Specialist Playscheme Application

First name

Last name

Birthday

Day

Month

Year

Phone Number

Address

National Insurance Number

Job Role

Experience

Do you have an Enhance DBS?

Enhanced DBS

Do you have any Safeguarding Training?

Safeguarding Training

Do you have CPI Training, previously known as MAPPA?

CPI Training

Do you have Moving and Handling Training?

Moving and Handling Training

Do you have IDDSI Training?

IDDSI Training

Do you have First Aid Training?

First Aid Training

List any other relevant training you may have.

Other Training Certificates

You can add multiple training certificates here. Please list them in the text box above.

Upload Your Photo ID and CV

Photo ID (Driving License or Passport)

Reference 1

Reference 2

Bank Account Name

Bank Account Number

Bank Account Sort Code

Dates I can do

Please provide availability for 6 weeks. The club will be running for 4 weeks over the summer with a training week before the start.

03303 110 860