Personal Statement

Name: ________________ Date: ______________

Why do you want to be selected for a place with SuperStars?

Do you have an idea of where you would like to progress within your career pathway or are you
looking for a platform to explore what the right pathway for you is?

Have you read the candidate information pack in full? Yes/No (please delete as appropriate)
Are you able to commit to your paid school placements for the full academic year? (up until
26th July 2020) Yes/No/Not sure (please delete as appropriate)

How many school days per week can you commit to for paid school placements?
Minimum (__) Maximum (__) Preference (__)

Are you able to drive [with access to a car] Yes/No

Are you able to commit to excellent attendance on your school placements and qualification tutorials
throughout the year? Yes/No/Not sure (please delete as appropriate)

Are you able to attend the program dates as listed below, Yes/No/Not sure (please delete as appropriate)
Declaration of criminal convictions

This post is covered by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 and you are therefore required to disclose all criminal convictions,
including any which may be ‘spent’ or concerning any adult living at your address. You should also include details of any cautions,
reprimands or final warnings. Please only include details of old and minor cautions, convictions, reprimands and warnings in accordance with the DBS filtering rules
relating to such offences. Details of the filtering rules can be found in the attached Applicants Guidance Notes or from
https://www.gov.uk/government/publications/dbs-filtering-guidance

Have you ever been convicted of any criminal offence, whether ‘spent’ or ‘unspent’, as defined in the Rehabilitation of Offenders Act 1974
(Exceptions) Order 1975. Yes/No

Declaration of General Data Protection consent

Applications for this post requires us to collect and process your personal data. We keep on file information from this form, the interview process and any
documents you attach. These documents are all referred to as data collection and you are the data subject. We will process this in line with our policy underpinned
by General Data Protection regulations. This is required for recruitment and equal opportunities monitoring purposes, payment and the prevention and detection of
fraud. All selection and recruitment information will be dealt with in accordance with General Data Protection legislation and will not be sold to/shared with any
third party. We will seek references from your provided referees, please confirm that you have their explicit consent to share their personal data as part of our
recruitment processing.

Do you confirm that you have received information about GDPR, that you understand our processing procedures and that you give your
consent for us to process your data for the purpose of recruitment? Yes/No
Have you ever been cautioned, reprimanded or received a final warning which although not considered to be criminal convictions and
become ‘spent’ immediately, must be considered in relation to this post?
Yes/No
If yes, please provide details:

Have you ever been barred or restricted from working with children or

Vulnerable Adults? Yes/No

If yes, please provide details:

Any subsequent offer will be subject to a criminal record check (enhanced disclosure) from the Disclosure and Barring Service (DBS). This check will include details of
cautions, reprimands or final warnings as well as convictions. Selection will be subject to the information received from the DBS.

I accept that if any of the information is found to be false or misleading, I will be disqualified from appointment. I understand that any subsequent offer will be
subject to the outcome of a criminal record check from the DBS.
Signature: Date:

Your declaration

I understand that any offer will be subject to the information on this form being correct and I confirm that no valid information has been wilfully
withheld. I understand that if I am appointed, I am liable to dismissal without notice if the information on this form or throughout the recruitment
process is later proved to be inaccurate.

Signature (applicant): Date:

Name (printed): Contact number: