Application Form
Only applications on this official form will be accepted.
If you are filling this form in digitally, please make sure you are running Microsoft Word 2007 or higher.
Job Details
Which role are you applying for? Cleaner
Job Closing Date8th of June 2017
Start DateASAP
Your Personal Details
The Octagon Theatre operates an anonymous shortlisting policy. This page will not be used for shortlisting purposes.
TitleClick here to enter your title.
SurnameClick here to enter your surname.
ForenamesClick here to enter your forenames.
Email AddressClick here to enter your email address.
Home AddressClick here to enter your home address.
Mailing Address (if different)Click here to enter a mailing address, if different to home.
Preferred Telephone NumberClick here to enter text.
Alternate Telephone NumberClick here to enter text.
How did you find out about this position? Click here to enter text.
Declaration
I declare to the best of my knowledge the information given on this form is correct and can be treated as part of any subsequent contract of employment.
Yes ☐No ☐
SignatureClick here to enter text.DateClick here to enter a date.
By typing / signing your name in the signature field and placing a check in the box, you agree that all statements you provided are true and any falsifying information could result in termination if employed.
Applicant Number
HR use only.
Applicant Number
HR use only.
Your Current Employment
Please give the name and address of your present or most recent employer. If unwaged, please say what activities you have been involved with in the past year.
Date Started (DD/MM/YY) / Date Left (if applicable) / Name of EmployerCurrent Job Title
Address of Employer
Duties
Salary / Notice due (if applicable)
Your Previous Employment History
Please list in date order, your employment and other relevant work experience (which may include voluntary work.) You may continue on an additional sheet if necessary.
Dates from and to / Name & Address of Employer / Position Held and DutiesEducation and Training
Please give details of your most recent qualifications and courses (including short course, in service training etc.)
University / Institution / Qualification / Date of QualificationShort Courses / Other Training
References
Please give the names and addresses of two people who will act as referees, to verify your employment / education / training record. One should be your present or most recent employer, or if you have not been in paid employment, the head of your training establishment and / or a representative of a voluntary organisation with which you have been involved.
Referee 1 (Name and Address) / Referee 2 (Name and Address)Telephone Number / Telephone Number
Email Address / Email Address
Can this referee be approached before interview? (Yes / No) / Can this referee be approached before interview? (Yes / No)
Additional Information
Please describe how your experience, skills, knowledge and qualifications are relevant to the role. You should refer to the job description and person specification provided. You do not have to fill the whole page and you may continue on an additional sheet if necessary. This box will expand as necessary.
Requirements
The Octagon Theatre is committed to equal opportunities in all aspects of its work. All staff members must have a positive attitude towards equal opportunities and have or be prepared to gain knowledge in these matters.
Do you feel able to comply with these requirements?
Yes ☐No ☐
Can you provide proof of your eligibility to work in the United Kingdom? See Home Office rules if unsure.
Yes ☐No ☐
If you application is unsuccessful, do you have any objection to the Theatre keeping your information on file for future reference? All records are kept in accordance with The Data Protection Act 1998.
Yes ☐No ☐
Do you have a current, clean UK Driving Licence?
Yes ☐No ☐
How soon could you take up the post if it was offered to you?
Click here to enter text.
Criminal Record
Have you ever been convicted of any criminal offence which is not classed as spent under the Rehabilitation of Offenders Act 1974?
Yes ☐No ☐
If YES, please give details of the conviction(s) and date(s).
Click here to enter text.
Returning Your Application
If you have filled in this form digitally, please now save it and email it to If you are posting your application, please print it out and return it, marked PRIVATE AND CONFIDENTIAL to:
Gemma Ingham
Administration Manager
Octagon Theatre
Howell Croft South
Bolton
BL1 1SB
Thank you for your interest in working at The Octagon Theatre. Please note that if you have not heard from us within two weeks of the closing date, you may assume that your application has been unsuccessful on this occasion.
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