Application Form

You should complete this form fully in black ink or typescript and return it to:

Martin Lindsey

SportPark

LoughboroughUniversity

3 Oakwood Drive

Loughborough

Leicestershire

LE11 3QF

Please do not substitute a CV for this application form.

Position applied for:

Portfolio:Competitions

Development

Facilities and Equipment

Performance and International Player Representation

Events

Title: Surname: Forenames:

Surname at birth (if different):

Place of birth:Nationality:

Permanent address:Address for correspondence (if different):

Email address:Fax:

Home telephone: Daytime telephone:

(where a message may be left)

If you have ever possessed any other nationality or citizenship, please give full details with dates:

Do you consider that you have a disability? Yes / No

Please give details of your highest qualification or relevant training courses attended.

Name and Address of Institution / Subjects Taken / Level of Qualification

Please give details of your current full-time and part-time work.

Name and Address of Most Recent or Present Employer / Dates / Job Title and Nature of Work
From / To

Please give details of a referees; with their initials and address, whom we can approach, should you be appointed.

Disability

If you consider that you have a disability, please indicate any special arrangements you require to enable you to undertake your volunteer position.

Please indicate how you heard about this volunteer role.

I declare that the details given on this application are to the best of my knowledge and belief, true and complete. I understand that my application may be rejected or, if I am already appointed, I may be dismissed if I withhold relevant details or give false information.

I give permission for all or part of this application to be held on both computerised and manual records, which I may request access to.

Signed: Date:

Name:

The English Volleyball Association acts on behalf of its members to develop and administer volleyball in England. It has a responsibility to its members and to organisations with which it deals to ensure that:-

  • Any decisions that are made should not be influenced by the possibility of personal gain on the part of staff or officers of the Association, or their families.
  • Where the personal interests of staff or officers or their families might lead to such personal gain that interest must be openly and clearly declared.

Relevant information should be recorded on this form in order that potential conflicts of interest can be considered:-

  1. Membership of or involvement with beach volleyball, volleyball clubs or local regional associations or other membership organisations. Please include any existing or planned involvement in any form of beach volleyball.

Self or member of immediate family
(spouse, partner, parent, etc) / Name of organisation / Nature of involvement

2. Commercial interests as an individual or in any company providing a service or having any other financial relationship with the Association.

Self or member of immediate family, business partner / Name of organisation / Nature of involvement

Any potential or actual conflicts of interest identified by the Chair of the BVAG in consultation with the Chief Executive will be referred to the Executive Board.

I confirm that to the best of my knowledge and belief the information given is correct. I understand that if I have given information that is false, or if I have withheld any relevant information this could lead to disciplinary action being taken against me. I understand to update the record, if and when changes take place.

Signed
Print name / Position applied for / Date

Volleyball England has a policy of equal opportunity. Everyone who is eligible to join Volleyball England, whatever their sex or marital status, race, colour, ethnic or national origins, will receive equal treatment when applying for jobs/volunteer roles. We want to find out whether this policy is working and to take steps to ensure further progress is made to achieving equal opportunities. To do this we need to know about the race or ethnic origin of people who apply to join Volleyball England as staff or volunteers. We are therefore asking you to complete the following questionnaire. Your answers will be treated confidentially and will not affect your job application in any way.

May we thank you in advance of your co-operation.

Please read all the categories and then tick the box that you most identify with.

  1. White

Any White background (specify if you wish)

  1. Asian

Bangladeshi

Indian

Pakistani

Any other Asian background (specify if you wish)

  1. Black

African

Caribbean

Any other Black background (specify if you wish)

  1. Chinese

Any other Chinese background (specify if you wish)

  1. Mixed ethnic background

Asian and White

Black African and White

Black Caribbean and White

Any other mixed ethnic background (specify if you wish)

  1. Any other ethnic background (specify if you wish)

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