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