St Mary’s Arts Trust
Unit 3 Park Mall Shopping Centre, Ashford, Kent TN24 8RY
www.revelationstmarys.co.uk
APPLICATION FORM
All sections of this form must be completed fully please. All information will be treated as strictly
confidential and no approach will be made to any referee without your permission.
Please email your completed job application form, covering letter and equal opportunities form (no
CVs) to Charlotte Burke, General Manager, St Mary’s Arts Trust charlotte@revelationstmarys.co.uk by
Wednesday 13 January 2016 at 12 noon.
Interviews are currently scheduled for w/b 18 January in Ashford.
SECTION ONE: PERSONAL DETAILS
Full Name
Home Address
Telephone (home)
Mobile
Email
This position requires documentary evidence of the right to work in the UK. Please indicate at least one
piece of documentation you possess showing your right to work in the UK.
UK or EEA passport
UK birth certificate and document with NI number
Other documentation showing right to work in the UK
Yes/No
Yes/No
Please describe …………………………
SECTION TWO: RELEVANT QUALIFICATIONS AND TRAINING
Please give details of educational qualifications, including school/college/university, year and grades:
Other relevant training courses undertaken:
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SECTION THREE: CURRENT or MOST RECENT JOB
Employer, place of work and location:
Job Title:
Date of Appointment:
Gross Salary:
Notice Period:
Reason for leaving:
Details of responsibilities (current or most recent job):
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SECTION FOUR: PREVIOUS EMPLOYMENT
Please give details of all posts, including dates, nature of employment and your responsibility, with an
appropriate level of detail. Please account for any gaps in employment history to provide an unbroken
record (use extra sheets if needed).
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SECTION FIVE: EXPERIENCE
Please explain below how your skills and experience will enable you to deliver this role. You should
refer to the Person Specification and to the Job Description to help you to do this, and include specific
examples rather than sweeping generalisations.
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SECTION SIX: ANY OTHER BUSINESS
Please give brief details of any relevant interests, or anything else you would like to draw to our
attention.
SECTION SEVEN: OTHER INFORMATION
Do you have a current UK driving licence?
Yes/No
Have you in the past 12 months had a period of illness or injury resulting in a long term
absence from work (ie more than 4 weeks)?
Yes/No
(If yes please give details)
Do you have a DBS certificate?
Yes/No
If Yes, please give your Reference number:
SECTION EIGHT: REFEREES
Please give the name, address, phone and email addresses of two people who may be asked about
your personal and professional qualities. One MUST be your current or most recent employer.
References will only be taken up at interview or offer stage.
Name:
Company:
Address:
Name:
Company:
Address:
Phone:
Phone:
Email:
Email:
DECLARATION
1.
2.
3.
General. I declare that the information I have given on this form is correct and that any
misrepresentation by me may be sufficient grounds for my dismissal if I am employed. I give my
permission for my previous employer/s and any referees to be contacted.
Right to work. I declare that I have the right to work in the UK based on the valid document
described in section one.
Checks with the Disclosure Barring Scheme (DBS). As St Mary’s Arts Trust works with children, I
am aware that if I am selected for this job I shall be required to give the Trust consent to institute a
Disclosure check with the DBS. This post is exempt from the Rehabilitation of Offenders Act 1974
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4.
and therefore all convictions, cautions and bind-overs, including those regarded as "spent", must be
declared. Selection for employment will be dependent on satisfactory references and DBS check.
Consent under the Data Protection Act 1998: Please note that the information given to St Mary’s
Arts Trust in this form will be processed only by the Trust for the purpose of considering your
application for employment. If you are successful in your application, this form and the information
in it will be retained in your personnel file for such time as you are an employee of St Mary’s Arts
Trust and for up to 6 years after the end of your employment. Otherwise this form will only be
retained by the Trust for so long as it is required in connection with your application. By signing this
consent you give us your express consent to retain and process all the information contained in this
form.
Signed by Applicant:
Date:
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