<p>SPRINGBOARD VOLUNTEER APPLICATION FORM</p><p>Please return completed forms to Kenn Taylor, Head of Participation at: [email protected] along with your current CV and the names of 2 referees.</p><p>You may also apply via post to: Kenn Taylor, The Tetley, Hunslet Road, Leeds, LS10 1JQ</p><p>PERSONAL DETAILS (if you are applying as part of a collaborative group please provide details of all members).</p><p>Name</p><p>Email</p><p>Telephone</p><p>Address</p><p>Date of Birth PLEASE SUPPLY THE CONTACT DETAILS OF TWO PEOPLE WHO COULD SUPPLY YOU WITH A PERSONAL REFERENCE IN RELATION TO THIS ROLE.</p><p>Name</p><p>Email</p><p>Telephone</p><p>Name</p><p>Email</p><p>Telephone</p><p>BRIEFLY DESCRIBE YOUR ART PRACTICE AND APPROACH TO LEARNING OR PARTICIPATORY ACTIVITY. What interests you about learning or participation work? How do you see your practice influencing the activities you may do? </p><p>HOW DO YOU SEE YOURSELF CONTRIBUTING TO SPRINGBOARD? Are there any audiences you are particularly interested in working with? Do you have any possible ideas for projects or activities? What skills can you bring to the group?</p><p>WHAT DO YOU WANT TO GAIN FROM SPRINGBOARD? How do you think your involvement in Springboard will help you develop? What do you want to achieve by the end? What difference do you want it to make to your career? RELEVANT EXPERIENCE. Please outline any previous experience, gained in an employed or voluntary capacity, which you feel is relevant to your involvement in Springboard.</p><p>WHAT IS YOUR AVAILABILITY? E.G. do you have a work or study schedule you need to work around? Can you work at weekends and evenings or are weekdays better? What days or times do you prefer? How much time do you feel you’d be able to commit to Springboard?</p><p>CRIMINAL OFFENSES This role is exempt from the provisions of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. Applicants are therefore not entitled to withhold information about convictions or binding-over orders which for other purposes are “spent” under the provisions of the Act. You are therefore asked to disclose any previous convictions. Have you ever been convicted of a criminal offence, received bind-over orders or police cautions? YES/NO (Please delete as appropriate) If YES please give details</p><p>EQUAL OPPORTUNITIES It is the policy of The Tetley to treat all employees, artists, volunteers and job applicants fairly and equally regardless of their sex, sexual orientation, marital status, race, colour, nationality, ethnic or national origin, religion, age, disability or union membership status. Please let us know if you have any access requirements or particular needs which The Tetley will need to provide in order for you to fulfil this role. </p><p>Details of access or other requirements to support you in this role: </p><p>Signature ………………………………………………………… </p><p>Date …………………………………………………</p>