Application form (Ref: WCC)

This Recruitment Application Form and Personal History Record plays an essential part in the selection procedure, both from our point of view and yours, for it enables you to provide us with the information that we require to do justice to your application. We realise that this demands time and effort from you, but we would ask you to complete it accurately, with the assurance that this will contribute to the objectivity and quality of our assessment.

All information will be treated as STRICTLY CONFIDENTIAL.

Section 1: Your Details
Full name: / Click here to enter text.
Address (including postcode): / Click here to enter text.
Daytime phone number: / Click here to enter text. / Mobile number: / Click here to enter text.
National Insurance Number: / Click here to enter text.
What is your mother tongue? / Click here to enter text.
Please list any other languages you speak: / Click here to enter text.
Are there any health reasons that may prevent you from carrying out this job satisfactorily: / Click here to enter text.
Date of birth (optional): / Click here to enter a date.
Section 3: Your right to work in the UK
It is mandatory to fully complete this section. Failure to do so will result in your application not being considered
Can you provide evidence of eligibility to work within the UK? /
If you have a visa that allows you to work, please state what type (e.g.: Student, HSMP, etc.); / Click here to enter text.
Please list any restrictions (such as working hours): / Click here to enter text.
Valid from: / Click here to enter a date. / Valid to: / Click here to enter a date.
Your nationality: / Click here to enter text.
To enable us to comply with our obligations under the Immigration, Asylum and Nationality Act 2006, you will be asked to provide written proof of your right to work in the United Kingdom, before any job offer is made to you. You will be given details of the original document or documents, which are required at the appropriate time.
Section 4: Criminal record
Please list any criminal convictions except those ‘spent’ under the Rehabilitation of Offenders Act 1974. (Having a criminal record may not necessarily mean your application will be excluded but we need to know in advance). All short listed applications may be CRB checked). If none please state:
Click here to enter text.
Section 5: References
Please provide the name and contact details of two referees. Suitable referees are current or past employers, teachers, tutors or professional advisors. Family members cannot be used as referees.
1: Name of referee / Click here to enter text.
Address of referee / Click here to enter text.
Telephone: / Click here to enter text.
Email: / Click here to enter text.
Relationship to you / Click here to enter text.
Can we contact this person prior to offering to a job? / Click here to enter text.
2: Name of referee / Click here to enter text.
Address of referee / Click here to enter text.
Telephone: / Click here to enter text.
Email: / Click here to enter text.
Relationship to you / Click here to enter text.
Can we contact this person prior to offering to a job? / Click here to enter text.
Section 6: Access to transport
Do you hold a valid UK driving license? /
Do you currently own a car? /
Would you be willing to use your car to help transport the team during the contract period (additional fees will be paid and costs reimbursed) /
Please list any motoring endorsements incurred over the past five years: / Click here to enter text.
Section 7: Uniforms
Successful candidates will be required to wear a branded uniform. Please tell us what size uniform would be appropriate for you:
Section 8: Anything else?
Please use this space to tell us anything else about you that you feel we may want to know in relation to this position.
Click here to enter text.
Section 9: Declaration
This MUST be signed. If sending electronically, please insert your initials.
  • I confirm that the information contained in this application form and within any other related documents is complete and correct and that any untrue and or misleading information provided by me will result in the termination of my contract.
  • I confirm that I am legally permitted to apply for this job.
  • I understand and accept that the employer will undertake a CRB check on myself prior to an offer of contract being made
Signed:Please sign here.
Date: Click here to enter a date.

Upon completion, please send application, CV and two passport size photographs (or one scan of your photograph if submitting via email) of yourself to:

If you have any questions regarding thisapplication, please call (0)1268 461 210.

EnviroComms is an equal opportunities employer. We reserve the right to pursue references and you will need to prove you have the right to work in the UK prior to commencement of work. All successful applicants will be required to have a CRB check made against them.