Expression of Interest Form
Please type on this form or write clearly in black ink.
Project: DANCING MUSEUMS
Personal details:
Name:
Address:
Telephone (day):
Telephone (evening):
Email:
Social Media/Website:
Short biography
(no more than 250 words please)
Statement of interest and links to examples of work
Please use this space to explain why, having read the information provided, you think you are interested in
working with us on this project; give the reasons for your application; and indicate how your experience,
qualifications, personal qualities and interests meet the requirements of this post (Please do not attach CVs).
(no more than 300 words please)
Do you require a work permit to work in UK & EU?
YES
NO
If Yes, do you currently own a valid work permit?
YES
NO
Declaration
To the best of my knowledge, the information I have given on this form is correct and complete, and I possess all
the qualifications, which I claim to hold. I am entitled to work in this country and hold a relevant UK, EU or EEA
passport, birth certificate, NI number, work permit or other relevant documentation and can produce on demand of
Siobhan Davies Dance. I understand that submitting false information or withholding relevant information on this
form may lead to my application being rejected or, if I am appointed, will constitute grounds for dismissal.
Signature:
Date:
SIOBHAN DAVIES DANCE - EQUAL OPPORTUNITIES MONITORING FORM
Post applied for:
Artist (Dancing Museums)
How would you describe your ethnic origin?
These codes have been devised by the Government’s Census of Population and are recommended by the Home
Office. Choose ONE section from A to E, then tick the appropriate box to indicate your cultural background:
SECTION A: WHITE
( )
BRITISH
( )
IRISH
( )
ANY OTHER WHITE BACKGROUND, PLEASE WRITE IN
________________
SECTION B: MIXED
( )
WHITE AND BLACK CARIBBEAN
( )
WHITE AND BLACK AFRICAN
( )
WHITE AND ASIAN
( )
ANY OTHER MIXED BACKGROUND, PLEASE WRITE IN
________________
SECTION C: ASIAN OR ASIAN BRITISH
( )
INDIAN
( )
PAKISTANI
( )
BANGLADESHI
( )
ANY OTHER ASIAN BACKGROUND, PLEASE WRITE IN
_________________
SECTION D: BLACK OR BLACK BRITISH
( )
CARIBBEAN
( )
AFRICAN
( )
ANY OTHER BLACK BACKGROUND, PLEASE WRITE IN
_________________
SECTION E: CHINESE OR OTHER ETHNIC GROUP
( )
CHINESE
( )
ANY OTHER ETHNIC GROUP, PLEASE WRITE IN
Are you?
Female
How did you hear about this vacancy?
( )
Male
( )
Do you consider yourself disabled?
Yes
( )
No
( )
Are you registered disabled?
Yes
( )
No
( )
Social Media
( )
Artsjobs (Arts Council England)
( )
Artshub
( )
Word of Mouth
( )
Siobhan Davies Dance website
( )
Other website or listing
( )
(please specify below)
What is your year of birth?