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					APPLICATION FORM

The Serpentine Gallery is committed to Equal Opportunities and welcomes
applications from all sections of the community.

Please type on this form or write clearly in black ink.

 VACANCY APPLIED FOR:

 PERSONAL DETAILS
 Title
 First Name
 Last Name
 Address




 Home Telephone
 Work Telephone
 Mobile Telephone
 Email
 Current notice period




 EDUCATION, TRAINING AND QUALIFICATIONS
 Please give details of your educational background as well as any qualifications you
 have gained or training courses you have attended, particularly those relevant to
 the skills, knowledge or experience required for this post.
 Dates                Institution         Details
EMPLOYMENT HISTORY
Please give details of your employment history, both paid and voluntary, in reverse
chronological order.
Please ensure the following information is included for each role: Employer name,
your job title, dates of employment, outline of duties, and salary.
SKILLS
Please indicate your typing speed (if appropriate) and list the software that you
have used that is relevant to this role.
Typing speed
Software




INFORMATION IN SUPPORT OF YOUR APPLICATION
Please use this space to explain why you think you are suitable for this post. Please
give the reasons for your application and indicate how your experience,
qualifications, personal qualities and interests meet the requirements of the role.
REFERENCES
Please give details of two people we may contact for a reference. These referees
should have knowledge of you in a working environment, either paid or unpaid, and
one should be your current or last employer.
Name
Job Title
Address
Telephone Number
In what context do
you know this
referee?
May we contact this     Yes
person without your
prior agreement?        No

Name
Job Title
Address
Telephone Number
In what context do
you know this
referee?
May we contact this     Yes
person without your
prior agreement?        No




DECLARATION
To the best of my knowledge, the information I have given on this form is correct
and complete. All the questions relating to me have been accurately and fully
answered and I possess all the qualifications which I claim to hold.

Signature


Date
DISABILITY AWARENESS MONITORING FORM

The Gallery is committed to fulfilling its obligations to disabled applicants and
employees and is required to keep records of the composition of its employees
and job applicants. With this in mind, you are invited to provide the additional
details on a voluntary basis.

 Do you consider yourself disabled?

  No
  Yes

 If Yes, please complete the rest of this form.

 Please provide details of your disability:




 Will your disability affect your application?

  No
  Yes – please describe the nature of any reasonable adjustments which you feel
 could be made to the recruitment process to assist you in your application:




 Will your disability affect your ability to perform the job?

  No
  Yes – please describe any reasonable adjustments which you feel could be made
 to the job itself:




The Serpentine Gallery guarantees that this information will be treated in the
strictest of confidence. The Serpentine Gallery provides access for people with
disabilities including ground level galleries, bookshop and staff areas and
accessible toilets. Lifts are available for access to the basement and office areas.
Thank you for completing this form.
EQUAL OPPORTUNITIES MONITORING FORM

The Serpentine Gallery strives to be an Equal Opportunities employer and ensure
that no applicant or employee receives less favourable treatment on the grounds of
gender, class, race, colour, nationality, ethnic origin, marital status, sexual
orientation, age, physical disability, trade union activity, political or religious belief.

In order to monitor our equal opportunities policy, it would be very helpful to us if
you could complete this form. The information will be treated in the strictest
confidence and will not influence the selection procedure.

VACANCY APPLIED FOR:

 How did you hear about this vacancy?

 The Guardian                    
 Arts Council England website 
 Serpentine Gallery website      
 Jobcentre Plus                  
 Other – please specify           ________________________________________


 How would you describe your ethnic origin?

 White                                       Asian or British Asian
  British                                    British Asian
  Irish                                      Indian
  Eastern European                           Pakistani
  Other white background                     Bangladeshi
                                              Other Asian background


 Black or British Black                      Mixed or Dual Heritage
  British Black                              White & Black Caribbean
  Caribbean                                  White & Black African
  African                                    White & Asian
                                              Other mixed background
 Other
  Chinese
  Any other ethnic group

 Sex:

  Male         Female

				
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