Become a Koestler Mentor Application

1. PERSONAL DETAILS

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City Post Code Country

Phone

Email

Are any employees or Trustees of Koestler Arts personally known to you?(Required)

Yes

No

If yes, please provide details.

We want to make sure we give each volunteer the right opportunity, so we only recruit as and when they are needed. This means that we might not have any opportunities available in your area when you enquire. If this happens, are you happy for us to keep your details for 12 months?(Required)

Yes

No

3. CURRENT OR MOST RECENT EMPLOYMENT (PAID OR UNPAID)

Name and Address of Employer(Required)

Job Title(Required)

Date of Appointment To This Job(Required)

Please briefly outline your duties.(Required)

4. PREVIOUS EMPLOYMENT, VOLUNTARY WORK, RELEVANT TRAINING & EDUCATION

Please provide details of any relevant previous employment, voluntary positions, educational qualifications and training applicable for this role.

Dates from – to

Full or part time?

Name of employer/College or University/course provider

Job title and responsibilities/course tile

Dates from – to

Full or part time?

Name of employer/College or University/course provider

Job title and responsibilities/Course Tile

Dates from – to

Full or part time?

Name of employer/College or University/course provider

Job title and responsibilities/Course Tile

Dates from – to

Full or part time?

Name of employer/College or University/course provider

Job title and responsibilities/Course Tile

5. OTHER INFORMATION

Koestler Arts are committed to equal opportunities. If you have a disability, are there any arrangements which we can make for you should you be called for an interview? (e.g. sign interpreter, audiotape etc)(Required)

Yes

No

If yes, please specify

6. REFEREES

Please give the full name and address of two referees who can comment on your skills and abilities for this position. If you are or have been employed, please ensure that one of them is your current or past employer. Your referee must be someone who has known you in a recent professional capacity e.g. lecturer, doctor etc – family members are not acceptable. References will only be taken up after you have been interviewed by us and invited to our mentor training.

Referee 1 Name

First Last

Referee 1 Job Title & Organisation

Referee 1 Address

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

Referee 1 Phone

Referee 1 Email

Referee 1 How do they know you?

May we request a reference at:

Any time

Only after offer

Referee 2 Name

First Last

Referee 2 Job Title & Organisation

Referee 2 Address

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

Referee 2 Phone

Referee 2 Email

Referee 2 How do they know you?

May we request a reference at:

Any time

Only after offer

7. CONFIRMATION

I confirm that the details in this application are correct and complete.

Signature(Required)

Date(Required)

Comments

This field is for validation purposes and should be left unchanged.

Thank you!

Become a Koestler Mentor Application

Volunteer Application – Arts Mentor

1. PERSONAL DETAILS

2. ARTS EXPERTISE & SUPPORTING STATEMENT

3. CURRENT OR MOST RECENT EMPLOYMENT (PAID OR UNPAID)

4. PREVIOUS EMPLOYMENT, VOLUNTARY WORK, RELEVANT TRAINING & EDUCATION

5. OTHER INFORMATION

6. REFEREES

7. CONFIRMATION