GLASGOW EAST ARTS COMPANY LTD

Application Form
Please write clearly in black ink or type
Employer:

Glasgow East Arts Company Ltd

Position:

Programme Coordinator

SECTION A: Personal Details

Surname:
Forenames:
Provide name/s by which you have previously been known?
Contact telephone:

Contact Email:

Address including postcode:

How long have you lived at the above address?

If less than 12 months, please provide your previous address and postcode:

How long did you live there?

SECTION B: Education & Professional Qualifications

Original documents as proof of qualification may be required at interview

Secondary School, College,

University etc

Exams Taken

Result

SECTION C: Present or Most Recent Employment

Title of Post:
Name and Address of Employer:

Salary:
Business of Employer:
Date Commenced Employment:
Date ended (if applicable):
Please outline your responsibilities, to whom you are responsible and staff responsible to you (if
applicable): please use an additional sheet if required

Reasons for leaving or wanting to leave:

Period of notice required to terminate present employment:

SECTION D: Previous Experience

Name and
address of
employers with
most recent first

Position held

Dates

Summary of
role and
responsibility

SECTION E: Relevant Experience/Personal Statement

Reason for leaving and

final grade / salary

Please say why you are applying for this post, outline aspects of your experience and give details
of any particular achievements or distinctions that you consider relevant to this application.
Please give details of any previous experience you may have including any relevant qualifications,
training and / or personal qualities that you feel would make you successful in this role. (Use an
additional A4 sheet if required. Max 500 words)

SECTION F: Other Information

What activities interest you outside of work?

Do you hold a current driving licence?

Yes

No

Disibility Discrimination Act 1995

Are there any adjustments which you think we could make to overcome a disability in relation to
the essential requirements of this job?

Yes

No

If yes please provide further details (use additional an sheet if necessary)

Name and address of 2 referees, one of whom should be your current or most recent employer (if
applicable).
Name and Position:

Name and Position:

Organisation:

Organisation:

Address:

Address:

Telephone:

Telephone:

Email:

Email:

In what capacity do you know this person?

In what capacity do you know this person?

Please indicate if we may contact them prior to interview Yes

SECTION G: References

No

SECTION H: Vetting Procedure

This post will require completion of a self-declaration form and a Disclosure check at Standard or
Enhanced level. Disclosure checks will only be requested for those applicants that we wish to
appoint.
(i)
Self-Declaration Form: Please confirm that you have completed the self-declaration form
and return it to us in the pre-addressed envelope.
Please tick

(ii)
Disclosure check: Please confirm that you understand and agree to a Disclosure check
should we wish to appoint you to a post that involved working with children.
Please tick

SECTION I: Declaration

I declare that the information given is true and correct. I give my consent to my referees being
contacted as indicated and for details of any sickness absence of the last 2 years to be
obtained.
Your signature:
Date:
Your name:

Thank you for completing this application.

Please return to:

Jenny Crowe
Arts Manager, Glasgow East Arts Company
Platform
The Bridge
1000 Westerhouse Road
G34 9JW
The information you give us in this form will be treated in confidence.