CONFIDENTIAL

(AllpersonaldatainthisformissubjecttotheDataProtectionAct)

1. ABOUTYOURSELF

Title:

Firstname(s):Lastname:Dateofbirth:Address:

Daytimephone/mobile:Email:

2. PRESENTORMOSTRECENTEMPLOYMENT

Jobtitle:

Employer’sname,address,andphone:

Periodofemploymentfrom: to:Salarydetails:

Fulldescriptionofdutiesandresponsibilities:

Reasonforleaving:

Periodofnoticerequiredordateofleaving:

Haveyouappliedforotherjobs?Ifso,pleasegivedetails:

3. PREVIOUSEMPLOYMENT

Pleaselistdetailsofyourlastthreepositionsandanyotherpostsheldwhichyouconsider
relevant(paidand/orvoluntary).Pleaselistmostrecentfirst.
Dates / Employer’sname
andaddress / Jobtitleandmain
responsibilities / Reasonfor
leavingand
finalsalary

4. EDUCATION

Pleaselisteducationaldetails(school,university,college)andanyotherqualifications.Please
listmostrecentfirst.
Dates / Full-time
orpart-time / Nameofeducational
establishment / Qualifications/
gradesachieved

Pleaseexplainanygapsineducationandemploymenthistory(e.gtravel,careerbreaks,etc)

5. ABOUTYOURITSKILLS

Whatsoftwareareyoufamiliarwith?

Haveyoueversetupandusedaspreadsheet?Ifso,pleasedescribeitbriefly.

Haveyoueverusedadatabase?Ifso,pleasedescribeitbriefly.

Canyoutouchtype?Ifso,atwhatspeed?

6. SKILLS,EXPERIENCEANDWHATYOU’RELOOKINGFORINAJOB

Whathasbeenyourmostenjoyablejob(ortime),andwhy?

Whathasbeenyourleastenjoyablejob(ortime),andwhy?

Somepeopleprefertoworktoveryclearinstructions,otherstotakeamoreactiveroleindefiningtheirownwork.Whichdoyouprefer?

IfyoucouldhaveanyjobatSurvival,whatwoulditbe?Why?WhyareyouinterestedinthispositionwithSurvival?

Thejobdescriptiondetailsthekeyrequisitesrequiredforthispost.Pleasedescribeinthissection,usingexampleswhereappropriate,howyoumeetthem.

Ifofferedthispost,whencouldyoustart?

7. ABOUTSURVIVALANDTRIBALPEOPLES

Haveyouevervisitedatribalcommunity?Ifso,pleasestatewhere,whenandforhowlong.

Whatdoyouthinkisthebiggestproblemfacedbytribalpeoplestoday?

Whatdoyouthinkisthesolution?

WhydoyouthinkSurvival’sworkisimportant?

8. ABOUTYOU

Whathobbies,sportsorotherleisureinterestsdoyouhave?Whatlanguagesdoyouspeakreadwell?

Ifyoucouldhaveanyjobintheworld,whatwouldyouchoose?

Pleaserecommendacoupleoffunnyfilmsforanintelligent14-yearold.

Canyounameuptothreewell-known,livingpeople(fromanyfield)whomyouadmire?

...anddeadones!

AreyouamemberofanyNGOorotherorganisation?Doyouhaveadrivinglicence?

Fromwhatyouknowaboutthejobnow,doyouthinkyouwouldacceptitifitwereofferedtoyou?Ifyouarenotsureyouwouldacceptit,whyareyouhesitant?

9.ASYLUMANDIMMIGRATIONACT1996

AllapplicantscalledinforafinalinterviewwillbeaskedtoproduceevidenceoftheireligibilitytoworkintheUK,incompliancewiththeAsylumandImmigrationAct1996.FurtherinformationontheGovernment'simmigrationpolicycanbefoundon

DoyouneedaworkpermittoworkintheUK?

Ifyouneedaworkpermit,arethereanylimitationsontheworkpermite.g.avisawithlimitedduration,etc?Ifyes,pleasegivedetails.

Whatisyourpresentnationality?

Referees

Pleasegivethename,addressandphonenumberoftworeferees.Onerefereemustbeyourpresentormostrecentlinemanagerandthesecondoneapreviousemployeroruniversitytutor.Pleasestatethecapacityinwhichtheyknowyou.(Wewillnotcontactthemwithoutaskingyoufirst).

Referee1 Referee2

Name: Name:Address: Address:Phone: Phone:Email: Email:

Capacityinwhichtheyknowyou

Anyofferofemploymentwillbesubjecttoreceiptoftworeferencesthataresatisfactoryto

Survival.

GENERALINFORMATION

(ForHumanResourcesuseonly.Theinformationsuppliedherewillnotbeusedintheselectionprocess)

FullName

HaveyoueverappliedforapostwithSurvivalbefore?Ifso,pleasegivedetailsandstateifyouwereinterviewed.

Doyouknowanycurrentorpastemployee,volunteerorcommitteememberofSurvival?Ifso,pleasegivedetails.

Doyouconsideryourselftohaveadisability?Ifso,pleasegivedetails.

(TheDisabilityDiscriminationAct1995coversanyindividualwhohasaphysicalormentalimpairment,whichhassubstantialeffectonhisorherabilitytocarryoutnormaldaytodayactivities.Thedetailssuppliedhereareconfidentialandstrictlyformonitoringpurposes.)

Isthereanythingconcerningyourmedicalhistoryorstateofhealththatisrelevanttoyourapplicationoryourabilitytodothejobyouareapplyingfor?Ifso,pleasegivedetails.

Doyouhaveanyunspentorpendingcriminalconvictions?(Ifso,pleaseprovidefull detailsinaseparatesealedenvelopeaddressedtoHumanResourcesandmarked‘Confidential’.)

DECLARATION

IdeclarethattothebestofmyknowledgetheinformationIhavegivenhereiscorrect.Iamawarethatanyfalsestatementmaybesufficientcauseforrejectionor,ifemployed,dismissal.

IunderstandthattheinformationcontainedinthisformwillbeprocessedbySurvivalforthepurposesofrecruitmentonly(unlessIamsubsequentlyemployedbySurvivalinwhichcase

itwillalsobeusedforpersonnelandmanagementpurposes). IagreethatSurvivalmaystoreandprocessmycontactdetailsinaccordancewiththeprovisionsoftheDataProtectionAct

1998.

Ifyouwouldprefernottoreceiveinformationfromusinthefuture,pleasetickthisbox.

Signed: Date:

Ifyouaresendingyourapplicationbyemail,pleaseticktheboxtoindicatethattheinformationprovidedonthisformistrue.

Pleasereturnyourcoveringletter,CVandapplicationform(inthisorder)rbypostto:

Campaignsinternshipvacancy

SurvivalInternational,6CharterhouseBuildings,LondonEC1M7ET.

Survivalpromotesdiversity,genderequityandbalance,impartialityandnon-discriminationinallactivities,bothinternalandexternal.

Note:

Pleasenotethatduetoourlimitedresources,Survivalisunfortunatelyunabletoacknowledgeapplicationsfromcandidateswhohavenotbeenshort-listedforthepost.Weareunabletomeetanycostsincurredinattendinganinterview.Wearealsounabletoreturnanysupportingdocuments,orprovidefeedbacktounsuccessfulapplications.