TRICYCLE THEATRE COMPANY LTD
269 Kilburn High Road, London NW6 7JR
RESIDENT DIRECTOR APPLICATION FORM
Please type or write clearly in black ink. Please note we do not accept CV’s, all relevant information should be included in this form.
Post Applied for: RESIDENT DIRECTORClosing date: Noon on Monday 30th March 2015
SECTION ONE: PERSONAL DETAILS
Surname:First Name(s):
Contact Phone Number(s):
Home Address:
Email Address:
To assist us in shortlisting for interviews, please answer the questions below.
Please tell us about what you would like to learn during 12 months as Resident Director at the Tricycle Theatre (250 words max.)
Having read the job description, please tell us about the experience, skills and personal qualities that you could bring to the post of Resident Director? (250 words max.)
Please tells us a bit about why you are interested in directing (150 words max.)
CURRENT OR MOST RECENT EMPLOYMENT / FREELANCE ENGAGEMENT
Name and address of most recent employer:Job Title:
Start date:
End date:
Period of notice required:
Brief description of duties:
Reason for leaving or seeking other employment:
OTHER RELEVANT EMPLOYMENT / FREELANCE ENGAGEMENT
Name and address of employer:Job Title:
Start date:
End date:
Period of notice required:
Brief description of duties:
Reason for leaving or seeking other employment:
Name and address of employer:
Job Title:
Start date:
End date:
Period of notice required:
Brief description of duties:
Reason for leaving or seeking other employment:
RELEVANT TRAINING OR EDUCATION
Courses attended / Exams taken /Personal Qualifications / NVQs / Training Courses
(include grades attained) / Dates attended / School/College/University
REFERENCES
Please give the name and address of two referees. Where possible, one referee should be your present or most recent employer (if applicable).
Referee name:
Address:
Phone number:
Email address:
Occupation:
How do you know this referee?
May we request a reference: at any time / only after offer of employment
(Please delete)
Referee name:
Address:
Phone number:
Email address:
Occupation:
How do you know this referee?
May we request the reference: at any time / only after offer of employment?
(please delete)
GENERAL MONITORING
Where did you hear about this vacancy? ______
ADDITIONAL INFORMATION
Do you require any reasonable adjustments, due to a disability or health condition, to enable you to attend an interview, or which you wish us to take into account when considering your application?
Yes / No (please delete)
If Yes, please provide further details:
DISABILITY DISCRIMINATION ACT 1995
Do you have any special needs which might require The Tricycle to make reasonable changes in order for you to undertake this job?
Yes / No (please delete)
If Yes, please provide further details:
REHABILITATION OF OFFENDERS ACT 1974 (AS AMENDED)
Please give details of any criminal convictions you have had, excluding any considered ‘spent’ under The Rehabilitation of Offenders Act 1974 or minor motoring offences
ASYLUM AND IMMIGRATION ACT 1996
Please confirm that you have the right to work in this country Yes / No
Do you require a work permit to work in this country? Yes / No
If Yes please give more details:
DATA PROTECTION
I agree that the information given in my application may be used for purposes registered under the Data Protection Act 1988, and I consent to the information being stored on manual and computerised files for relevant employment-related purposes.
DECLARATION
I confirm that the information I have given in my application is accurate and correct to the best of my knowledge. I consent to The Tricycle checking any of the details I have given. I understand that the supply of inaccurate or incorrect information, or omission of any material information from my application may result in the withdrawal of any offer of employment, or termination of employment.
Candidate’s Name: ______Date:______
TRICYCLE THEATRE COMPANY
EQUAL OPPORTUNITIES MONITORING SELF-CLASSIFICATION FORM
*Please note this information is confidential and will be detached from your application form*
Equal Opportunities
The Tricycle is committed to equality of opportunity and access for all irrespective of their age, gender, class, marital status, nationality, ethnic origin, disability, religious belief or sexual orientation. The aim of this policy is to create a working environment which values and respects the variety of life styles and cultures found within theatre and within our local community.
The Tricycle is committed to equality of opportunity in which individuals are selected for employment and treated on the basis of their relevant merits. We will monitor the recruitment and selection process of our staff to ensure it is free from discrimination. The Tricycle aims to reflect the diversity of Brent in its recruitment.
Monitoring
To help us monitor the effectiveness of the Tricycle’s policy, please supply the information requested in the following form. This information will be kept securely and will not be made available to anyone before or during shortlisting. It will not be used in deciding whether to shortlist you for interview or offer you employment.
Position applied for:…………………………………………………………...
Please state how you found out about this job, clearly stating the press, website, mailing list, etc. ……………………………………………………………………………
1. Are you?
( ) Female ( ) Male
2. Which age range do you fall into?
( ) ( ) ( ) ( ) ( ) ( )
16–19 20-29 30-39 40-49 50-59 60 or over
3. How would you describe your ethnic origin?
Choose ONE from section A to E, and then tick the appropriate box to indicate your cultural background
A. White
( ) British
( ) English
( ) Irish
( ) Scottish
( ) Welsh
( ) Any other White background, please state: …………………………………………….
B. Asian or Asian British
( ) Asian Bangladeshi
( ) Asian Indian
( ) Asian Pakistani
( ) Any other Asian background, please state : ……………………………………………
C. Black or Black British
( ) African
( ) Caribbean
( ) Any other Black origin, please state: ……………………………………………
D. South East Asian or other ethnic group
( ) Chinese
( ) Any other South East Asian origin, please state: ………………………………………………
E. Mixed Heritage
( ) Asian and White
( ) Black African and White
( ) Black Caribbean and White
( ) Any other mixed heritage origin, please state: ………………………………
4. Do you consider yourself to have a disability
( ) Yes.
( ) No
If invited for interview, would you have any special requirements?
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