ࡱ> =?<y bjbjEE *(''''''';;;;OT;Z\\\\\\Q\'\''q:''ZZp ;"F0---'@\\v- : Application Form: Community Organiser for South London Citizens PLEASE RETURN BY 14TH SEPTEMBER 2007 TO: Colin Weatherup, London Citizens Email:  HYPERLINK "mailto:colin.weatherup@cof.org.uk" colin.weatherup@cof.org.uk Fax: 020 7375 2034 Postal Address: London Citizens, 112 Cavell Street, E1 2JA Personal Details Title: Surname: First name(s): Date of Birth: Address: Telephone: E-mail: Education and Qualifications List the most recent first, including those currently studied for, giving all results known (continue on separate sheet if necessary) From To month/yearInstitutionQualifications awardedResults  Employment and Work Experience Describe briefly any experience that is relevant to this post; whether paid or unpaid (continue on separate sheet if necessary) From To month/yearEmployerJob Title & Responsibilities Evidence of Desirable Qualities and Track Record Please use this space to tell us why you want the job and to produce evidence of the qualities we are looking for in successful candidates. Namely, being politically-aware, being able to work in a group and on your own initiative. Please provide evidence of strong interpersonal and relational skills as well as an ability to work with a diverse group of people. Additional Information Please write here or on another page any additional information, not covered elsewhere that would strengthen your application. Criminal Record. Do you have any unspent criminal convictions (Yes or No) failure to declare may result in termination of your employment. . Referees Name Position Address Telephone E-mail Name Position Address Telephone E-mail Declaration The statements made on this form are true. I understand that any false statements may jeopardise my application and lead to an offer being withdrawn. 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