Employees name (Required)
Employees department (Required) Please select Sylwia Berryfields (Aylesbury) Brinds Well (Orpington) Cedar Park (Twyford) Cedars (Leighton Buzzard) Cherry Trees (Cranfield) Crescent (Birmingham) Devonshire (Chiswick) Edwalton (Nottingham) Edwinstowe Close (Cambridge) Emscote House (Leamington Spa) Field House (Bucks) Grasshoppers (Aylesbury) Grasshoppers (St Albans) Green Park (Reading) Greengables (Sandhurst) Hampstead Gate (Milton Keynes) Head Office (Newport Pagnell) Hertford Barns (Hertford) Highbury Lodge (Hitchin) Highfield (Birmingham) Julia Durbin (Oxford) Knowle Green (Staines) Lavenders (Bedford) Lime Grove (Hemel Hempstead) Maples (Winchester) Meadow View (Newport Pagnell) Mulberry (Maidenhead) Nature Trails (Rugby) Nene Valley (Northampton) Nursery on the Green (Redbourn) Nursery on the Green (Southall) Pennypot (Chobham) River View (Hertford) Rowan Tree (Welwyn Garden City) Sandfield (Oxford) Seabrook (Luton) West Cambridge (Cambridge) West Downs (Winchester) Westwood (Coventry) Willows (Aylesbury) Windermere (Kettering) Windmill Hill (Swindon) Woodberry (Winchmore Hill) Woodlands (Barnet) Woodlands (Milton Keynes) Date of employment (Required) Please provide a brief explanation of the purpose of the advance: (Required)
The following questions will be viewed prior to any decision being made.
Please answer "yes" or "no" for each question:
Have you passed your probation period? (Required) Please select Yes No Is the amount less than 50% of your next salary payment and do you have a sufficient monthly salary to make advance repayment in full on your next salary payment? (Required) Please select Yes No Have you served notice terminating your employment or received notice from Childbase terminating your employment? (Required) Please select Yes No Are you subject to disciplinary proceedings? (Required) Please select Yes No Are you subject to an active final written warning? (Required) Please select Yes No Are you in receipt of a loan/advance from Childbase that you are currently repaying? (Required) Please select Yes No Have you made a previous application for a loan/advance from Childbase? (Required) Please select Yes No If yes, on what date did you make the application? (Required)
The information in this application form is true to the best of my knowledge and belief.