All information supplied on this form will be treated as STRICTLY CONFIDENTIAL.

Personal Details
Please give two referees who can comment on your professionalism / work ability, one of whom should be your present / most recent employer.

Present / Most Recent Employer

Second Referee

Details of Secondary / Further Education
Professional Qualifications / Membership of Professional Bodies
Interests / Leisure Activities
Rehabilitation of Offenders
“Related” means parent, godparent, partner, child, stepchild, adopted child, grandchild, brother, sister, uncle, aunt, nephew or niece (failure to disclose may lead to disqualification). If yes, please give details (e.g. name, position held, and relationship).
Present / Most Recent Employment Details
Previous Employment (starting with the most recent)
These should be listed in chronological order and there should be no unexplained gaps.
Reasons for Applying
Relevant Experience / Skills
Please give details of any achievements, career plans or particular areas of work experience (including voluntary work), which you feel are most relevant to this post.
Equal Opportunities Monitoring
t Tullie House Museum and Art Gallery Trust we monitor our recruitment processes to ensure that all applicants are fairly assessed and that we meet our obligations under the various Acts of Parliament and related Codes of Practice concerned equality. Please help us to carry out this monitoring by answering the questions below. They are placed on a separate page to the application form to emphasise that they relate only to monitoring This page will be detached, and will not form part of the selection procedure. Data will be used for statistical purposes, and if successful will be held on your personal record. Please tick appropriate boxes.