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					                                                     Oaklands Park
                                                        Chichester
                                                      West Sussex
                                                        PO19 6AP
                                                   T 01243 784437
                                                   F 01243 787288
                                                     www.cft.org.uk




               EMPLOYMENT APPLICATION FORM

POSITION APPLIED FOR

                         SENIOR SOUND TECHNICIAN
                              REF: PROD 18/11



PERSONAL DETAILS
FORENAME/S:

SURNAME:

CONTACT ADDRESS:



HOME TELEPHONE:

WORK TELEPHONE:

MOBILE:

EMAIL:

DO YOU HOLD A CURRENT UK DRIVING LICENCE?
YES    /      NO    (delete as applicable)



ARE YOU A MEMBER OF ANY PROFESSIONAL ORGANISATIONS?
YES    /      NO    (delete as applicable)
If yes, please give details below
QUALIFICATIONS AND TRAINING
Please give details of your educational qualifications and training courses
attended which are relevant to the job you are applying for:
SCHOOL / COLLEGE /
                               FROM       TO        QUALIFICATIONS
UNIVERSITY




Please list any other short courses attended, or any other qualifications:
EMPLOYMENT HISTORY
Please tell us about your work history over the last 10 years. Please include any
study or career breaks, or periods of unemployment.
Give brief details of your post and the main duties involved. Please start
with your present / most recent employer.
(Continue on separate sheet if necessary)

COMPANY      POSITION      FROM      TO     SALARY      REASON FOR LEAVING




DUTIES




COMPANY      POSITION      FROM      TO     SALARY      REASON FOR LEAVING




DUTIES




COMPANY      POSITION      FROM      TO     SALARY      REASON FOR LEAVING




DUTIES




COMPANY      POSITION      FROM      TO     SALARY      REASON FOR LEAVING




DUTIES
 ADDITIONAL INFORMATION
What can you offer us? Please note, your response to this question determines
whether or not you are short-listed. It is within your interest to go through the job
description and person specification and describe exactly how you meet the
requirements. Include relevant experience, knowledge and skills and give
examples.
(Continue on separate sheet if necessary).
Why are you applying for this position?




 AVAILABILITY
Please state your availability for work between March and October 2011.




ELIGIBLE TO WORK IN THE UK
Is there any restriction on your right to work in the UK?                     YES / NO
(if yes, please give details)




If you are short listed for interview, please give evidence that you are eligible to
undertake employment in the UK by providing one of the following:

      A passport showing that you are a British citizen, or have a right of abode in
       the UK.
      A birth certificate issued in the UK, channel Islands, Isle of Man or Ireland
      A certificate of registration or naturalisation as a British Citizen
      Another form of documentation issued by the Home Office:
   REFERENCES
Please give two referees, including your present / most recent employer.
Please do not use family / friends as referees.

REFEREE ONE:
NAME:

JOB TITLE:

ADDRESS:


POSTCODE:

TELEPHONE:

EMAIL:

REFEREE TWO:
NAME:

JOB TITLE:

ADDRESS:


POSTCODE:

TELEPHONE:

EMAIL:

Do you have any objection to the reference being obtained prior to interview?
Reference one:      YES    /      NO    (delete as applicable)
Reference two:      YES    /      NO    (delete as applicable)


If you are currently employed, what notice period are you required to give?




Please state how many sickness days you have had in the last 12 months:
Chichester Festival Theatre is committed to equal opportunities, therefore if you
have any special requirements or needs to complete your interview, please give
details:




  DECLARATION
I certify that the information on this form is, to the best of my knowledge, true and
complete, and can be treated as part of any subsequent contract of employment.
If I am appointed, personal information about me may be computerised for
personnel administrative purposes within the terms laid down by the Data
Protection Act 1984.



Signed:                                                        Date:




                     Your completed form should be returned to:
                                 Marian Stapley
                            Chichester Festival Theatre
                                  Oaklands Park
                                   Chichester
                                  West Sussex
                                   PO19 6AP

                                    or e-mail to:

                            marian.stapley@cft.org.uk




CLOSING DATE:               MID DAY FRIDAY 21 JANUARY 2011
               EQUAL        OPPORTUNITIES            MONITORING FORM


Chichester Festival Theatre operates a policy of equal opportunity for employment,
training and advancement.

The aims of our Diversity Policy are to promote “equality of opportunity for all; a
workplace where people are treated with dignity and respect and valued for who they are
and the contribution they make to the organisation; active opposition to all forms of
prejudice, discrimination, bullying and harassment on the grounds of gender, race,
ethnic or national origin, religion, colour, creed, age, class, caring responsibilities, marital
status, sexuality, physical ability or mental health”.

To assist in monitoring the effectiveness of this policy and for that purpose only, please
complete the following sections below. Upon receipt of your application, this form
will be kept separate and will not be seen by anyone concerned with any stage of
the selection procedure for the position for which you are applying.
                                             .
VACANCY DETAILS:
Please state the Job Reference Number and Job Title as quoted in the advert.
Job Reference Number                   Prod 18/11

Job Title:                                SENIOR SOUNDTECHNICIAN

Where Did You Hear of the Job:

Name of Newspaper/Journal/Other:


Gender:        □ Female                 □ Male

Please indicate to which of the following you would describe yourself as belonging:

White:                                           Black or Black British:
□ British                                        □ Black – African
□ Irish                                          □ Black – Caribbean
□ Any other White background                     □ Any other Black background

Asian or Asian British:                        Dual Heritage:
□ Asian Bangladeshi                            □ Asian and White
□ Asian Indian                                 □ Black African and White
□ Asian Pakistani                              □ Black Caribbean and White
□ Any other Asian background                   □ Chinese and White
                                               □ Any other background from more than one
Chinese or Chinese British:                    ethnic group
□ Chinese

□ Any other ethnic group (please give details):


………………………………………………………………………………………………………
Nationality:
What was your nationality at birth?: …………………………………………………………….


What is your current nationality (if different)?:………………………………………………….


Criminal Convictions:
Have you had any Criminal Convictions?                             YES / NO
(Subject to the terms of the Rehabilitation of Offenders Act 1974, under which you do not
have to declare spent convictions)
If yes, please give detail(s) of date(s), offence(s) and sentence(s), which are not spent.


Disability:
Chichester Festival Theatre, as part of its Diversity Policy, welcomes applications from
candidates with disabilities. So that the requirements of the Disability Discrimination Act
1995 can be fulfilled, please complete the following information, where applicable. All
information will be treated in strictest confidence.

Are/were you Registered Disabled?                                        YES / NO
If yes, please give date of initial registration and duration of registration

………………………………………………………………………………………………………


Do you have a disability, which you wish an employer to be aware of?
                                                             YES / NO
(if yes, please give details)


………………………………………………………………………………………………………

………………………………………………………………………………………………………

Is there a requirement for an adjustment to accommodate your disability either at
interview or if appointed to this post?
                                                           YES / NO
(if yes, please give details)

………………………………………………………………………………………………………

………………………………………………………………………………………………………


Would you prefer to discuss this at interview?                        YES / NO




(As this monitoring form is kept separate from your application form, please excuse us if
we ask for this information again, if you are invited for interview or offered a position)

				
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