the Alchemy Carta Job Application Form Alchemy Logo
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  Alchemy Carta Limited
St Mary's Mill
Unit 43, Faircharm Trading Estate
Evelyn Drive
Leicester
LE3 2BU
TEL: 0116 2824824
FAX: 0116 2825202
 
ALL INFORMATION SUPPLIED HERE IS TREATED STRICTLY CONFIDENTIALLY AND FOR THE PURPOSES OF JOB APPLICATION ONLY

The Alchemy England Website - Click here to view available positions.
 
Position Applied For
Where did you see this position advertised ?
If you obtained this position, would you continue in any other employment ? Yes / No
Do we need to make any disability-related adjustments to allow you to take part in the recruitment process?
 
Personal Details
Forename: Surname:
Title: Email address:
Home Address
Address Line 1: Address Line 2:
Town/City: County:
Post Code:    
 
Home telephone: Daytime telephone:
 
Education and training
(in ascending order, most recent first)
School, college, etc. Dates Qualifications
 
Previous employment
(in ascending order, most recent first)
Name and address of employer Dates Job title or duties Reason for leaving
 
Previous relevant experience
What aptitude and experience have you relevant to this position
 
Interests
What are your hobbies and interests? (Please give details of any talents or experience)
 
Driving licence, etc.
Do you hold a current driving licence? Yes / No
   If yes, type of licence
Do you have any current endorsements ? Yes / No
   If yes, give details
Do you have any motoring prosecutions pending ? Yes / No
   If yes, give details
 
Criminal convictions
List any criminal convictions other than "spent" convictions. If none, state "none".

The information provided will be confidential and will be considered only in relation to this application.
 
References
Application for a reference may be made to any previous employer. Please give below the names of two unrelated persons, to whom we may apply for character references.
Character reference Work reference
Name: Name:
Address: Address:
Telephone: Telephone:
 
Other comments
Please detail any further information you wish to put forward in support of your application.
 
Declaration
The above information is true. I understand that any job offer made on the basis of untrue or misleading information may be withdrawn or my employment terminated.
Full Name: Date:
 
Thank you for completing the Alchemy Carta Job application form. If you are satisfied that all necessary information fields are correctly completed, please, submit the form by clicking the button below.