Your education (please provide dates in each section)
Examinations taken and results:
Professional training or relevant memberships:
Present or most recent employer:
Salary / rate of pay:
Employed from: To:
Reason for leaving:
Please give details of all the other jobs you have held over the last 10 years. Please account for the
last three years fully giving the dates of any periods when you were unavailable for work, or were
undertaking voluntary work. Please add more rows as necessary.
Dates Employer What was your job title? Describe the work Reason for
you did. leaving
Please tell us why you applied for this job and why you think you are the best person for the job.
Please tell us about the skills you used and/or learned in your previous employment or in other
contexts, and how they fulfil the job description.
Please give your assessment on Hacked Off’s current position and should be the key facets of the
next phase of the campaign, bearing in mind that Jeremy Hunt has said that he imagines “we will
have a short intense period of debate after we get the Leveson recommendations in October, [and]
between October and Christmas will be a very important period for actually resolving the future of
Have you ever been convicted of a criminal offence? YES / NO
(declaration subject to the Rehabilitation of Offenders Act 1974)
Is there anything else we should know that may affect your suitability to work in a highly scrutinised
campaigning role? YES / NO
(Please give details if necessary or submit them in a sealed letter FAO The Director)
Please tell us if there are any times when you will not be available for interview on 29-31 August.
Please give details of two employer referees, including one for your current or most recent
employer. We will not contact referees before making an offer.
I can confirm that to the best of my knowledge the above information is correct and complete. I
accept that providing deliberately false information could result in my dismissal.