APPLICATION FORM

If you need this form in a different format, please contact

sarah.murray@orangetreetheatre.co.uk

Please Note: there are TWO steps to this application process:

1. Please complete this application form and email to: paul.bradley@orangetreetheatre.co.uk

with the name of the role and your full name marked in the email subject and the document title
e.g. Box Office Assistant – First Name, Surname.
2. Please also complete this Equal Opportunities Form online:
https://forms.gle/fGNWZ86pqi14fSyp7

Failure to complete both steps will make you ineligible for this role.

Post Applied for: Usher / Box Office Assistant (please select one or both)

Closing date: open recruitment

SECTION ONE: PERSONAL DETAILS

Surname:

First Name(s):

Evening telephone number:

Mobile number:

Home address:

Email address:

Boxes will expand as you type.

Employment Experience

Year Employer Post

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ORANGE TREE THEATRE LTD | Reg. charity no. 266128 | 1 Clarence St, Richmond TW9 2SA | orangetreetheatre.co.uk
APPLICATION FORM

Education, Training and Professional Development

Dates school/university/organisation course/qualification

Supporting statement which should cover the following:

● What has attracted you to this post
● How do your skills and experience match the job description and what do you feel you would
bring to the role?
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ORANGE TREE THEATRE LTD | Reg. charity no. 266128 | 1 Clarence St, Richmond TW9 2SA | orangetreetheatre.co.uk
APPLICATION FORM
● We advise keeping this section to a maximum of 500 words

Box will expand as you type

REFERENCES
Please give the name and address of two referees. Where possible, one referee should be your
present or most recent employer.

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ORANGE TREE THEATRE LTD | Reg. charity no. 266128 | 1 Clarence St, Richmond TW9 2SA | orangetreetheatre.co.uk
APPLICATION FORM
First referee name:
Organisation/Address:
Phone number:
Email address:
Occupation:
How are you known to referee?
May we request this reference:

Second referee name:

Organisation/Address:
Phone number:
Email address:
Occupation:
How are you known to referee?
May we request this reference:

ADDITIONAL INFORMATION
Do you require any reasonable adjustments, due to a disability or health condition, to enable you to
attend an interview, or which you wish us to take into account when considering your application?
Yes / No
DISABILITY DISCRIMINATION ACT 1995
Do you have any special needs which might require The Orange Tree Theatre to make reasonable
changes in order for you to undertake this job?
Yes / No

If Yes, please provide further details:

REHABILITATION OF OFFENDERS ACT 1974 (AS AMENDED)

Please give details of any criminal convictions you have had, excluding any considered ‘spent’ under
The Rehabilitation of Offenders Act 1974 or minor motoring offences.

ASYLUM AND IMMIGRATION ACT 1996

Please confirm that you have the right to work in this country Yes / No

Do you require a work permit to work in this country? Yes / No

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ORANGE TREE THEATRE LTD | Reg. charity no. 266128 | 1 Clarence St, Richmond TW9 2SA | orangetreetheatre.co.uk
APPLICATION FORM
If Yes please give more details:

DATA PROTECTION
I agree that the information given in my application may be used for purposes registered under the Data
Protection Act 2003, and I consent to the information being stored on manual and computerised files
for relevant employment-related purposes. For more information on how we use personal data, see our
Privacy Policy at orangetreetheatre.co.uk/privacy-cookies-policy

DECLARATION
I confirm that the information I have given in my application is accurate and correct to the best of my
knowledge. I consent to The Orange Tree Theatre checking any of the details I have given. I
understand that the supply of inaccurate or incorrect information, or omission of any material
information from my application, may result in the withdrawal of any offer of employment, or
termination of employment.

Name of candidate: Date:

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ORANGE TREE THEATRE LTD | Reg. charity no. 266128 | 1 Clarence St, Richmond TW9 2SA | orangetreetheatre.co.uk