For Office Use Only
Start Date
End Date
Capsule
I.D

CONFIDENTIAL

Application Form for post ofVolunteer Gallery Team Member

Please type or write in black ink. Please complete your application form as fully and concisely as possible based on the information we have requested.

Personal details (BLOCK CAPITALS)

Full name

Address

Postcode

MobileEmail

References

Please give the names and addresses of two referees (who are not related to you).

1. Name
Occupation
Address
Postcode
Tel no
Email
In what capacity do you know this referee? / 2. Name
Occupation
Address
Postcode
Tel no
Email
In what capacity do you know this referee?

Other Information Required

Emergency Contact Details
Name
Relationship
Tel no / Date of Birth:
National Insurance no:

Previous experience (volunteering, education, employment or other interests)

Please start with the most recent experience relevant to the volunteer post

Continue on a separate sheet if necessary.

Name and Address / Dates
from / to / Position held and summary of activites / Skills and experience gained

Please give details of any areas within Spike Island that you would be interested in getting involved with, aside from gallery invigilation. I.e Technical team, tours, Communications and Marketing etc.

Work Permit

Are you eligible to work in the UK?

Criminal Convictions

Please list any criminal convictions other than “spent” convictions. If none, state “none”

The information provided will be confidential and will be considered only in relation to this application.

Supporting Information

Please briefly explain why you are applying for this volunteer position, what you hope to get out of volunteeringand how your skills, experience and achievements make you suitable for this role. (No more than 1 side of A4)

Please sign and date this form

I declare that the information I have given in this application is, to the best of my knowledge and belief, true and correct.

Signature ______Date ______

Please return the completed form by email to or by post in an envelope marked ‘CONFIDENTIAL’ to:

Sam Francis, Volunteer Coordinator, Spike Island, 133 Cumberland Road, Bristol , BS1 6UX

Or email to

Equal Opportunities Policy

Statement

Spike Island is committed to a policy of equal opportunity in its recruitment of employees, in its employment practice and in all aspects of its role as a company limited by guarantee with charitable status.

Employees are accepted by the application of objective criteria and personal merit. No candidate will be treated less favourably than another on grounds of race, nationality, ethnic origin, disability, religion, social class, sex, sexual orientation or marital status.

Spike Island continually strives to ensure that the building that the organisation occupies is fully accessible premises.

All information given will be treated with the strictest confidence and will be held for statistical purposes only, it does not form part of your application. The interviewing panel will not see this form. Although you are not under any obligation to complete this questionnaire the information you provide will help us to monitor our equal opportunities policy.

Equal Opportunities Monitoring Form

Please tick the appropriate box:

Gender Male Female

Age Less than 20 years 40 – 49 years

20 – 29 years 50 years and over

30 – 39 years

Cultural Diversity

It would be helpful for us to have on record information regarding your ethnicity. We are offering two methods for you to register these details. Please choose one you feel is most appropriate.

Method 1. Please describe your ethnic origin.

Method 2.

Please tick the ethnic category that best represents you. Choose one section from A to E, then tick the appropriate box to indicate your cultural background. (The categories are those recommended by the Council for Racial Equality)

A. White

British Irish

Any other White background, please state ______

B. Dual Heritage

Asian and White Black African and White

Black Caribbean and White Chinese and White

Any other background from more than one ethnic group, please state ______

C. Asian or Asian British

Indian Pakistani Bangladeshi Any other Asian background, please state

______

D. Black or Black British

Caribbean African

Any other Black background, please state ______

E. Chinese or Chinese British

Chinese Any other, please state ______

Disability

Do you consider yourself to be disabled?

YES NO

Can you please inform us of any access requirements you may have that will assist you in your interview? (e.g. large print, BSL interpreter etc)

Where did you hear about this opportunity?

Thank you for your co-operation in providing this information.

The information in this form will be kept in the Spike Island office for internal use only.

Please inform us if any of the details change.

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