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					 For Office Use Only           CWDC URN:                            CWDC Instance:

 ITI        Date:   /   /     Offer:          Loc:                 Notes:

 Initials:                      Y / N




Early Years Professional Status (EYPS)
Application for Full Training Pathway
Best Practice Network is a leading provider of training and assessment for EYPS, offering flexible and high
quality support to help you achieve this exciting professional status. Apply now to begin your pathway to
national recognition of your work in leading and supporting your colleagues to achieve excellence with
babies, toddlers and young children.
You can contact our dedicated EYPS team on 0117 9209 200 or at eyps@bestpracticenet.co.uk for more
information

Application Guidance
Please ensure that you fill in all sections of this application form. You will need to provide a range of
personal details alongside your academic achievements. The section ‘Candidate Questions’ allows us to
gain a deeper insight into your interest and knowledge of EYPS and will be used as an aid in a further
telephone interview. The last section of the application form requests sensitive personal information and
will be handled in a highly confidential manner.

Application Sections:
    Applicant Details                                 Applicant Questions
    Qualification Checklist                           Criminal Record Declaration
    Reference Information                             Declaration
    Equal Opportunity Information                     Medical Questionnaire

Before submitting your application, please ensure that you have included the following alongside your
application form:

Copies of qualification certificates:
    Degree
    GCSE Mathematics
    GCSE English (Language)
AND
    NARIC Certification (Applicable for international qualifications, see www.NARIC.org.uk)
    Proof of any name changes e.g. Marriage Certificate/Deed Poll




                                                 Tel: 0117 920 9208 Email: eyps@bestpracticenet.co.uk Fax: 0117 929 7163
                                                                      Document: EYPS FTP App Form Current as of: 22/12/10 Approved by: Rahim Ahmed
                                                                                                                                        Page 1 of 15
1. Applicant Details

Please select start date:            September                       January

 Forename:                                           Surname:

 Previous surname (if applicable):

 Address:



 Postcode:                                 Email:

 Home telephone:                                     Mobile:

 Date of birth:                            National Insurance Number:

 Country of birth:



Have you applied to another provider for EYPS?                 Yes                        No

Have you started an EYPS pathway previously (with Best Practice Network or another provider)*?

    Yes           No

If you answered ‘Yes’:

With which
Provider:

Start Date:

Finish Date:

*If you have received any previous EYPS funding for starting a pathway, future funding may be affected.


2. Marketing Information

How did you hear about Best Practice Network?
    Advertisement        Internet Search               Local Authority                    Word of Mouth

    Briefing/Taster            University/College              Setting/Line manager

 Recommended by (Please specify)



For the purpose of providing support and guidance, details of EYPS candidates will be shared with the Local
Authority in which you live. If you DO NOT want your details shared, please tick here




                                                    Tel: 0117 920 9208 Email: eyps@bestpracticenet.co.uk Fax: 0117 929 7163
                                                                      Document: EYPS FTP App Form Current as of: 22/12/10 Approved by: Rahim Ahmed
                                                                                                                                        Page 2 of 15
3a. EYPS Full Pathway Qualification Requirements Checklist
To begin the EYPS Full Pathway, candidates must have a degree and GCSE English and maths grade C or
above. Candidates are required to provide copies of their qualifications as part of the application process.
We will be unable to progress your application without photocopies that provide confirmation of the
qualifications you currently hold.

As a general guide the following qualifications meet the EYPS entry requirements, as set out by the CWDC.
This is not an exhaustive list - should you hold an alternative qualification that you think may meet the
requirements, please contact our programme coordinators for further advice.

If you do not have the appropriate GCSE (or recognised equivalent) grades you will not be accepted onto a
pathway. We advise candidates to successfully complete an equivalency test prior to starting EYPS to
secure their place. Ask one of our coordinators for more information or take a look on our website:
www.bestpracticenet.co.uk/eyps


                                                                   Requirement Met

                                  Year            Degree       Foundation                 GCSE                   GCSE
          Qualification
                                  Achieved                       Degree                  English                 Maths
                                                                                       (Language)

          Bachelors / Masters
                                                    
          Degree

                                  Before
          Cert Ed                                   
                                  1980
 DEGREE




          QTS                     From 1984                                                                         

          Degree with QTS         From 1984                                                                        

          Foundation Degree                                           

          GCSE Grade C and
                                                                                                                    
          above

                                  Up to July
          GCE Pass                                                                                                  
                                  1975

                                  July 1975
 GCSE's




          GCE C and above                                                                                           
                                  onwards

          CSE Grade 1                                                                                               

          GCE A Level Grade A-D                                                                                     

          Equivalency Test Pass                                                                                     




                                               Tel: 0117 920 9208 Email: eyps@bestpracticenet.co.uk Fax: 0117 929 7163
                                                                 Document: EYPS FTP App Form Current as of: 22/12/10 Approved by: Rahim Ahmed
                                                                                                                                   Page 3 of 15
3b. Applicant Qualification details
Please complete in full your qualification details, ticking the appropriate boxes and enclosing copies of the
relevant qualifications.

I have a degree

My degree title:

Year achieved:



I have achieved GCSE English (Language) at Grade A-C (or recognised equivalent)

Name of qualification:

                               Grade:                            Year achieved:



I have achieved GCSE Mathematics at Grade A-C (or recognised equivalent)

Name of qualification:

                              Grade:                             Year achieved:


***Please enclose copies of your certificates with your application***




                                              Tel: 0117 920 9208 Email: eyps@bestpracticenet.co.uk Fax: 0117 929 7163
                                                                Document: EYPS FTP App Form Current as of: 22/12/10 Approved by: Rahim Ahmed
                                                                                                                                  Page 4 of 15
4. Reference Details
Please provide details for one professional and one personal referee.

Referee details (1):
 Name:

 Position:

 Address:




 Telephone Number:

 Email:



Referee details (2):

 Name:

 Position:

 Address:




 Telephone Number:
 Email:




                                             Tel: 0117 920 9208 Email: eyps@bestpracticenet.co.uk Fax: 0117 929 7163
                                                               Document: EYPS FTP App Form Current as of: 22/12/10 Approved by: Rahim Ahmed
                                                                                                                                 Page 5 of 15
5. Applicant Questions
Please write a short paragraph in response to each question. The reasons for requesting that you do this
are:

      To ensure that you can communicate clearly and accurately in written Standard English (this is an
       entry requirement for EYPS)

      To provide you with an opportunity to demonstrate your existing knowledge about the early years of
       childhood
      As a guide to your potential for leading and supporting the practice of other practitioners in the early
       years

a. Please describe briefly why you think you would be a suitable candidate for EYPS




b. What do you think is the importance of play for a young child?




                                               Tel: 0117 920 9208 Email: eyps@bestpracticenet.co.uk Fax: 0117 929 7163
                                                                 Document: EYPS FTP App Form Current as of: 22/12/10 Approved by: Rahim Ahmed
                                                                                                                                   Page 6 of 15
c. Think of two play activities that you would provide for children in an outside environment and say why
you would choose them?




d. What methods and approaches would you adopt to persuade a reluctant child to eat some fruit?




                                            Tel: 0117 920 9208 Email: eyps@bestpracticenet.co.uk Fax: 0117 929 7163
                                                              Document: EYPS FTP App Form Current as of: 22/12/10 Approved by: Rahim Ahmed
                                                                                                                                Page 7 of 15
e. How would you handle a situation in a setting where you are on placement and a member of staff
complained to you about the manager?




f. Please give an example of a time when you have supported one of more other people to achieve a goal –
in a work situation or during your training/education.

      What did you do that was successful?
      Why do you think you were successful?

      What did you learn from the situation about supporting and guiding others?




                                               Tel: 0117 920 9208 Email: eyps@bestpracticenet.co.uk Fax: 0117 929 7163
                                                                 Document: EYPS FTP App Form Current as of: 22/12/10 Approved by: Rahim Ahmed
                                                                                                                                   Page 8 of 15
6. Declaration


 Do you consider yourself to have a disability / additional learning needs?                                  Yes                 No

 If you have answered YES please provide brief details:




 Do you require a Visa to live and work within the United Kingdom?                                            Yes*                 No
 *If ‘Yes’, please provide a copy with your application.



 I do not have a criminal background that might prevent me working with children or as an early
 years professional.
 I have not been previously excluded from working with children.
 I confirm that all information provided in this application is true and accurate to my knowledge.


 Signed:____________________________________________                                 Date: _____________________
*Please note that before accepting you on the programme we will take up references and apply for CRB
clearance.



Please return this form by post to:
EYPS Registration Team, Best Practice Network, 111-117 Victoria Street, Bristol BS1 6AX
Or by fax on 0117 929 7163. Please remember to enclose copies of your qualifications.
Our Programme Coordinators can be contacted on 0117 9209 200 with any questions on queries about the
application process.

We look forward to working with you and supporting you to gain EYPS.

Please Note:

 You may be asked to provide additional documentary evidence to confirm your eligibility. Once
 we have sufficient information to process your application you will be contacted to complete a
 telephone/face-to-face interview.


Data Protection Statement: The information that you provide on this form and that obtained from other relevant sources will be used to
process your registration for a place on one of our EYP pathways. The personal information that you give us will also be used in a
confidential manner to help us monitor our recruitment procedures and, should your registration be successful and you take up a place on
one of our programmes, to facilitate your learning experience. We may also use or pass to certain third parties information to process or to
support any application made for funding associated with your learning. As a registered data controller, we are required to take
appropriate technical measures to protect your personal information including making a regular backup of our system and data. We have
security measures in place to make sure any personal information we collect is secure. All parties with access to your information are
subject to confidentiality obligations. By submitting this form we will be assuming that you agree to the processing of sensitive personal
data (as described above) in accordance with our registration with the Data Protection Commissioner.




                                                           Tel: 0117 920 9208 Email: eyps@bestpracticenet.co.uk Fax: 0117 929 7163
                                                                                Document: EYPS FTP App Form Current as of: 22/12/10 Approved by: Rahim Ahmed
                                                                                                                                                  Page 9 of 15
The following pages request completion of:
      Equal Opportunities information (optional)

      CRB Information (required)

      Medical Questionnaire (required)
The information gathered here will be treated with the strictest confidence. To further enable this please
remove these back pages and place them in a separate envelope marked CONFIDENTIAL and send them
alongside your application.




                                             Tel: 0117 920 9208 Email: eyps@bestpracticenet.co.uk Fax: 0117 929 7163
                                                               Document: EYPS FTP App Form Current as of: 22/12/10 Approved by: Rahim Ahmed
                                                                                                                                Page 10 of 15
Equal Opportunity Information
Gender:          Male               Female

Ethnicity:       White              Mixed Race                Asian/Asian British

                    Black/Black British          Chinese/Chinese British
                    Other*                Prefer not to say

 *If Other, please enter details




                                             Tel: 0117 920 9208 Email: eyps@bestpracticenet.co.uk Fax: 0117 929 7163
                                                               Document: EYPS FTP App Form Current as of: 22/12/10 Approved by: Rahim Ahmed
                                                                                                                                Page 11 of 15
CRB Information
As newcomers to the early years sector and nursery/children's centre settings you must be CRB cleared prior to
volunteering in settings. The Children’s Workforce Development Council (CWDC) requires us to confirm CRB clearance
as part of the EYPS recruitment process.



Name:

EYPS Start Date:

I already have a CRB Number?     Y      N


 If you have a CRB number, please complete this section.

 CRB No:

 Date of Birth:

 I consent to Best Practice Network registering their interest in my CRB clearance and that they will be informed of
 any changes in my CRB status for the duration of my EYPS course.


  If you have an original CRB as stated above, please send it in to us with this
 Signed…………………………………………………. Date……………………………………………. form.




Please note:

     If you have not been CRB checked, you will be able to do this through BPN for a minimal charge
     If you already have a CRB, you will still be required to undergo an identity check
     The setting you will be placed in as part of your course may also request CRB information
    

 As part of the CRB’s policy on the recruitment of ex-offenders, it is recommended that you are given the
 opportunity to provide details of your criminal record. If you would like to do so, please declare this below:




                                                 Tel: 0117 920 9208 Email: eyps@bestpracticenet.co.uk Fax: 0117 929 7163
                                                                   Document: EYPS FTP App Form Current as of: 22/12/10 Approved by: Rahim Ahmed
                                                                                                                                    Page 12 of 15
CONFIDENTIAL MEDICAL QUESTIONNAIRE
The Children’s Workforce Development Council requires training providers to ensure that EYP candidates
are physically and mentally fit to work with young children. For candidates who are employed within the
early years workforce, we ask employers to confirm this to be the case. For those on the full pathway, who
are not employed, the EYPS provider is required to confirm this directly with candidates, hence this
questionnaire. Your response will be treated in the utmost confidence, in line with our standard data
protection policy and will be handled by a senior member of staff who is not part of the EYPS team within
Best Practice Network, i.e. whom you will not have met/spoken to on the telephone.

Please complete the questionnaire below. The information is required with your interests in mind. As a
result of the information you have given in special circumstances you might be referred to a doctor
appointed by Best Practice Network so that a medical examination can be carried out.

We will contact your GP for confirmation of your medical capability to complete the training. Please
provide us with your GP details below. Confidentiality will be strictly maintained at all times.

Candidate Name:                             EYPS Start Date:

 GP Full Name:

 GP Surgery:

 Surgery Address:



 Postcode:

 Declaration: I agree that Best Practice Network may contact my GP in connection with this
 statement if required.


Signed       _________________________________ Date________________________________

Have you ever:

                                                        Details

 Had an operation?                Yes       No

 Been seriously injured?          Yes       No

 Received in patient treatment    Yes       No
 for a physical or mental
 condition?

 Been refused, or dismissed       Yes       No
 from employment for health
 reasons?

 Received a disability pension?   Yes       No

 Been registered disabled?        Yes       No
 Been made ill by your work?      Yes       No


                                             Tel: 0117 920 9208 Email: eyps@bestpracticenet.co.uk Fax: 0117 929 7163
                                                               Document: EYPS FTP App Form Current as of: 22/12/10 Approved by: Rahim Ahmed
                                                                                                                                Page 13 of 15
 Been refused a driver’s licence   Yes       No
 because of ill health?


Do you suffer from or have ever had:

 Diabetes                   Yes        No      Skin rashes/eczema                            Yes              No

 High Blood Pressure        Yes        No      Anaemia                                       Yes              No

 Asthma                     Yes        No      Frequent Headaches                            Yes              No

 Frequent Cough             Yes        No      Rheumatic fever                               Yes              No

 Arthritis                  Yes        No      Epilepsy/fits                                 Yes              No

 Shortness of breath        Yes        No      Heart trouble                                 Yes              No

 Chest trouble              Yes        No      Fainting or dizziness                         Yes              No
 Hay fever                  Yes        No      Jaundice                                      Yes              No

 Swelling of legs/ankles    Yes        No      Period or prostate problems                   Yes              No

 Varicose veins             Yes        No      Rupture                                       Yes              No

 Clinical depression        Yes        No      Migraine                                      Yes              No
 Back trouble               Yes        No      Ear trouble                                   Yes              No

 Eye trouble                Yes        No      Nerve trouble                                 Yes              No


Do you take medicine regularly?                Yes                     No
Have you ever had a head injury?               Yes                     No

Do you suffer from any other ailments?                Yes                         No

Please give details on a separate sheet if you have answered yes to any of the above questions.



Declaration: To the best of my knowledge and the belief the information given above is correct. I
understand that if I am appointed and this information is inaccurate, I am liable to lose my place on the
EYPS programme.


Signed         ______________________________________                       Date                              /          /



Name           __________________________________________                   Date of Birth                    /          /




                                             Tel: 0117 920 9208 Email: eyps@bestpracticenet.co.uk Fax: 0117 929 7163
                                                               Document: EYPS FTP App Form Current as of: 22/12/10 Approved by: Rahim Ahmed
                                                                                                                                Page 14 of 15
The Regulations Explained
Health and Safety at work Act 1974 imposes a general duty on all employers to ensure, so far as is
reasonably practicable, the health, safety and welfare at work of all their employees.

The Management of Health and Safety at Work Regulations 1992 make explicit the obligation on employers
to have regarding to the health of their employees.

Whilst the vast majority of occupations do not explicitly require applicants to be medically screened the
Management of Health and Safety at Work Regulations 1992 Guidance Notes suggest the use of a self-
administered questionnaire which can then be examined by a nurse or doctor.

It is not unlawful for disabled people to be required to answer pre-employment questionnaires where this
applies to ALL prospective employees. Problems may arise where disabled people are singled out or
treated in a discriminatory manner. In appropriate cases, it may be open to employers to justify such
treatment (i.e. where the information is needed for health and safety reasons).

Completion of a pre-employment medical questionnaire will enable the small minority of people who give
cause for concern to be referred for more detailed medical screening. The following form includes
questions that will be useful in identifying specific problems. The form, once completed, should be held in
the personnel record file and/or by the school doctor in strict confidence.

The form includes a clause pointing out that a medical examination during the course of employment may
be necessary. Where such an examination is required, employers may need to comply with the Access to
Medical Reports Act 1988. Under this Act, individuals must give their consent before a medical report can
be obtained from their doctor for employment purposes, and they have the right to see the report.
However, the Act only applies where the medical report is being sought from someone who is responsible
for the individual’s “clinical care”, i.e. that person’s own GP or consultant. A report following a pre-
employment examination by the school doctor would not be covered by the Act.

What This Means for You
In order to comply with this legislation all new employees are required to complete a questionnaire. This is
a self-certification that you feel you are physically capable of carrying out your job role.




                                             Tel: 0117 920 9208 Email: eyps@bestpracticenet.co.uk Fax: 0117 929 7163
                                                               Document: EYPS FTP App Form Current as of: 22/12/10 Approved by: Rahim Ahmed
                                                                                                                                Page 15 of 15