APPLICATION FORM / Sound Connections

Rich Mix

35-47 Bethnal Green Road, London E1 6LA
Telephone 020 7729 7220

Please write in black ink or type. Please do not use staples.

Post applied for / Information & Training Manager
Personal Details
Surname / Other names
Address
Home telephone number / Work telephone number
Mobile telephone number / E-mail address
Most Recent Employment (Paid or Unpaid)
Name of organisation / Job title
Date of appointment / Current or final salary/wage (if any)
Period of notice required / Leaving date if not now working
Give a brief outline of your responsibilities:
Reason for leaving (or for seeking other employment):
Please draw a chart showing your position in your present or most recent organisations:
Education, Training & Professional Qualifications
School, University, etc / Qualifications obtained / Date obtained
Previous Employment (Paid or Unpaid)
Name and address
of previous employers / Job title/description
of duties / Date of Employment / Final salary / Reasons for leaving
from - to / (if any)

(Please enclose one additional sheet of A4 if you require additional space to summarise your work history)

Experience, Skills and Interests
Using the Job Description and Person Specification as a guide, please outline how your skills and experience meet the criteria for this post.
Referees
Please give the name and address of two referees. Where possible referees should have known you at work/school/college and one referee should be your present or most recent employer (if applicable)
Referee 1 / Referee 2
Name / Name
Address / Address
Telephone number / Telephone number
Occupation / Occupation
May we request reference / At any time / May we request reference / At any time
Only after offer of employment / Only after offer of employment
In order to comply with the Immigration Act 1996 we are required to see proof of your right to work in the UK. This will be requested once an offer of employment has been made. However, if you require a work permit in order to work in the UK please indicate by ticking this box:
Do you consent to a Police check in relation to work with young people and vulnerable adults if specified as necessary on Job Description? This would take place after an offer of employment. / YES
NO
Declaration

To the best of my knowledge the information on the application form and attached information is correct.

SignatureDate

And for our reference………..

If short-listed for interview, are you available for interview on Tuesday 13 December 2011 (we envisage needing candidates to be available for most of the day) / YES
NO

Equal Opportunities Monitoring Form

In order to monitor the effectiveness of our equal opportunities recruitment policy it is important to collect information which might identify possible direct and indirect barriers to employment. In line with our commitment, any information provided is entirely confidential, and is not part of any selection procedure.

How did you hear about the job? / Are you Male?
Female?
Cultural Diversity

Please tick the ethnic category that you feel best represents you.

White / British
Irish
Any other white background, please state:
Asian or Asian British / Asian Bangladeshi
Asian Indian
Asian Pakistani
Any other Asian background, please state:
Black or Black British / Black African
Black Caribbean
Any other Black background, please state:
Chinese or other ethnic group / Chinese
Any other, please state:
Dual Heritage / Dual Asian & White
Dual Black African & White
Dual Black Caribbean & White
Dual Chinese & White
Any other background, please state:
Any other background, please state
Disability
Do you consider yourself disabled? / Yes / No
Deaf
neither
Dependants

Dependants might include children, the elderly, or other people who rely on you for care.

Do you have dependants? / Yes / No