TELFORD YOUNG PROFESSIONAL
COMMUNITY ACHIEVEMENT
APPLICATION FORM
We want to celebrate Young People in business
Please let us know about what you have done this year or why not nominate some of your fantastic
young staff who you think deserve recognition.
This is one of 4 prestigious awards which will be presented at a ceremony at the TYP 1 st Anniversary Ball
on Friday 02 October 2015
Please email the completed application form to Charlotte Wood at cwood@andrewsritson.co.uk no later
than Friday 04 September 2015.
Please note: Applicants must be Under 35
APPLICANT INFORMATION
Name:
Date of birth:
Current address:
County:
Post Code:
EMPLOYMENT INFORMATION
Current employer:
Employer address:
Phone:
How long have you worked with
this employer?
E-mail:
County:
Post Code:
Position:
Who nominated Applicant:
REFERENCES
Please supply us with 1 reference which we may contact to discuss your application in more
detail. Your current employer or business associate would be ideal.
Name
Email Address
Phone
SIGNATURES
I authorise the verification of the information provided on this and confirm that I may be
contacted to discuss the application. I have kept a copy of this application for future reference.
Name of person making the application:
Date:
Signature of person making the application:
DATA PROTECTION ACT 1998 - The information that you provide is subject to the protection of the Data Protection Act 1998,
and will not be used for any alternative purpose without your consent.
TELFORD YOUNG PROFESSIONAL
COMMUNITY ACHIEVEMENT
APPLICATION FORM
We want to celebrate Young People in business
Please let us know about what you have done this year or why not nominate some of your fantastic
young staff who you think deserve recognition.
This is one of 4 prestigious awards which will be presented at a ceremony at the TYP 1 st Anniversary Ball
on Friday 02 October 2015
Please email the completed application form to Charlotte Wood at cwood@andrewsritson.co.uk no later
than Friday 04 September 2015.
Please note: Applicants must be Under 35
COMMUNITY ACHIEVEMENT
Tell us (in no more than 500 words + attachments) why you think the Applicant deserves to win this
award. It can be for any reason you see fit but for some ideas why not try and focus on:
 How they have contributed to the community;
 Latest success or news stories;
 Future community projects.
Continue on another sheet if necessary…