APPLICATION FORM- Private and Confidential

Please complete this form using black ink or type.

If completing this form on a PC/tablet, type in the shaded areas which are data fields. To move to the next data field, press “tab” on your keyboard. If you need to go back to a data field you can either left click on the field with your mouse or press “shift” & “tab” together.)

Please return this completed application, marked ‘Private and Confidential’ by email to

Or by post(marked Private and Confidential) to:
Enrych

E14 Holly Farm Business Park

Honiley

Kenilworth

Warwickshire

CV8 1NP

POST APPLIED FOR:

PERSONAL DETAILS

(Mr/ Mrs/ Miss/ Ms)

Surname

First name (s)

All previous surnames

Address Line 1

Address Line 2

Address Line 3

Address Line 4

Address Line 5

Address Line 6

Tel. Home

Work

Mobile

Email contact

Please state where you saw the post advertised:

CURRENT OR LAST EMPLOYER

Please give details of your current or most recent employer. If you are working for yourself put ‘self employed’ under ‘employer’. If you are currently unemployed or returning to work, please give details of your most recent job, however long ago it was.

Employer’s Name
Position Held / Address Line 1
Address Line 2
Address Line 3
Address Line 4
Address Line 5
Address Line 6
Post Code

Date startedDate finished

SalaryReason for leaving

Please give a brief summary of duties

What notice period does your employer require?

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Previous Employment

Please list, detailing the most recent first

Position Held / Name of Employer and Location / Period of Employment
(mm/yyyy – mm/yyyy) / Brief Summary of Duties / Salary / Reason for Leaving
1
2
3
4
5

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EDUCATION

School, College, University etc (including addresses) / Date (mm/yyyy) / Type of Examination / Subjects and results

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JOB RELATED TRAINING/ PROFESSIONAL QUALIFICATIONS

(include membership of professional institutes, non vocational training and state standard and level achieved)

Awarding body/ Institute
(most recent first –dates not required) / Qualifications/ Membership level

SUPPORTING STATEMENT

This is the most important part of your application and is the main shortlisting tool. Drawing upon your experience, skills and qualifications you should demonstrate their relevance to the job that you have applied for in no more than 1000 words. Use the job description and person specification as a guide, be sure to demonstrate your ability to do the job where you can. You should also explain why you are applying for the job. (Continue on a separate sheet if necessary).

OTHER ACTIVITIES/ INTERESTS

ENRYCH believes that life experience is as valuable as formal education. Taking this into account, please tell us something about yourself as a person, including leisure interests and voluntary work (including magistrate or local government duties). Continue on a separate sheet if necessary.

REFERENCES

Please give details of two people who can provide an assessment of your suitability for the post. One of these must be your current or most recent employer. Any offer of employment made to you will be subject to satisfactory references. We will only contact your referees if we offer you the job and not before.

Name / Name
Position / Position
Relationship / Relationship
Address line 1 / Address line 1
Address line2 / Address line2
Address line3 / Address line3
Postcode / Postcode
Telephone: / Telephone:
Email Address / Email Address

Right to work in the UK

Enrych has a legal responsibility to verify your right to work in the UK under the terms of the 2006 Immigration, Nationality and Asylum Act.

I confirm I am entitled to work in the UK and can provide Enrych with documents to prove this.

Yes No

Cautions, Rehabilitation and Criminal Records

The Rehabilitation of Offenders Act 1974 requires us to ask if you have any ‘unspent’ convictions. The information you provide will be treated in confidence and only taken into account where the offence is relevant to the post for which you are applying.

Under the Exception Order 1995, certain types of employment (eg working with vulnerable adults) are exempt from the Rehabilitation of Offenders Act 1974 and details of all criminal convictions (spent and unspent) must be disclosed to us*, and will be taken into account when considering your application. These posts will require an enhanced DBS (formally CRB) check.

*The amendmentsto the Exceptions Order 1975 (2013) providethat certainspent convictions and cautions are 'protected' and arenot subject to disclosure to employers, and cannot be takenintoaccount.Guidance andcriteria on the filtering of these cautions andconvictions can be found on theDisclosure and Barring Servicewebsite

Do you have any convictions, cautions, reprimands or final warnings thatare not "protected" as defined by theRehabilitation of Offenders Act1974 (Exceptions) Order 1975 (as amended in 2013)?

Yes No

If YES, please give details:

Willingness to travel

The person specification will indicate whether travel is a component of the role you are applying for.

If the post you have applied for involves driving duties/ ability to travel to different locations, are you able to fulfil these duties?

YesNo

Do you have access to a car for work purposes?

YesNo

Do you have a clean driving licence?

Yes No

(If no, please provide details)

Disability Confident Scheme

Enrych is proud to have been awarded the ‘Disability Confident’ accreditation by the Department for Work and Pensions. The award indicates that we are positive about employing disabled people and working to ensure an accessible work environment. We give all applicants the opportunity here to say if they have a disability. This is to ensure that all disabled applicants who meet the minimum criteria for the position are offered an interview.

Please read the above statement before choosing to answer the following optional question:

Do you consider you have a disability?

Yes No

(Please provide details if you wish)

If Yes, do you require any assistance, aids or adaptations at interview? Yes No

If so, please specify

Data Protection and Privacy Policy

The information you provide on this form will be kept securely and treated confidentially. It may be computerised for personnel, employee administration, equal opportunities, and monitoring purposes in accordance with the Data Protection Act 1988. In addition, and in accordance with this Act, this information may also be used for the prevention and detection of fraud and crime.

Equal Opportunities Monitoring

So that Enrych can ensure we keep to our Equal Opportunities Policy, please complete the Equal Opportunities Monitoring Form and email it with your application form (Enrych will keep it separately from your application) or post with your application (in a separate sealed envelope).

All information is for monitoring purposes only and will be treated in the strictest confidence. It will NOT be used in the decision making process.

I confirm I have completed and attached/included the Equal Opportunities Monitoring Information Yes No

Declaration

  • I confirm that the information given on this form is true and correct to the best of my knowledge.
  • I understand that, if I am offered a position with Enrych, the organisation reserves the right to confirm the basis of any information brought to its notice which is relevant to the application, including approaching any former employers whether or not proposed as referees.
  • I understand that any offer of employment is conditional upon the accuracy of this information and any false or misleading information, or withholding relevant information, may lead to my application being disqualified, the withdrawal of a job offer, or if I have been appointed, to my dismissal.

SignedDate (dd/mm/yyyy)

Please email or post your application and Equal Opportunities form to the addresses shown on page 1.

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