form | ATE Superweeks

Personal and medical information

First name *

Middle name(s)

Last name *

Preferred name

Photo

Please upload a photo for your staff ID card and record card.

Gender *

Preferred pronouns

Date of birth *

Do you have any medical conditions that you would like us to know about?

Do you have any dietary requirements?

Is there anything else you bring to your role that we should know about?

Is there anything else we should know about you in order to look after you best?

Fitness to work statement *

I confirm that I am able to work in the capacity expected of me, and that I understand that I have a responsibility to disclose any information about any changes in personal circumstances or health concerns that may impact on my ability to fulfil my role.

I have read and understood the Fitness to Work statement.

ATE’s Staff Code of Conduct *

Click here to view ATE’s staff code of conduct

I have read and understood the Code of Conduct, and agree to uphold it.

Date updated *

Please update this field regularly even if the information above is unchanged, to confirm it’s still current.

Contact details

Mobile number *

Email address *

Addresses *

	This is my main address	Address	Landline number	Address type
1	MainOther

Add Row

Date updated *

Please update this field regularly even if the information above is unchanged, to confirm it’s still current.

Getting to your Superweek (Monitors and ADs only)

Whereabouts in the country (town / city) will you wake up on the day of your Superweek?

Please let us know if you have any flexibility, e.g. if you could wake up at your term time or parents’ address.

Where should we send your travel details to?

You can ignore this question if the best address is listed as your main address in your account.

Do you have a railcard?

Railcard expiration date

Do you need a new lanyard and ID badge?

We will send you an ID badge and lanyard before your first Superweek. Please keep these safe so you can use them in the future.

Could you arrive at your centre a day early to help set up?

No
Yes – I can organise a lift or get there on public transport
Yes – I can drive myself

Date updated

Paid staff (Directors, GAs, Matrons, and Caterers only)

Do you have the right to work in the UK?

Yes
No
Unsure

National Insurance Number (if UK citizen)

Employment status

This is my first job since last 6 April and I have not been receiving taxable Jobseeker’s Allowance, Employment and Support Allowance, taxable Incapacity Benefit or a state or occupational pension.
This is now my only job but since last 6 April I have had another job or have received taxable Jobseeker’s Allowance, Employment and Support Allowance or Incapacity Benefit. I do not receive a state or occupational pension.
I have another job or am receiving state or occupational pension

Bank Details: Name on account

Bank details: Account number

Bank details: Sort code

Current tax code

Do you have a student loan?

Yes
No

Student loan type

Plan Type 1
Plan Type 2
Plan Type 4
Postgraduate

Student loan start date

Please tick to confirm that the information provided is true and accurate

I confirm that, to the best of my knowledge, the information provided is true and accurate

How will you be travelling to the centre?

Travelling by public transport
Getting a lift
Driving

Next of kin details

Next of kin: name *

Next of kin: relationship with you *

Next of kin: contact number *

Date updated *

Holiday and training record

This space allows you to keep track of your holiday and training history with ATE. Records from earlier than May 2023 may be incomplete.

We will keep track of the training courses you’ve attended as a trainee, and the Superweeks and school weeks you’ve volunteered on. You can also keep a record of other training events and activities you’ve attended here if you like.

Please don’t delete your training course, Superweek, or school week records.

The ‘your notes’ sections let you add notes to remind you of your weeks. These are just for you, but please keep them professional.

Role(s)

Please do not edit

Training Record

	Training type	Centre	Year	Your notes
1

Add Row

Holiday record

	Holiday	Centre	Year	Your notes
1

Add Row