Centre for Contemporary Art Quays NE8 3BA Tel +44 (0) 191 478 1810 Fax +44 (0) 191 478 1922 E-mail info@balticmil.com Date as post marked Dear Applicant, Freelance Project Producer (Creating Change: a programme funded by the Virgin Money Foundation #iwill Take Action Fund) Thank you for your interest in the above position. Enclosed is a Recruitment Pack which includes the: Additional Information Job Profile Guidance Application Form Your completed application should be sent to or by post to Recruitment, BALTIC Centre for Contemporary Art, Gateshead , Gateshead, Tyne and . Please note the Personal Details, Diversity Monitoring and reference will be removed from your application before short listing and will be used for statistical monitoring purposes only. The closing date for receipt of this application is Monday 8th January 2018 (23:59pm). If you have not heard from us within 4 weeks of the closing date you should assume that, on this occasion, you have not been successful with your application. Good luck with your application. Yours faithfully Jane Morley Head of Human Resources BALTIC IS FUNDED BY THE NATIONAL LOTTERY THROUGH THE ARTS BALTIC FLOUR MILLS VISUAL ARTS TRUST REGOSTERED IN NO. 3589539 COUNCIL OF , GATESEHEAD COUNCIL, EUROPEAN REGIONAL REGISTERED OFFICE: DEVELOPMENT FUND, ONE NORTHEAST REGISTERED CHARTIY NO. 1076251 Additional Information
EDUCATION, TRAINING & MEMBERSHIP OF PROFESSIONAL BODIES Please give details of all qualifications obtained and any currently being pursued. School/ University/ College Qualifications Obtained Date Obtained Please give details of any work related training you have undertaken. Course Title Subject Covered Course Date Please give details of membership of professional bodies Professional Body Membership Details Date Obtained PREVIOUS EMPLOYMENT (PAID OR UNPAID) Name and Address of Employer Job Title Dates of Employment Salary Reason for Leaving
PLEASE NOTE THIS PAGE ONWARDS WILL BE REMOVED FOR SHORTLISTING PURPOSES REFEREES Please give details of two referees (not related to you). If you are working, one referee must be your current or most recent employer. Referees must not be friends or family. Referee Second Referee Name Name Occupation Occupation Address Address Telephone number Telephone number Email address Email address Rehabilitation of Offenders Act, 1974 Please provide details on a separate sheet of any unspent convictions or cautions you have under the terms of the Rehabilitation of Offenders Act, 1974. Offences resulting in driving licence endorsements should be disregarded, unless holding a clean licence is a specific requirement of the job. Failure to disclose such information may result in dismissal or disciplinary action by BALTIC. This information will be treated as confidential and will not necessarily disqualify you from employment with BALTIC. Declaration In order to comply with the Asylum and Immigration Act 1996 it may be necessary to see proof of your right to work in the . If proof is required, we will request it once an offer of employment has been made and before you take up employment. However, if you require a work permit in order to work in the please indicate by ticking the box. I declare that the information contained in this Application and the Equal Opportunities Monitoring Form is correct. I understand that if I have deliberately provided false information or withheld relevant details, this could lead to disqualification from appointment or dismissal without notice. I accept that canvassing of BALTIC staff or Trustees would disqualify me from consideration, or in the event of my appointment, make me liable to dismissal without notice. I confirm that I have read the accompanying Guidance Notes, including the section regarding the Data Protection Act (1980) and consent to the processing of my data as outlined in these notes. Signature Date Recruitment Monitoring Questionnaire BALTIC is working towards achieving diversity and welcomes applications from all sections of the community. Why monitor diversity?