EmailMe Form - Head of Programmes

1. Personal details

First Name *

Surname *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Contact Telephone No. *

Email Address

2. Employment History

Previous Employment: Please include any previous experience (paid or unpaid), starting with the most recent first.

Current or most recent employer

Name of Employer *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Position Held *

Date Started *

Reason for Leaving *

Brief description of duties *

Name of Employer 2

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Position Held

Date Started

Reason for Leaving

Brief description of duties *

Name of Employer 3

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Position Held

Date Started

Reason for Leaving

Brief description of duties

3. Education

You will need to give full details of every institution you start to fill in. Please write an X on the fields you do not fill out. *

From	To	Institution	Qualification gained

4. Suitability for the position

Please detail below your suitability for this position based on the personal specification, draw on your current work experience.

A. Project Management *

B. Partnership Development *

C. Fundraising *

D. Experience and Knowledge *

E. Please add any addition information you feel is relevant

5. References

Please give the names and addresses of your two most recent employers (if applicable).

If you are unable to do this, please clearly outline who your referees are.

Reference 1 *

Name
Job Title
Address
Contact No
Email
How is this person known to you

Do you wish to be consulted before this referee is approached? *

Yes

No

Reference 2 *

Name
Job Title
Address
Contact No
Email
How is this person known to you

Do you wish to be consulted before this referee is approached? *

Yes

No

6. Equal Opportunities Statement

Fare network strive to be an equal opportunities employer. We are committed to ensuring within the framework of the law and European good practice that our workplace is free from unlawful or unfair discrimination on the grounds of race or ethnicity, religion, nationality, national origin, gender (including gender reassignment), sexual orientation, age, marital status or disability.

We aim to ensure that all our staff achieve their full potential and that all employment decisions are taken without reference to irrelevant or discriminatory criteria.

7. Upload your Cover letter *

8. Verification of Information

I certify that all information that I have provided is correct. I understand that any false information given may result in a job offer being withdrawn. *

Clear

Date

DD / MM / YYYY