Name
Email
Telephone
Address
Gender
Date of Birth
Which intake are you applying for?
Which intake are you applying for?
Pioneer Centre - August 2026
Pioneer Centre - January 2027
(Please note that all our Centres are non-smoking, alcohol-free sites. Answering "Yes" to any of the below questions will not affect your application in any way.)
Have you ever experienced a prolonged absence from work/education due to ill health?*
Are there any disabilities or allergies that we should be made aware of? *
Do you have any dietary requirements? *
If you answered 'yes' to any of the above question, please give details
Health details
As an inter-denominational Christian based organisation, all staff are employed on the understanding that they are fully committed to our ethos and values. All applicants will be considered regardless of religion or belief.
Do you possess a personal Christian Faith? *
Do you consider yourself to be an active Christian? *
If you have answered the above with yes, please explain briefly your Christian background. What church do you currently attend, and have you discussed with your church leader your interest in working with Action Centres UK? What was the response/advice?
Christian Experience
If you have no Christian experience, please explain briefly your sympathy with our ethos and values.
Ethos and values
As your service involves working with young people you will be required to submit a Police clearance through the National Criminal Records Bureau should your application be accepted. Any information received will be held in the strictest confidence in line with the organisation's policy of confidentiality
Have you ever had a DBS (Disclosure and Barring Service) check? *
Have you ever been cautioned or convicted in respect of any kind of criminal offence?
Criminal Offence
Please provide the names and addresses of two people (not relatives), who can provide references to cover a total period of two years and/or have known you for at least two years from whom we may seek references should you be offered the position. For example, references can be obtained from a church leader (if applicable) or a professional person (i.e. teacher, solicitor, doctor, former employer, etc.)
Any offer of employment is subject to the receipt of references satisfactory to NAYC & ACUK.
Referee 1 Name
Referee 1 Email
Referee 1 Telephone
Referee 1 Address
Referee 1 Occupation
Referee 1 Connection with you
May we contact this person now?
Referee 2 Name
Referee 2 Email
Referee 2 Telephone
Referee 2 Address
Referee 2 Occupation
Referee 2 Connection with you
May we contact this person now?
Please give your reasons for applying to the Instructor training Scheme, what you hope to gain from it and what you are hoping NAYC-ACUK can help to achieve your aims.
Personal Statement
PHOTOGRAPH AND CV
Please do upload a photograph of yourself. We can accept .jpg, .jpeg, .gif, .png or .bmp files up to 2MB in size.
Upload Foto
A CV is not required, but if you would like to upload your CV, please do so here.
Upload CV
How did you hear about this vacancy?
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DECLARATION
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