<p>APPLICATION FORM</p><p>To apply for this job, we are asking you to submit </p><p>(1) A statement of max 300 words describing why you are applying for this role at PRS Foundation and why you are the most suitable candidate. Please refer to the job specification, skills, person specification and project summary. (2) This application form. (3) The equal opportunities monitoring form.</p><p>Please ensure that the statement and form are completed clearly. They will both be considered in our applications process.</p><p>You should return this form, the equal opportunities monitoring form, and the statement, by email to: [email protected] or by post to Leyla Atamturk, Administrator, PRS for Music Foundation, 2 Pancras Square, London N1C 4AG. Applications must be received by 5pm, Thursday 25 May 2017.</p><p>1 Forenames: 2 Surname:</p><p>3 Nationality: </p><p>(Please note that, as a general rule, those who are not British or EU nationals will need a work permit before any appointment can be made. This applies to foreign nationals and Commonwealth citizens who do not have a right of abode in the UK.)</p><p>4 Address: 5 Daytime tel:</p><p>Mobile:</p><p>Email:</p><p>6 How did you find out about this opportunity?</p><p>7 When could you take up this role? Or, what is your current notice period?</p><p>8 How many days have you been absent through ill health in the past 12 months?</p><p>9 What is your current or most recent employment? PRS for Music Foundation, 2 Pancras Square, London N1C 4AG; Registered charity number 1080837 1 Job title: Date appointed:</p><p>Employer: Date left:</p><p>Address: Reason for leaving (if appropriate):</p><p>Salary: Allowances:</p><p>Primary responsibilities:</p><p>10 Please briefly describe your other relevant work experience and career history, in chronological order. </p><p>Dates Employment or experience, including job title, employer, primary responsibilities and reason for leaving</p><p>PRS for Music Foundation, 2 Pancras Square, London N1C 4AG; Registered charity number 1080837 2 11 Please give details of your further or higher education and/or professional qualifications and training, including dates of attendance and qualifications.</p><p>Dates Name of institution Subject and level of qualification </p><p>12 Which of your previous roles do you consider to be most relevant to this post that you are applying for and which skills did you use/develop in this role?</p><p>13 Please tell us about interests or activities, that you take an active part in which could be relevant to this role. </p><p>14 Which computer software packages do you use? And please tell us how you would approach management of Keychange’s digital platform.</p><p>15 Referees - please give details of at least two referees who can comment upon your professional interests and experiences. It will be assumed that referees may be approached without further permission unless otherwise indicated, though references will not normally be taken up unless you are short-listed for interview. At least one referee should be your current line manager.</p><p>Name and connection Organisation and address Telephone and Email to you</p><p>15 Do you have a former surname to be used for references? If so, please tell us.</p><p>16 Do you have any unspent criminal convictions? (If you consider any such conviction not to be relevant to the position for which you are applying, please explain why. If the PRS for Music Foundation considers it appropriate, this will be discussed with you at interview). YES/NO</p><p>Applicant’s signature: Date:</p><p>PRS for Music Foundation, 2 Pancras Square, London N1C 4AG; Registered charity number 1080837 3</p>