<p> Application Form</p><p>The Lowry is committed to promoting equal opportunities for all applicants - we will detach all personal information from the application form before shortlisting.</p><p>Post applied for</p><p>Current or most recent job (paid or unpaid)</p><p>Position Held Employer’s name and Address</p><p>From</p><p>To</p><p>Salary Reason For Leaving (if applicable)</p><p>Notice Period (if applicable) Main duties and Responsibilities</p><p>1 Previous Employment (Continue on a separate sheet if necessary)</p><p>Position held Employer’s name Dates Main Duties and responsibilities Reason for and address leaving</p><p>Education, Professional Qualifications and Training</p><p>Name of School Dates Attended Qualifications gained and grades</p><p>2 Additional information Please expressly state how you meet the requirements of the job description and personal specifications.</p><p>3 References (Referees must not be friends or family members and will only be contacted after employment offers have been made)</p><p>First Referee (Most recent employer) Second Referee Name Name Position Position Address Address</p><p>Telephone Telephone Email Email</p><p>Criminal Convictions Do you have any convictions, cautions, reprimands or final warnings that are not “protected” as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013) minor motoring offences should be disregarded. Having a criminal record will not automatically prevent anybody from working at The Lowry.</p><p>Yes No </p><p>Do you require a permit to work in the UK? Yes No </p><p>DATA PROTECTION ACT 1998 I agree that the information given in my application may be used for purposes registered under the Data Protection Act 1988, and I consent to the information being stored on manual and computerised files for relevant employment-related purposes.</p><p>DECLARATION I declare that the information contained in this application is correct to the best of my knowledge and understand that any false statement, or omission, may result in my application being withdrawn or my appointment being terminated. For the successful candidate, the information will form part of their confidential, personal record. In the case of unsuccessful candidates, the data will be destroyed after six months. SIGNED DATE</p><p>Personal Details The Lowry strives to operate a policy of equal opportunity and to not discriminate against any person. Personal details will be detached before shortlisting to ensure no discrimination can take place.</p><p>Surname First name</p><p>Address Email</p><p>Mobile</p><p>4 Equal Opportunities Monitoring Form</p><p>To help us monitor our effectiveness as an equal opportunity employer, please provide the details below. This information will be kept confidential and will be detached from your application form before shortlisting.</p><p>Job Applied for: …………………………………………</p><p>Where did you see the job advertised? ………………………………….. </p><p>Gender</p><p>Male Female Trans-gender Non-binary </p><p>Age</p><p>Under 21 21-24 25-34 35-44 45-54 55-64 65+ </p><p>Health</p><p>There is no detriment to your employment if you have a health condition and it does make us better employers if we are aware of anything that you may need support with. The Disability Discrimination Act 1995 states that a ‘person has a disability for the purpose of this Act if he/she has a physical or mental impairment which has a substantial and long term adverse effect on his/her ability to carry out normal day to day activities’.</p><p>Do you consider yourself to be covered by the Disability Discrimination Act? Yes No </p><p>Ethnicity </p><p>How would you describe your ethnic origin?</p><p>White Asian or Asian British Black or Black British British Indian Caribbean Irish Pakistani African Other Bangladeshi Other Other </p><p>Mixed Chinese or other ethnic group White and black Caribbean Chinese White and black African Other White and Asian Other </p><p>Sexual Orientation</p><p>Heterosexual Lesbian Gay Bi-sexual Other Prefer not to say </p><p>Religion</p><p>Buddhist Jewish Muslim Hindu Sikh No religion Prefer not to say Christian (includes Catholic, Protestant, Church of England) Prefer not to say Other (please state):</p><p>5</p>