Representative Recruitment Form

REPRESENTATIVE RECRUITMENT FORM

Please complete all sections of this form using black ink or typescript.
Role applied for

PERSONAL DETAILS

Title / Miss Ms Mrs Mr Dr Other
Surname
First name
Address
Home Tel
Mobile/Cell
Work Tel
Email
How did you hear about the position?

EMPLOYMENT HISTORY

Please provide details of your employment history, starting with your current or more recent employment. Please include details of any relevant voluntary positions held.
Name of Employer
Position Held
Dates Employed / Full time / Part time
Brief description of main duties and responsibilities
Name of Employer
Position Held
Dates Employed / Full time / Part time
Brief description of main duties and responsibilities

CONFIDENTIAL

Name of Employer
Position Held
Dates Employed / Full time / Part time
Brief description of main duties and responsibilities
Name of Employer
Position Held
Dates Employed / Full time / Part time
Brief description of main duties and responsibilities
Name of Employer
Position Held
Dates Employed / Full time / Part time
Brief description of main duties and responsibilities

QUALIFICATION AND MEMBERSHIP OF PROFESSIONAL BODIES

Please list any relevant qualifications (including any language qualifications) and membership of any relevant associations or professional bodies
Qualification or Membership / Date obtained

SUPPORTING STATEMENT

After you have read the Summary of Responsibilities and Role Requirements, please use this section to give your reasons for applying to be a Representative for the ABRSM. You should address all items on the Role Requirements, giving examples of how your experience, skills, knowledge and personal qualities meet these criteria.
Outline the skills and experience you have gained either in paid employment or through voluntary positions, your studies or leisure activities which you think a relevant and which you believe make you suitable for the role.

REFERENCES

Please provide details of two people willing to provide references for you. Where possible, at least one referee should be a current employer or someone who knows you in a professional capacity.
Name / Name
Address / Address
Telephone / Telephone
Email / Email
Position held / Position held
In what capacity do you know the referee / In what capacity do you know the referee

DECLARATION

I confirm that, to the best of my knowledge, the information provided in this form is true, accurate and complete. I understand and agree that if I am appointed it will be on the basis of this information and that any false statement may result in my application being withdrawn, or if appointed, the role being terminated.
Signed
Date

RETURNING YOUR REPRESENTATIVE RECRUITMENT FORM

Thank you for completing this Representative recruitment form. Please return your completed form no later then the closing date to:
Alan Tait
Head of International Operations
ABRSM
24 Portland Place
London W1B 1LU
UNITED KINGDOM
Email:
Fax: +44 (0)20 7631 3019