arts award officer application form
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Application form
Post appliedfor
Personal details
First name
Surname
Other names
Address
Telephone no.
Email address
Most recent employment (paid or unpaid)
Name oforganisation
Job title
Date ofappointment
Current or lastsalary/wage (ifany)
Period of noticerequired
Leaving date ifnow not working
Give a brief outline of your responsibilities
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Reason for leaving (or for seeking other employment)
Education, training and professional qualifications
School, university etc Qualifications obtained Date obtained
Previous employment (paid or unpaid)
Name and address ofprevious employers
Job title, description of duties& final salary
Dates ofemployment &reason for leaving
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Experience, skills and interests
Using the job description and person specifications as a guide, please outlinehow your skills and experience meet the criteria for this post
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RefereesPlease give the name and address of two referees. Where possible, referees shouldhave known you at work and one referee should be your present or most recentemployer (if applicable).
Name
Address
Telephone no.
Email address
Occupation
May we request the reference:
at any time only after offer of employment
Name
Address
Telephone no.
Email address
Occupation
May we request the reference:
at any time only after offer of employment
To comply with the Immigration Act 1996, we are required to see proof of your right towork in the UK. We will be requesting this once an offer of employment has been
made. However, if you require a work permit in order to work in the UK please tickhere.
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Please give details of any criminal convictions you have had, excluding any
considered spent under the Rehabilitation of Offenders Act 1974, or minor motoring
offenses.
As Curious Minds works closely with young people we require that all employees
have a Disclosure & Barring Service Enhanced Disclosure Certificate. If you currently
have a certificate issued within the last 3 years please tick here.
DeclarationThe information that you have provided on the application form with be held securely
during the recruitment process. Personal data relating to unsuccessful candidates will
generally be destroyed six months after the recruitment process has ended. Very
rarely, we may need to retain personal data of unsuccessful applications for longerthan six months. In any event, all personal data will be stared securely in accordance
with the Data Protection Act 1998.
I consent to my personal data being held as stated above.
I confirm that the information I have provided is correct.
Candidates signature
Date
Please send completed application forms to: Susan Blackburn, Finance &Resources Assistant, Curious Minds, Lodge House, Cow Lane, Burnley,Lancashire. BB11 1NN
Equal opportunitiesCurious Minds is an equal opportunity employer. The organisation is committed to
ensuring within the framework of the law that our workplaces are free from unlawful
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or unfair discrimination on the grounds of colour, race, nationality, ethnic or national
origin, religion or similar belief, sex, sexual orientation, marital status, age ordisability.
Recruitment and employment decisions will be made on the basis of fair andobjective criteria. Our selection procedures are reviewed from time to time to ensurethat they are appropriate for achieving our objectives and for avoiding unlawfuldiscrimination.
Person and job specifications shall be limited to those requirements which arenecessary for the effective performance of the job. Interviews will be conducted onan objective basis and personal or home commitments will not form the basis of
employment decisions except where necessary.
We aim to ensure that all members of staff achieve their full potential and that allemployment decisions are taken without reference to irrelevant or discriminatorycriteria.
In accordance with recommended practice the ethnic and gender composition of ourstaff and applicants for jobs will be monitored at all levels. This information will bekept securely and not made available to anyone before or during short listing. It willnot be used in deciding whether to shortlist you for interview or offer youemployment.
Post appliedfor
Personal details
Name
Date of birth
Gender
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Diversity
Please tick the ethnic category that best represents you. As you make your decision,please think about what ethnic group means to you, that is, how you see yourself.Your ethnicity is a mixture of culture, religion, skin colour, language and the origins ofyourself and your family. It is not the same as nationality.
Asianor British Asian- Bangladeshi
Asian or British Asian- Indian
Asian or British Asian- Pakistani
Asian or British Asian- Other Asian background (please state)
Black or British Black- African
Black or British Black- Caribbean
Black or British Black- Other Black background (please state)
Chinese
Dual heritage - Asian and White
Dual heritage - Black African and White
Dual heritage - Chinese and white
Dual heritage - any other from more than 1 ethnic group (please
state)
White- British
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White- Irish
White- Any other White background
Other, please detail
Do not wish to answer
Do you consider yourself to be disabled?
Yes No Do not wish to answer
Do you have dependants? Dependants might include children, the elderly, or otherpeople who rely on you for care.
Yes No