The Grayston Centre, 28 Charles Square, London N1 6HT

The Grayston Centre, 28 Charles Square, London N1 6HT

T 020

Policy & Networks Adviser

Please e-mail to post the completed application form to the address listed above, to be received by9am on Monday14th October 2013. Late applications will not be considered. In order to keep administration costs low, we will only reply to short-listed applicants. Please accept our apologies for this. Interviews will take placeon29th October 2013.

Application Form

Position applied for
Surname
Forename(s)
Address
Email address
Home phone number Day time phone number

Please read the following information before completing this form.

1.Please type or write clearly in black.

2.Do not include your CV (Curriculum Vitae).

3.Write concisely using as much space as you require and attach additional sheets if necessary.

4.Ensure you address each of the points on the person specification to demonstrate how you fulfil each.

5.Please complete the Equal Opportunities Monitoring Form and return it to with your application form.

EMPLOYMENT HISTORY - Present or most recent employer first

From / To / Employer’s name, address, telephone (nature of business) / Position and main responsibilities / Reasons for leaving
Do you need a work permit?
Have you given notice to your current employer?
How soon could your new employment start?
Current or last salary and salary scale

EDUCATION & QUALIFICATIONS(including professional, technical or occupational training)

From / To / School, College, University etc. / Exams passed/Qualifications gained

PLEASE DEMONSTRATE FULLY AND CLEARLY, POINT BY POINT, HOW YOU FULFILL ALL OF THE POINTS LISTED ON THE PERSON SPECIFICATION.

Please continue on a separate sheet if needed.
Are you involved in any part-time courses or voluntary work at the present?
Where did you see the advert?

References

The first reference should be from your present employer or most recent employer if you are unemployed. If you are short-listed for the post, we may wish to obtain references before we interview you. If we can approach your referees before the interview, please tick the box on the right.

Name
Address
Tel No
email
Organisation Position
Name
Address
Tel No
email
Organisation Position

I certify that to the best of my knowledge, the information given in this application form is correct.

I am eligible to work in the UK

Signature ...... Date ......

STOPAIDS The Grayston Centre, 28 Charles Square,London N1 6HT

Registered Charity: 1113204