Application Form for Post of Director

Application Form for post of Director

Completed applications should be emailed to Keith Norton:

Please do not attach a C.V.

CLOSING DATE:Friday 20 Octoberat 12noon

Personal details

Surname:

First name(s):

Preferred title:Mr/Mrs/Miss/Ms/Other (delete as applicable)

Address:

Postcode:

Home telephone:

Work telephone:

Mobile telephone:

Email address:

Educational history, qualifications and training

Secondary schools attended

/ From / To

College or University

/ Course attended / From / To

Year

/

Examination qualification

/ Grade / Year / Examination qualification / Grade
Professional memberships: Name of body / Grade / Date obtained
Training provider / Course attended / Date attended

Employment history

Present or last employer:

Address:

Postcode:

Position held:

Date of appointment:

Current salary:

Notice period :

Major duties and responsibilities.Please include the reason why you wish to leave.

Previous employment in chronological order with dates:

Post occupied / Employer (most recent first) / From / To

Experience

What experience do you have which you feel would qualify you for this post? Continue on a separate

sheet if necessary.

Reasons for applying for the post (please continue on a separate sheet if necessary).

References

please give the names of two referees, one of whom should be your present or last employer
please indicate with yes/no (delete where applicable) whether we can contact either referee prior to interview

Miscellaneous information

Do you have an enhanced CRB check?
Yes / No
do you have a criminal record?
Yes / No / Do you hold a current driving license?
Yes / No
In which publication did you see the advertisement for this post?
………………………………………………………….

I declare the information given in this form to be a true and accurate record

Signed …………………………………………… Date………………………………………………

Equal Opportunities Monitoring: Staff

This form will be kept separate from any details about you and will be used for statistical purposes only.

The Roses Theatre is committed to equal opportunities for all, regardless of race, colour, creed, ethnic or national origins, gender, marital status, sexuality, disability or age. Please help us monitor the implementation of our policy by completing the following form. All information is treated with the strictest confidence and will only be used for statistical monitoring.

Gender

Are you: Male Female

Ethnic Origin

Choose ONE section from A to E, then tick the appropriate box to indicate your cultural background. These are the categories developed by the Commission for Racial Equality.

A / White
British
Irish
Any other White background, please write in
B / Mixed
White and Black Caribbean
White and Black African
White and Asian
Any other Mixed background, please write in
C / Asian or Asian British
Indian
Pakistani
Bangladeshi
Any other Asian background, please write in
D / Black or Black British
Caribbean
African
Any other Black background, please write in
E / Chinese or other ethnic group
Chinese
Any other, please write in

Disability

Do you consider yourself to have a disability? Yes No

Age

Are you: Under 25 25 – 49 50 or over

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