EcoACTIVE Education

KingsmeadKabin

8-9 Kingsmead Way

Hackney

LONDON

E9 5QG

020 8510 0113

Application Form – ecoACTIVE Workshop Leader

Closing date:9 am, Monday4th December2017

Full name:

/

Tel:

Address:

Post Code: /

Mobile:

Email:

Right to work in the UK

Are there any restrictions to your residence in the UK which may affect your right to work or your working hours?

/

☐No

/

☐Yes

If yes, please provide details of your visa:

Employment History (starting with most recent)

Kindly give details of all jobs held including part-time and unpaid work, starting with your present post/ most recent employer.
Dates / Employer / Post held / Responsibilities

Education History(starting with the most recent)

Schools/Colleges / Dates / Courses studied and results

Experience - Please read the person specification for this role carefully

Please identify what skills and work experience (both paid and voluntary) you would bring to this post. (Use additional sheets where necessary)
Your answers should respond, as far as possible, to each of the skills and experiences required in the person specificationsupplied. Please present your responses in the same order as the points on the person specification.
Criminal Convictions
Have you been convicted of a criminal conviction which is unspent? If yes, this will not automatically exclude your application from the recruitment process. ecoACTIVE may contact you to request more detailed information. /

☐No

/

☐Yes

Please give contact details for two referees. If you are currently in work, one of these should be your present employer
Name: / Name:
Address: / Address:
Post code: / Post code:
Telephone: / Telephone:
Email: / Email:
Relationship to you: / Relationship to you:
Are you connected in any capacity to ecoACTIVE staff or members of the management committee and if so in what capacity?
Declaration
I declare that the information I have given in this applications is accurate and true. In understand that providing misleading or false information will disqualify me from appointment OR, if appointed, may result in my dismissal.
Signature (if email insert name) / Date

Please note:

If you email your application:

  • We will ask you to sign the above confirmation if you are asked for interview.
  • Email the applications as a Word document, applications saved as PDF or any other format will not be considered.

Please return the application form and equal opportunities monitoring form either by email to , post or by hand, by the closing date. The equal opportunities monitoring form will be detached from the application when we receive it and treated separately.

1