Please Type on This Form Or Write Clearly in Black Ink

Application Form

Please type on this form or write clearly in black ink.

Post applied for:FRONT OF HOUSE/RECEPTION

Personal details:

Name:
Address:
Telephone (day):
Telephone (evening):
Email:

Please note that this page will be removed for shortlisting.

Supporting Statement

Please use this space to explain why, having read the person specification, you think you are suitable for this post; give the reasons for your application; and indicate how your experience, qualifications, personal qualities and interests meet the requirements of this post. (Please do not attach CVs). 700 words maximum.

Current or most recent employment

Information should include the name, address and business of employer; your job title; a brief outline of duties; the dates of employment and your current, or last, salary.

Previous employment information

Give details of any previous work experience and employment working backwards chronologically. Information should include the name, address and business of employer; your job title; a brief outline of duties; the dates of employment.

Dates: /

Employer’s name and address

/

Position held

Education, skills, training and qualifications

Please give details of your educational background as well as any qualifications gained, or training courses/workshops you have attended, particularly those relevant to the skills, knowledge or experience required for this post.

Dates: /

School, college, university etc

/

Qualifications & year obtained

References

These referees should have knowledge of you in a working environment, and one should be your current or last employer.

Reference 1

Name:
Job Title:
Address:
Telephone:

Email:

May we contact this person without your prior agreement? Yes / No

In what context do you know this reference?

Reference 2

Name:
Job Title:
Address:
Telephone:

Email:

May we contact this person without your prior agreement? Yes / No

In what context do you know this reference?

Do you require a work permit to work in this country?YES NO

If Yes, do you currently own a valid work permit?YES NO

Interview arrangements

Siobhan Davies Dance has made a commitment that all disabled applicants who meet the minimum criteria for this job will be invited to interview. Please complete the following:

Do you consider yourself to be disabled? YES NO

Do you require any special arrangements to be made to enable you to attend an interview? If so, please specify:

Declaration

To the best of my knowledge, the information I have given on this form is correct and complete. All the questions relating to me have been accurately and fully answered and I possess all the qualifications, which I claim to hold. I am entitled to work in this country and hold a relevant UK, EU or EEA passport, birth certificate, NI number, work permit or other relevant documentation and can produce on demand of Siobhan Davies Dance. I understand that submitting false information or withholding relevant information on this form may lead to my application being rejected or, if I am appointed, will constitute grounds for dismissal.

Signature:
Date:

Please note that this page will be removed for shortlisting.

SIOBHAN DAVIES DANCE - EQUAL OPPORTUNITIES MONITORING FORM

Post applied for:

FRONT OF HOUSE/RECEPTION (FOH17)

How would you describe your ethnic origin?

These codes have been devised by the Government’s Census of Population and are recommended by the Home Office.Choose ONE section from A to E, then tick the appropriate box to indicate your cultural background:

SECTION A: WHITE

( )BRITISH

( )IRISH

( )ANY OTHER WHITE BACKGROUND, PLEASE WRITE IN ______

SECTION B: MIXED

( )WHITE AND BLACK CARIBBEAN

( )WHITE AND BLACK AFRICAN

( )WHITE AND ASIAN

( )ANY OTHER MIXED BACKGROUND, PLEASE WRITE IN ______

SECTION C: ASIAN OR ASIAN BRITISH

( )INDIAN

( )PAKISTANI

( )BANGLADESHI

( )ANY OTHER ASIAN BACKGROUND, PLEASE WRITE IN ______

SECTION D: BLACK OR BLACK BRITISH

( )CARIBBEAN

( )AFRICAN

( )ANY OTHER BLACK BACKGROUND, PLEASE WRITE IN ______

SECTION E: CHINESE OR OTHER ETHNIC GROUP

( )CHINESE

( )ANY OTHER ETHNIC GROUP, PLEASE WRITE IN

Are you?
Female( )Male( )

Do you consider yourself disabled?
Yes ( )No( )

Are you registered disabled?
Yes( )No( )

What is your year of birth?