Wpsd New Deal Register

Please complete and return this form by post to Jennie Reed Alive!, Create Centre, Smeaton Road, Bristol BS1 6XN or by email to [email protected]

Volunteer Film maker Post Applied for:

Personal Details: (BLOCK CAPITALS PLEASE)

TITLE (Mr/Mrs/Miss/Ms): TELEPHONE NO:

Alternative tel no:

ADDRESS:

POST CODE:

Education and Training:

Secondary schools and Examinations taken and certificates colleges and/or universities passed. (For GCSE’s, give number of certificates attended From To awarded if any)

Other training completed and courses attended including dates:

Course Name From To Present Employment /voluntary work

Name of employer: Tel. No:

Present Post held: Salary:

Address:

Post code: Date started:

Brief description of job:

Previous Employment/voluntary work :

Reason Name and address Job description for of employer and main function From To leaving Final salary Referees: Please name two people that we may approach for a reference (one should be your present or most recent employer). Name Position Address

May we approach your present employer for a reference? YES / NO / NOT YET

If appointed when could you start?

Declaration: Do you have any unspent criminal convictions? (Disclosure of this information does not necessarily prevent you from being appointed to the post). YES / NO

If yes, please give full details.

I declare that the information on this form is true.

Signed Date

If your application is successful we will contact you to invite you to an interview.

Please tell us where you saw the role advertised:

Further Information: On one side of A4 please make a compelling case for how your experience, skills and knowledge and personal attributes make you the best candidate for this role. Please give any other information that you consider appropriate to your application. Please do not enclose your CV or send email applications.