PERSONAL DETAILS
Post for which you are applying:
Your full name:
Your address and postcode:
Telephone numbers: / Home:
Mobile: / Email address:
YOUR PRESENT OR LAST JOB
Name and address of employer:
Job title:
Salary:
Date employed: / From: / To:
Main duties and responsibilities:
PREVIOUS JOBS (start with the most recent. Include any relevant unpaid and voluntary work)
Dates from: / To: / Name and address of employer / Job title and main responsibilities
EDUCATION AND QUALIFICATIONS (start with the most recent)
Dates from: / To: / Name of school/college/university / Qualifications gained
MEMBERSHIPS OF PROFESSIONAL BODIES AND OTHER QUALIFICATIONS
Date obtained: / Name of professional body / Qualifications and level
STATEMENT IN SUPPORT OF YOUR APPLICATION
Use this space to give evidence of your suitability for the post, relating your statement to the specific requirements of the Job and Person Specification.
OTHER INFORMATION
Do you have a current driving licence?
Do you have access to your own transport?
If appointed, when would you be able to begin?
REFERENCES
Please give two referees. If in employment, one should be your last employer. If in education, one should be from your school or college. Please indicate if you would prefer your referee not to be contacted until after the interview.
Name: / Name:
Address: / Address:
Position held: / Position held:
SIGNATURE
I confirm that, to the best of my knowledge, everything in this application form is true and correct and can be treated as part of any subsequent contract of employment.
Signature: / Date:
Please return this form, together with the Equal Opportunities Monitoring Form to:
Emma Killick
tutti frutti productions
Shine
Harehills Road
Harehills
Leeds LS8 5HS
Or email
Appointment is dependent on an enhanced DBS check.
DIVERSITY MONITORING FORM
CONFIDENTIAL
tutti frutti is working towards increasing diversity in all aspects of its work. In order for us to collect and monitor accurate information about the diversity of job applicants, we would appreciate it if you could you fill in this form. The information you give to us will be treated in the strictest confidence.
If you choose not to complete this form your application will not be affected in any way.
1. Ethnicity
White Mixed
□ British □ White & Black Caribbean
□ Irish □ White & Black African
□ Any other white background (please specify)
______
Black Asian
□ Caribbean □ Indian
□ African □ Pakistani
□ Any other black background (please specify) □ Bangladeshi
______□ Chinese
□ Any other Asian background (please specify)
______
□ Any other Ethic group (please specify)
______
2. Gender
□ Male
□ Female
3. Disability
□ Disabled □ Non-disabled □ Not known/prefer not to
answer
4. Faith
□ No religion □ Christianity □ Hinduism
□ Islam □ Sikhism □ Judaism
□ Buddhism □ Other religious/philosophical belief (please state)
5. Age
□ Under 18 □ 18-29 □ 30-39
□ 40-49 □ 50-59 □ 60-65
□ Not known/prefer not to answer
THANK YOU FOR YOUR HELP