Opera North Application Form

CHORISTER DECLARATION & EQUALITY FORM DECLARATIONS Please return this form with your covering letter and c.v. to [email protected]

APPLICANT NAME:

GENERAL Under the Rehabilitation of Offenders Act 1976, are there any Yes No convictions which you are required to disclose? Are you related to an existing employee of Opera North? Yes No Are you aware of anything which may affect your ability to take up Yes No employment if offered?

If you have answered yes to any of the questions above, please provide full details on a separate sheet marked “Private and Confidential”. Do you need a work permit or visa to work in the UK? Yes No If yes, do you have a work permit as at the date of this application? Yes No What is the date of issue? Place of issue? Date of expiry? N.B Section 8 of the Asylum and Immigration Act 1996 requires all employers in the United Kingdom to make basic document checks on every person they intend to employ. All successful applicants will be required to show proof of their right to work in the UK. Do you have a current driving licence? Yes No Do you have any current endorsements? (Give details)

Should you be invited to interview do you have any access requirements & if so please detail

1 REFERENCES Please give the name and address of two referees. These should be your two most recent employers, including your present employer where applicable, or a relevant academic principal. Personal referees should be given only when there is no previous employer or educational establishment to which reference can be made. Referee 1 Name Address

Postcode

Contact details Tel: Email:

May we contact prior to interview? Yes No

Referee 2 Name Address

Postcode

Contact details Tel: Email:

May we contact prior to interview? Yes No

DECLARATION I hereby consent to Opera North Ltd processing the data on this form, and (if applicable) subsequent data collected during the administration of my term of employment in line with the requirements of the Data Protection Act 1988.

I confirm that the information given on this form and on my covering letter and CV, is to the best of my knowledge, true and complete. Any false statement may be sufficient cause for rejection or, if employed, dismissal.

Signature: Date:

Electronic submissions: For persons submitting applications by email please type your name and the date above. These details, together with your attached email, will be deemed to form an electronic signature.

2 EQUALITY MONITORING FORM

Post applied for: CHORISTER Opera North aims to offer equality in employment and selects staff on merit, irrespective of race, religion, sex, disability, or age. You are not obliged to complete this form, but it will help us monitor our equality policy. In accordance with Data Protection Act 1998, the information you have provided will only be used for the purposes of equality monitoring, and not for selection purposes. Question 1 How did you hear Opera North Website Artsjobs Opera Europa about this vacancy? ABO website Musical Chairs Music Jobs website (please tick): website Stage The Guardian The Guardian website Word of mouth Other Please specify Question 2 Sex (please tick): Female Male Question 3 Age (please tick): 16-25 26-35 35-50 over 50 Question 4 Ethnic Group (please White British tick): This information is Irish required to monitor Other White the ethnic origin of background the Opera North’s Please specify work force. Mixed Race White & Black These categories are Caribbean recommended by the White & Black African Commission for Racial White & Asian Equality and have Other mixed been used in the background recent population Please specify census. Asian or Asian British Indian Pakistani Bangladeshi Other Asian background Please specify Black or Black British Caribbean African Other Black background Please specify Chinese or other ethnic group Chinese Other Please specify I do not wish to identify my ethnic group at this stage Question 5 Do you have a Yes No I do not wish to disability? identify The definition of a disability under the Equality Act 2010 is ‘A physical or mental impairment which has a substantial and long-term adverse effect on a person’s ability to carry out normal day-to-day activities.’ The Equality Act 2010 makes it unlawful to discriminate against current or prospective employees. Opera North will make reasonable adjustments in the workplace so as not to place a disabled person at a substantial disadvantage.