PART TIME PLAY LEADER
APPLICATION FORM
Please complete all sections of the application form in black ink.
In answering questions please refer to the material sent with the form.
APPLICATION FOR PART-TIME PLAYLEADER POST
1. Personal Details
SURNAME ______________ FIRST NAMES _________________
ADDRESS ___________________________________________
_________________________ Postcode __________________
TELEPHONE
Landline ___________Mobile ________________
E-Mail _____________________ Date of Birth _____________
2. Please describe what you will contribute to the Playhouse
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3. Information in support of your application.
Please describe any experience or skills you feel are particularly relevant
to this post. Use the job description and specification to help you answer
this question.
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4. PRESENT OR LAST EMPLOYER
Position Held _____________________________________
Employers Address
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Brief description of duties _______________________________
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Reason for seeking this job ______________________________
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5. PREVIOUS EMPLOYMENT (put most recent first)
EMPLOYER
POSITION
FROM/TO
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6. HIGHER EDUCATION
SCHOOL/COLLEGE etc.
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REASON FOR LEAVING
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COURSE/QUALIFICATION
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7. HEALTH & MEDICAL DETAILS
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How much time have you had off work due to sickness or injury in the last
two years? Describe the reasons if you wish :
LAST YEAR
PREVIOUS YEAR
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Do You currently have any other health problems ?
YES / NO
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If Yes Please Describe __________________________________
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8. OTHER
LANGUAGESSPOKEN :
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DO YOU HOLD A FULL, CLEAN, DRIVING LICENCE ?
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9. REFERENCES
Please give the names and addresses of two persons who will give you a
reference; one of whom should be your present or last employer. These
should be people who know you well and can comment on your suitability
for this work :
REFEREE #1 - NAME ___________________________________
ADDRESS __________________________________________________
THEIR JOB OR
TELEPHONE _____________ RELATION TO YOU _____________________
REFEREE # 2 - NAME ___________________________________
ADDRESS __________________________________________________
TELEPHONE ___________
THEIR JOB OR
RELATION TO YOU
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10. CRIMINAL CONVICTIONS
The Playhouse is registered for day-care under the Children's Act 1989.
Therefore every Playhouse worker must be a fit person to work with
young people under the terms of the Act.
Please confirm the following:
I have no criminal convictions or
convictions pending
YES/NO
I have a criminal conviction or
a case awaiting trial
YES/NO
If yes please describe the offence
the space below :
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Please sign your application and return it to Sue Ranger,
Project Director, Belgrave Playhouse.
Or E-mail to
[email protected]
Closing date for applications is 1st post Tuesday 7th April 2015
If you hear by e-mail or mobile phone
Interviews will be held Monday13th April 2015
SIGNED __________________________
(Applicant)
DATED __________________
If you do not hear from us within 20 days of your application
please assume you have been unsuccessful this time.
Thank you for your application, we will keep your name on file.
Sorry but CVs & Additional sheets will not be considered.