years until they are no longer of compulsory school age
    • 2 hours on Sundays
    • 2 hours on school days (either one hour before and one hour after school, or two hours after school)
    • 8 hours on Saturdays
    • Maximum 12 hours per week during term time
    • Eight hours daily during school holidays but not to exceed 35 hours per week

    Does the applicant need a Young Worker’s Licence? Yes or No

    County in which the Applicant goes to School:

    Details will be sent to the Parent / Guardian once work times & days have been agreed with the Line Manager.


    6. ARE YOU INTERESTED IN PAID OR VOLUNTARY WORK?

    Voluntary work is only available within the club not with SSP Learn To Swim.

    I am interested in Voluntary work YesNo

    I am interested in Paid work

    I am interested in either Voluntary or Paid work YesNo


    7. PLEASE STATE IF YOU ARE INTERESTED IN TEACHING LTS WHICH WE RUN ON BEHALF OF SURREY SPORTS PARK (SSP) OR IN TEACHING/COACHING WITHIN THE CLUB OR BOTH

    Please check out the website for addresses or all the pools we operate from.

    a)Surrey Sports Park LTS (hours mainly during morning and afternoon and some evenings – No weekends. YesNo

    b)Club Squad Teaching and coaching (mainly evening and weekends). YesNo

    c) I am interested in both SSP LTS and Club Squad Teaching. YesNo


    8. STATE POSITION APPLIED FOR

    e.g. Swimming Teacher / Swimming Coach; other please state:


    9. APPLICANT’S QUALIFICATIONS

    Please complete the following:

    Swim England Coach YesNo
    If ‘Yes’ please state the level

    Swim England Teacher YesNo
    If ‘Yes’ please state the level

    STA Teacher YesNo
    If ‘Yes’ please state the level

    and expiry date if given

    Swim England Aquatic Helper’s Certificate YesNo


    10. SAFEGUARDING AND PROTECTING CHILDREN COURSE (COMPULSORY) DO NOT GIVE INFORMATION ON EXPIRED CERTIFICATES (SPORT COACH UK CERTIFICATES VALID FOR 3 YEARS FROM DATE OF ISSUE SAFECIC VALID FOR 2 YEARS)

    It is compulsory for all employees who are 18 years or over, who may have contact with swimmers, to have a Safeguarding & Protecting Children Certificate and to have attended or taken an online Swim England approved course. If you do not have an approved Certificate you will be sent information on courses – full bursaries available for successful applicants.

    I currently hold a Swim England Approved Safeguarding Certificate. YesNo

    If ‘Yes’ please state which organisation the Safeguarding Certificate was issued through (eg Sports Coach Uk, Safecic):

    Date of Issue


    11. LIFE SAVING CERTIFICATES (THESE ARE NOT COMPULSORY FOR MOST POSITIONS UNLESS OTHERWISE DISCUSSED) PLEASE DO NOT GIVE INFORMATION ON EXPIRED CERTIFICATES – PLEASE NOTE STA CERTIFICATES ARE NOT RECOGNISED BY SWIM ENGLAND

    NPLQ Certificate YesNo
    If ‘Yes’ please state the expiry date

    NRASTC Certificate YesNo
    If ‘Yes’ please state who this was issued through

    and the expiry date

    Although not compulsory should applicants wish to keep NPLQ/Water Safety Certificate’s current, applicants should undertake 2 hours of update training every month:
    Please State where update training takes place if applicable:

    On the following days and times


    12. DBS CERTIFICATE PLEASE DO NOT GIVE EXPIRED DBS INFORMATION (DBS CERTIFICATES EXPIRE 3 YEARS FROM DATE OF ISSUE)

    It is compulsory for all applicants 16 years and over, who may have contact with swimmers, to have an enhanced DBS Certificate (no cost involved). Checks must have been undertaken by a Swim England Club and be less than 2.5 years old (certificates are valid for 3 years but must be rechecked from 2.5 years for new staff). If you have subscribed to the DBS update Service the ASA will check your current certificate once you have completed a consent form (see below).

    DBS Certificate YesNo
    If ‘Yes’ please state:-
    DBS Certificate No.
    Swim England Club DBS Issued through

    The expiry date

    Have you registered with the DBS Update Service? Yes or No:
    If Yes a consent form allowing Swim England to check your certificate will be emailed to you.


    13. IOS INSURANCE – PLEASE DO NOT GIVE EXPIRED INSURANCE DETAILS

    If you have separate IOS Insurance please state the number and expiry date:

    My IOS Insurance No. is

    Expiry Date is


    14. REFEREES

    If you (applicant) are a current Club Member, you must still provide 2 referees as explained below, however 1 of the referees may be a coach within the Club.

    The other referees should be a current employer, tutor, teacher etc not a friend and not related to you (applicant)..

    a) Referee Name

    b) Referee’s Position

    Relationship To Applicant

    Email Address

    Postal Address

    c) Referee Name

    d) Referee’s Position

    Relationship To Applicant

    Email Address

    Postal Address


    15. MEDICAL DETAILS OF APPLICANT

    To be completed by applicants 18 years or over, or by parent / guardian of applicants under 18 years old.

    Please select Yes or No as appropriate and complete further details. It is compulsory to give medical details otherwise insurance cover may be negated in case of an incident.

    Do you (or if completed on behalf of an applicant) have any specific medical conditions requiring medical treatment and / or medication that are likely to affect your work?
    YesNo
    If yes, please give details of condition and medication etc:

    Any other relevant information?


    16. MEDICAL INTERVENTION

    The following must be completed by a parent / guardian for applicants under 18 & in doing so this means you agree to the following medical intervention if necessary

    It may be essential at some time for the Club to have the necessary authority to obtain any urgent treatment which may be required whilst working/volunteering for Guildford City Swimming Club at any of the pools they operate from.

    I, being the parent / carer of the above named applicant hereby give permission for the club to give the necessary authority on my behalf for any medical or surgical treatment recommended by competent medical authorities, where it would be contrary to my son / daughter’s interest, on the doctors medical opinion, for any delay to be incurred by seeking my personal consent.

    Signature of Consent by Parent / Carer


    17. Data Protection Act – Privacy Policy

    In compliance with the General Data Protection Regulation 25 May 2018, we will ensure that all information held by the club is accurate, kept up to date and secure and that it is used only in connection with the purpose and activities of the Club. We will hold the data for 3 years after your last contact or from when you leave the club and then any information will be destroyed.
    The information will be disclosed only to those members of the Club / Swim England for whom it is appropriate and necessary. Swimming England has registered with Data Protection on behalf of member Clubs, counties and regions, enabling them to hold personal data of members etc.
    Records are kept on computer / Icloud platforms. Keeping information in this way enables us to run the club more efficiently.
    By pressing the ‘submit application’ button you are consenting to Guildford City SC holding your personal data for the purposes of this application as set out above and to give us permission to contact you.
    You can request information is deleted before the 3 years by contacting be gcsc.staff@gmail.com


    18. SIGNATURE

    Please read the statement below and print your name in a) or b) as appropriate. By printing your name you are accepting any terms and conditions.

    a) I am the applicant named in Section 2 and I have completed this form accurately and accept any terms and conditions:

    Print Name:

    b) I am the Parent or Guardian of the applicant stated in Section 1 and I have competed the form accurately and accept any terms and conditions.

    I understand and accept that once the applicant name above has been employed by the Club, all communication from and to the Club will be with the applicant only.

    Print Parent/Guardian Name:

    Date

    Please prove you are human

    captcha

    This form will be sent direct to Janette Smith Human Resources Manager. We will then be in touch with further information.