Mac Employment Application Form Sep08

Employment Application Form Please complete all sections. The additional information about the role may request you include specific information so please read it carefully. Please type or use black ink. Please do not send CVs as they will not be considered. VACANCY APPLIED FOR Please tick 1 or both below as appropriate Projects Manager, Sound Futures Programme Administrator, MusicLeader WM 1. Personal Details Title:

Surnam e:

VACANCY REF. No.PM/SF08 VACANCY REF. No.PA/ML08

Forename :

Date of Birth: Address: Email Address: Telephone Numbers:

Daytime

(please supply only if you are happy for us to

contact you on this)

Evening:

Mobile:

2. General Details Please note that we will undertake an application for CRB disclosure or require a CRB certificate from successful applicants prior to confirming appointment. a Availability For Interview: Are you able to attend an interview on the date detailed in the supporting information? YES / NO b How soon could you take up the post if it was offered to you? c Work Permit: Do you need a work permit to work in the UK? YES / NO d Rehabilitation of Offenders Act 1974 (amended): Have you ever been convicted of a criminal offence which under the provisions of this act is not ‘spent’? YES / NO If YES, please give details e How many days have had off work through illness in the last 2 years? 3. References Please give names of two people who we may approach for professional references. Please note, we do not accept references from family members. Reference 1 Reference 2 Name and title: Address: Telephone (Office/Other): Email Address: Capacity in which they know you: May we contact prior to interview? 4. Declaration

/

/

YES / NO

YES / NO

I declare that the information on this form and the attached sheets is true and complete. I understand that if it is discovered that any statements are false or misleading I will be liable to have my application disqualified or to

be dismissed from employment by mac. Under the Data Protection Act you have certain rights regarding the use of personal data. By signing this form you are giving your consent to mac to process and verify the information you have provided.

Signe d:

Date :

When completed, your application should be sent to the address in the supporting Information. 5. Details of Formal Education and Qualifications Gained Please start with secondary education and include professional qualifications here From To Secondary School/ Exams taken/ Results/ (Mth/Yr) (Mth/Yr) College/University To be taken Grades

Date Gained

Please continue on a separate sheet if necessary 6. Membership of Professional Bodies Are you a member of a professional body? If YES please state name of the professional body: Level of membership:

Was membership obtained by examination?

YES / NO

7. Details of Training Undertaken Please list any courses you have completed which are relevant to the job and/or specified on the person specification

Year

Organising Body

Please continue on a separate sheet if necessary

Course Title

Course Length

8. Employment Please start with your current or most recent employment. Include paid and unpaid/voluntary work. From To Employer Job Title and Reason for Salary/wag (Mth/Yr) (Mth/Yr) summary of main duties leaving e on leaving

Please explain any gaps in your employment record after the age 18 which are not accounted for elsewhere on this form.

Please continue on a separate sheet if necessary 9. Specific Information a. Information Technology: Please describe your IT skills as relevant to the job and/or detailed on the person specification.

b.

mac 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. To what extent do you feel able to comply with this requirement?

10. Information in Support of your Application Please use up to 2 sheets of A4 to

• •

Explain why you have applied for the application Detail any experience and skills that demonstrate your ability to fulfil the job, with direct reference to the person specification for this vacancy.

Please write your name and the job role applied for on your attached sheet(s). OFFICE USE ONLY Application shortlisted? YES / NO if no, state reasons below:

Equal Opportunities Monitoring As part of its Equal Opportunities Policy mac is commited to monitoring the effectiveness of its advertising and recruitment process. To assist in this monitoring we would be grateful if you would complete and return this form. This will be detached from your application and will play no part in the assessment of your application or the shortlisting process. •

Post applied for: ______________________________________________

•

I saw the post advertised in: ____________________________________

•

Gender: Male/Female

•

How would you describe your ethnic origin? Please tick as appropriate White European White other African Caribbean South Asian Other Asian Other (please specify)

• Would you describe yourself as disabled? Yes/No • How old are you? ____________________________________ Date:_________________________________________________