CONFIDENTIAL
/Application for the post of Media Relations Officer
Please complete all sections using type or write very clearly using black ink
Title: / Surname: / First Names:Address:
E-mail address:
Home telephone: / Business telephone: / Mobile telephone number:
Education:
(establishment and dates) / Academic qualifications:(with subject and level obtained)
Professional qualifications and / or relevant training undertaken: / Dates:
Current or most recent employment:
Employer's name and address: / Post and main duties: / From: / To:
Current or most recent salary:
Period of notice required from current employment:
Previous employment (most recent first – continue on separate sheet if necessary):
Employer's name
and address: / Post and main duties: / Dates from/to: / Reason for leaving:
Personal Statement 1 of 4
Below, please tell us firstly what attracts you to this position. Secondly, please tell us below how you meet each aspect of the Person Specification in turn, giving examples. Please insert clear sub-headings that match up with the Person Specification. Do not exceed 4 pages.
What attracts you to this position?
How do you meet each aspect of the person specification (not the job description)? Please insert a sub-heading for each element of the person specification and tell us about your strengths and experience in each area in one to four sentences, giving examples.
Personal Statement 2 of 4
Personal Statement 3 of 4
Personal Statement 4 of 4. Do not exceed 4 pages.
Employment status (this section must be completed – delete as applicable):
Are you a national of one of the European Economic Area countries able to work without a visa in the UK? / Yes / No
If NO, do you have a visa allowing you the unrestricted right to work in the UK? / Yes / No
If NO, would you require us to obtain a work permit if you were appointed this post? If No, please explain. Note: We will need to see originals of relevant documentation prior to appointment / Yes / No
Under the Rehabilitation of Offenders Act 1974, you have the right not to disclose details of ‘spent’ convictions. However, because of the nature of the work, this post is exempted from the Rehabilitation of Offenders Act 1974 (Exceptions Order 1975), and all convictions, both spent and unspent, must be disclosed. Having a conviction will not necessarily be a bar to employment with the Charity; it will depend on the circumstances and the relevance to the post. The information contained in this application form will only be seen by staff involved in the recruitment process.
Do you have any spent or unspent criminal convictions? If Yes, please give details: / Yes / No
Referees: Please give the name and addresses of two referees (who should not be related to you) who can provide information about your professional career. References will not be taken up before interview.
First Referee: / Second Referee:
Name: / Name:
Address: / Address:
Email: / Email:
Phone: / Phone:
How they know you: / How they know you:
Where did you see the post advertised?
I understand that a number of posts within the Charity are subject to disclosure checks and I agree to undertake this process, if applicable. [I understand that the appointment, if offered, is subject to confirmation of qualifications and/or professional registration.] I certify that the information given on this form is correct and understand that any misleading information or deliberate omissions will be regarded as grounds for withdrawal of an offer or, if appointed, subsequent disciplinary actions which could lead to dismissal.
I confirm that to the best of my knowledge, the information on this form is true and correct and can be treated as part of any subsequent Contract of Employment.
Data Protection Act 1998: Your personal details will be treated as confidential and kept for no longer than necessary. If your application is successful your application form will become part of your personal records. Some of the information may be held on a computer database.
Signed ...... ……………. Date ......
Please return this form by both email and post by 9am on Tuesday 31st May to:
Mark Turner
Head of Finance and HR
Roald Dahl’s Marvellous Children’s Charity
First Floor Montague House
23 Woodside Road
Amersham
HP6 6AA
Tel: 01494 890465
Email:
Applications received after the deadline will not be accepted. We will accept your signed hard copy a little later, but only if we have received your email version by the deadline.
Interviews will be held on Thursday 9th June at our offices in Amersham.
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