Application Form for Post of Volunteer Gallery Team Member

For Office Use Only Start Date Ref Capsule/List I.D

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CONFIDENTIAL

Application Form for post of Volunteer Gallery Team Member

Full name:

Address: Tel no:

Email:

Please give the name and contact information for one referee (who is not related to you)

Name: Occupation:

Tel no: Email:

In what capacity do you know this referee?

What is your availability? Day: Duration: (Tue-Sun)

Work Permit Are you eligible to work in the UK?

Criminal Convictions Please list any criminal convictions other than “spent” convictions. If none, state “none”

The information provided will be confidential and will be considered only in relation to this application.

1 Please answer the following questions:

What experience do you have that is relevant to this role? (This could be other voluntary positions, work experience, education or training)

Are there any other areas within Spike Island that you would be particularly interested in getting involved with? (e.g. technical team, tours, marketing, events, workshops)

Please explain why you are applying for this volunteer position and what you hope to get out of volunteering here.

Please sign and date this form

I declare that the information I have given in this application is, to the best of my knowledge and belief, true and correct.

Signature: ______Date: ______

Please return the completed form by email to Volunteer Coordinator (maternity cover) [email protected] 2 Equal Opportunities Policy

Statement

Spike Island is committed to a policy of equal opportunity in its recruitment of employees, in its employment practice and in all aspects of its role as a company limited by guarantee with charitable status.

Employees are accepted by the application of objective criteria and personal merit. No candidate will be treated less favourably than another on grounds of race, nationality, ethnic origin, disability, religion, social class, sex, sexual orientation or marital status.

Spike Island continually strives to ensure that the building that the organisation occupies is fully accessible premises.

All information given will be treated with the strictest confidence and will be held for statistical purposes only, it does not form part of your application. The interviewing panel will not see this form. Although you are not under any obligation to complete this questionnaire the information you provide will help us to monitor our equal opportunities policy.

3 Equal Opportunities Monitoring Form

Please tick the appropriate box:

Gender Male Female

Age Less than 20 years 50 – 64 years 20 – 34 years 65 years and over 35 – 49 years

Cultural Diversity

It would be helpful for us to have on record information regarding your ethnicity. We are offering two methods for you to register these details. Please choose one you feel is most appropriate.

Method 1. Please describe your ethnic origin.

Method 2.

Please tick the ethnic category that best represents you. Choose one section from A to E, then tick the appropriate box to indicate your cultural background. (The categories are those recommended by the Council for Racial Equality)

A. White British Irish Any other White background, please state ______

B. Dual Heritage Asian and White Black African and White Black Caribbean and White Chinese and White Any other background from more than one ethnic group, please state ______

C. Asian or Asian British Indian Pakistani Bangladeshi Any other Asian background, please state ______

D. Black or Black British Caribbean African Any other Black background, please state ______

E. Chinese or Chinese British

4 Chinese Any other, please state ______

Disability

Do you consider yourself to have a disability or health condition?

YES NO PREFER NOT TO SAY

What is the effect or impact of your disability or health condition on your ability to give your best at work? Please write in here:

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

If you are a job applicant, can you please inform us of any access requirements you may have that will assist you in your interview? (e.g. large print, BSL interpreter etc)

…………………………………………………………………………………………………………………………… ………………………………………….

Sexual orientation

What is your sexual orientation?

Heterosexual/Straight Gay woman/lesbian Gay man Bisexual Prefer not to say If other, please write in: …………………………………………………………………………………………… If applying for an advertised vacancy, where did you hear about this opportunity?

Thank You for your Cooperation

The information in this form will be kept in the Spike Island office for internal use only. Please inform us if any of the details change.