Title:

Surname:

Address:

Email:

Mobile Telephone:

Position Title:

Current Salary:

When would you be available to start:

Please indicate if you are prepared to work:

Full Time:

Part Time:

Shift Work:

Do you have a Car?

Yes:

No:

Do you have a current driving licence?

Full:

Provisional:

HGV:

No Licence:

Do you have any endorsements? (If yes, please give details)

Yes:

No:

Do you take regular medication?

No:

Yes:

Are there any disabilities, which may be affected by your application?

No:

Yes:

If yes please describe disabilities, and any reasonable adjustments, which you feel, should be made to the recruitment process to assist you in your application for a job:

Any reasonable adjustments, which you feel, should be made to the job itself, which would enable you to carry out the job:

Do you speak/write a foreign language?

If yes, please describe:

Schools Attended:

Subjects Studied:

Examinations:

Place of Education:

Type of Training:

Qualifications:

Please list any IT skills you have:

Please list your last three jobs or previous jobs in the last five years; give a brief description of your duties, and your reasons for leaving:

Please give details of pastimes, sports etc:

Offices held in social/sports clubs etc:

Are your a member of any professional orginisations, if so please list:

Do you have legal eligibility to work in the UK? If so, you must give details below e.g UK National:

If offered this position will you continue to work in any capacity? (Please give details):

List any community/volunteer experience you may have:

Name and address of organisation:

Position:

Duties:

(Not members of your family - We will not contact the referees until the applicant is successful)

Address:

Address:

Occupation:

Occupation:

Contact Number:

Contact Number:

Email:

Email:

Why do you want to work for Encocam?

Where did you hear of the vacancy?

Please detail the amount of Parental Leave you have taken:

Applicants are requested to tick the relevant boxes below to enable the company to monitor its equal opportunity policy. Monitoring is recommended by the codes of practice for the elimination of racial discrimination and for the elimination of discrimination on the grounds of race, colour, nationality, ethnic origin, sex, sexual orientation, disability, age, religious beliefs or marital status. This information is used for no other purpose and will be treated as confidential.

Ethnic Group:

White British:

Pakistani:

Bangladeshi:

Prefer Not To Say:

Other:

It is the company’s policy to employ the best qualified personnel and provide equal opportunity for the advancement of employees including promotion and training and not to discriminate against any person because of race, colour, nationality, ethnic origin, sex, sexual orientation, disability, age, religious beliefs or marital status.

I authorise the company to obtain references to support this application once an offer has been made and accepted and release the company and referees from any liability caused by giving and receiving information.

Declaration: I confirm that the information given on this form is, to the best of my knowledge, true and complete. Any false statement may be sufficient for, if employed, dismissal.