Application for 2019 British Council Cultural Skills Programme - Museum Delegation Visit

a. Please complete this application form in English and submit by 18.00, Wednesday 28 August 2019.
b. Incomplete forms will not be considered.

Part 1. Applicant's Information

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* 1. Salutation

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* 2. Full name in English (as on Passport)

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* 3. HKID number

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* 4. Nationality

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* 5. Contact number

Phone (work)

Phone (mobile)

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* 6. Correspondence address

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* 7. Email address

Part 2. Employment and work experience

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* 8. Current employment

Organisation name

Current position in organisation

No. of years of experience in current position

Main responsibilities (please expand in detail on your responsibilities in this role)

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* 9. How many years work experience in the visual arts/museum sector do you have?

Work Experience
Please list your job history in the past 10 years (in reverse chronological order, excluding your current position)

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* 10. Employment 1

Employment period (month/year)

Position Held

Name of Employer

Main responsibilities (please expand in detail on your responsibilities in this role)

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* 11. Employment 2

Employment period (month/year)

Position Held

Name of Employer

Main responsibilities (please expand in detail on your responsibilities in this role)

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* 12. Employment 3

Employment period (month/year)

Position Held

Name of Employer

Main responsibilities (please expand in detail on your responsibilities in this role)

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* 13. Please use the following space to provide additional information on your work experience if necessary.

Part 3. Career highlights

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* 14. Please highlight three of your major professional achievements (no more than 500 words)

Part 4. Additional Information

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* 15. Please list other relevant unpaid, voluntary or charitable work that you have undertaken.

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* 16. Dietary requirement / special needs / any other requirements you have
(e.g. vegetarian, allergy, physical or sensory impairment, medical conditions)

Part 5. Referee

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* 17. Give particulars of one person who knows you well with regard to your character and work performance. The British Council may contact your referee if necessary.

Name

Phone

Organisation name and position (if applicable)

No. of years referee has known you

Part 6. Emergency contact

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* 18. Emergency Contact
Please provide your next of kin information to enable us to contact in an emergency while you are in the UK.

Name

Relationship

Contact number

Part 7. Copyright and Personal Data

Copyright
To facilitate adjudication, applicants agree to authorise the British Council to distribute and share relevant information contained in the Application Form to members of the British Council in Hong Kong and in the UK, and representatives/relevant departments of the visiting organisations in the UK for reference.

Personal Data
The British Council will use the information that you provide for administration of this British Council Cultural Skills Programme. We shall only pass this information on to representatives / relevant departments of the visiting organisations in the UK
for use in administrating this programme.

The British Council complies with data protection law in the UK and laws in other countries that meet internationally accepted standards.You have the right to ask for a copy of the information we hold on you, and the right to ask us to correct any inaccuracies in that information. If you have concerns about how we have used your personal information, you also have the right to complain to a privacy regulator.

For detailed information, please refer to the privacy section of our website, www.britishcouncil.org/privacy. We will keep your information for a period of 7 years from the time of collection.

Part 8. Declaration

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* 19. I, the undersigned, certify that:
1. The particulars in this application are true to the best of my knowledge.
2. The information provided in the form is true and accurate to the best of my knowledge.
3. I acknowledge that this application will not be accepted if it is late.

E-signature of applicant

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* 1. Salutation

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* 2. Full name in English (as on Passport)

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* 3. HKID number

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* 4. Nationality

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* 5. Contact number

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* 6. Correspondence address

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* 7. Email address

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* 8. Current employment

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* 9. How many years work experience in the visual arts/museum sector do you have?

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* 10. Employment 1

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* 11. Employment 2

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* 12. Employment 3

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* 13. Please use the following space to provide additional information on your work experience if necessary.

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* 14. Please highlight three of your major professional achievements (no more than 500 words)

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* 15. Please list other relevant unpaid, voluntary or charitable work that you have undertaken.

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* 16. Dietary requirement / special needs / any other requirements you have (e.g. vegetarian, allergy, physical or sensory impairment, medical conditions)

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* 17. Give particulars of one person who knows you well with regard to your character and work performance. The British Council may contact your referee if necessary.

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* 18. Emergency ContactPlease provide your next of kin information to enable us to contact in an emergency while you are in the UK.

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* 19. I, the undersigned, certify that:1. The particulars in this application are true to the best of my knowledge.2. The information provided in the form is true and accurate to the best of my knowledge.3. I acknowledge that this application will not be accepted if it is late.

* 16. Dietary requirement / special needs / any other requirements you have
(e.g. vegetarian, allergy, physical or sensory impairment, medical conditions)

* 18. Emergency Contact
Please provide your next of kin information to enable us to contact in an emergency while you are in the UK.

* 19. I, the undersigned, certify that:
1. The particulars in this application are true to the best of my knowledge.
2. The information provided in the form is true and accurate to the best of my knowledge.
3. I acknowledge that this application will not be accepted if it is late.