Consultant
Application form
reference
number
Area of work:
Criminal
Family
Personal Injury
Employment
Mental Health Housing
Other (please state)
1
date of
application
Personal details
Surname
Title Mr
first name(s)
Name you prefer
to be known as
address for
correspondence
postcode
daytime phone*
evening phone
mobile
email address
*If we need to contact you by phone it will be during standard office hours. We understand there
may be circumstances where it may not be suitable for us to ring you at work at all. If this is the
case let us know the best way in which we can contact you during the day.
2
Employment or self employment
your current or most recent employment or self employment
organisation’s
name and address
postcode
nature of business
your role
your start date
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Please describe the organisation, your role and main areas of responsibility.
Previous employment or self employment
organisation
3
position held and brief description of duties
Professional qualifications / panel memberships
date awarded
4
dates from/to
organisation
qualification/membership status
Additional information
Please explain what attracts you to this position – and give specific examples of the personal skills and experience
you would bring to it. Continue on a separate sheet if necessary.
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
Work areas and specialisms
Please set out what work areas you have specialised in and would like to undertake with us. Please also let us
know whether you wish to run your own cases through us, using our systems, or wish to be instructed on, for
example, advocacy.
References
employer, if applicable, and the other a previous employer. Where this is not possible please state how the
 recent
referee is known to you. We will only contact referees after we have made you an offer of employment, unless we
All appointments are subject to satisfactory references. If possible, one of these should be your current or most
have your express permission to contact them before then.
name/job title
1
2
address
postcode
phone number
Declaration
I confirm the accuracy of the information I have given above. I explicitly consent to your holding, processing and
transferring the data contained on this document, both electronically and manually, for recruitment and
administration purposes and to comply with the law (including the compiling and disclosing of statistics in
connection with the company’s equal opportunities programme).
Signature
Date
If you e-mail this form to us as a computer file, we will assume that you are endorsing the contents even though the form will not
be signed.
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Please return this completed form to:
Family Consultant - David Emmerson
Email: [email protected]
Housing Consultant- Jane Prichard
Email: [email protected]
Mental Health Consultant- Carolyn Taylor
Email: [email protected]
Or post to the following address:
TV Edwards LLP
35 Mile End Road
London
E1 4TP
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Queries?
If you have any queries about completing the
application form please
 telephone 0203 440 8000