ENG 		
	DESIGN		

APPLICATION FORM

Please complete this application form in black ink and return to the address below or complete in Word and send it to the e-mail address below.

EngDesign Ltd
106-108 Bermondsey Street
London SE1 3TX

jennifer.butcher@engdesign.co.uk

1.	PERSONAL DETAILS

Title: (Mr, Mrs, Miss, Ms)
		
Surname:
		
First Names:
		
Date of Birth:
		
Home Address:

Post Code:
	Correspondence address (if different):

Post Code:	
Telephone:
	Telephone:	
Fax:
	Fax:
	
E-mail:
	E-mail:	
Please state your anticipated salary range:

	
Please state your earliest availability for the position:

	

Do you hold a current clean driving licence?
	
Yes
		No		

How did you hear about EngDesign?
	
Prospects Today Periodical:
		
CIBSE Journal:
		
Engdesign Website:
		
Other (please state):
		
Do you need a work permit to take up permanent employment in the UK?
	
Yes
	
	No		

2.	EDUCATION

SECONDARY EDUCATION
Please list all schools/colleges attended since the age of 12
	
School/College:	Dates	

	From:	To:	

Please list all examination results in chronological order (please use an additional sheet if required)
	
Subject:

	Level:	Year Taken:	Examination
Board:	Grade:	

FURTHER EDUCATION
	
College/University:

	Dates
	Subject:	Degree Class	
	From:	To:

		Expected:	Obtained:	
Main subjects covered:

	
	
Please give details of any other skills/qualifications that you feel are relevant to your application.  Include any scholarships, prizes or awards.

	

3.	WORK EXPERIENCE

Please give full details of full/part-time work that you have undertaken listed in chronological order.
	
Name of employer:

	Key responsibilities:	Dates
	
		From:	To:

	

4.	INTERESTS & ACTIVITIES

Please give details of your main extracurricular activities and interests.

	

5.	CAREER CHOICE

Please explain why you are considering a career in Building Services Consultancy and indicate what particular qualities you have that make you suitable for the position applied for.

	
6.	REFEREES

Please give the following details for two referees, one of whom should be your current tutor or employer.
	
Name:

	Name:

Address:

Postcode:
	Address:

Postcode:
	
Telephone:
	Telephone:
	
Fax:
	Fax:
	
E-mail:
	E-mail:

Please put a cross in the box if the referee should not be contacted prior to the interview:
	
Please put a cross in the box if the referee should not be contacted prior to the interview:

7.	STATUS

Please confirm employment status, whether British citizen, EU citizen, holder of Resident Worker status:
	
Work status:

8.	DECLARATION

I confirm that the information I have given on the application form above is correct.  
	
Signature:

	Date: