Assistant Administrator INTERN
Application form
Application for Assistant Administrator INTERN Autumn 2014
Personal details
Surname / Title
Forenames
Address / Home tel no
Mobile no
Email address
Present or most recent employment
Job Title
Start Date
Date left / Salary (if any)
Reason for leaving
Employers name and address
Brief description of current duties and responsibilities
Previous employment / Voluntary Experience
Please give details of your previous employment or voluntary activity, starting with the most recent. Please account for any gaps in your employment history on a separate piece of paper if necessary
Dates / Name and address of employer / Job title and key responsibilities
From / To
Education, training and qualifications
Please give details of educational qualifications you have obtained from school, college or university. .
Dates / School, college or university / Qualifications gained with grade
From / To
Why do you want this opportunity?
Please give details as to why you are applying.
Please continue on an additional sheet if necessary.
What other commitments / availability restrictions do you have at present?
What times are good for you re your availability?
Declaration

I confirm that the information provided on this application form is accurate and complete and that it may form the basis of a contract of employment with Theatre Peckham. I understand that the failure to disclose any relevant information or the provision of false information will nullify any subsequent contract of employment.

Signature: date

Please return to

Melanie Sharpe at Theatre Peckham, Havil Street, London, SE5 7SD

Or Email to

PLEASE SUBMIT By 28/09/2014

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Equal Opportunities Monitoring Form

Please tick as appropriate

Gender

Male □ Female □

Ethnic Origin

Please choose ONE section from A to E, and then tick the appropriate box to indicate how you would describe your ethnic origin. Thank you

A White

British

□ English

□ Scottish

□ Welsh

□ Other, please write in ……………………..……………………………………

B Mixed

□ White and Black Caribbean

□ White and Black African

□ White and Asian

□ Any other mixed background, please write in ………………...…………….…………

C Asian

□ British

□ Indian

□ Pakistani

□ Bangladeshi

□ Any other Asian background, please write in ………………………….………………

D Black

□ British

□ Caribbean

□ African

□ Any other Black background, please write in ………………………………….………

E East Asian

□ British

□ Chinese

□ Vietnamese

□ Any other background, please write in ………………………………..……………….

Disability

Would you describe yourself as a person with disabilities?

□ Yes

□ No

Age

In what year were you born? ……………………………………………………………………………..

Advertising

Where did you first learn about this vacancy? …………………………………………………………...

Please return this form with your application. The information collected is confidential

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