Enterprise Adviser (EA) Network Enterprise Adviser profile Each Enterprise Adviser (EA) should complete this short form at the earliest opportunity once they have started in their role. This will help build a local and national picture of the EA Network as it grows. It will also allow The Careers and Enterprise Company to contact you occasionally with relevant information and opportunities. Please submit this form via the Pye Tait online hub. Pye Tait Consulting are independently tracking the impact of the EA Network on behalf of the Careers & Enterprise Company. Pye Tait Consulting operates in accordance with the Market Research Society (MRS) Code of Conduct and Data Protection Act legislation. If you have any queries please contact Jennifer Brennan at Pye Tait Consulting via j.brennan@pyetait.com or by telephoning 01423 509433. Part 1: About you Q1 Your Contact Information: First name: Last name: Home postcode: Preferred e-mail address: Preferred phone number: Q2 Please tick this box if you are happy for your contact details to be shared with the Careers & Enterprise Company and your Enterprise Coordinator to allow them to contact you occasionally with relevant information and opportunities. Page 1 of 5
Q3 Please select your Local Enterprise Partnership (LEP) from the drop-down menu below: Black Country Consortium Buckinghamshire Thames Valley Cheshire and Warrington Coast to Capital Cornwall and the Isles of Scilly Coventry and Warwickshire Cumbria Derby, Derbyshire, Nottingham and Nottinghamshire (D2N2) Dorset Enterprise M3 GFirst Greater Birmingham and Solihull Greater Cambridge and Greater Peterborough (GCGP) Greater Lincolnshire Greater Manchester (New Economy) Heart of the South West Hertfordshire Humber Lancashire Leeds City Region Leicester and Leicestershire Liverpool City Region London New Anglia North East Northamptonshire Oxfordshire Sheffield City Region Solent South East - East Sussex South East - Essex South East - Southend and Thurrock South East - Kent South East - Other South East Midlands Stoke-on-Trent and Staffordshire Swindon and Wiltshire Tees Valley Unlimited Thames Valley Berkshire The Marches West of England Worcestershire York, North Yorkshire and East Riding Q4 What are your main reasons for volunteering as an Enterprise Adviser? Page 2 of 5
Q5 Have you been DBS checked for your EA role yet? Yes No Underway Q6 Do you hold any of the following qualifications? Please tick all that apply. No formal qualifications held GCSE/equivalent Apprenticeship A level/equivalent Degree/equivalent Masters/equivalent PhD level/equivalent and above Q7 What is your current employment status? Self-employed Employed Retired Q8 What is the name of the current employer? If you are not currently employed, please give the name of the last organisation you worked for. Q9 What is the size of your current employer (or last employer as applicable)? Self employed with no employees/apprentices Micro business (1-9 employees) Small business (10-49 employees) Medium-sized business (50-249 employees) Large business (250+ employees) Page 3 of 5
Q10 What is the main sector your current employer is active in (or last employer as applicable)? This list is based on the Office for National Statistics Standard Industrial Classification of economic activities. Please note that the categories refer to the activity that the employer is engaged in and not the function of the individual. For example, if you worked as an accountant for a Hospital, you should choose the Human Health category and not the Professional Services one. Accommodation, Hospitality & Food Services Administrative & Support Services Agriculture, Forestry & Fishing Arts, Entertainment & Recreation Construction Education Electricity, Gas & Energy Utilities Financial Services & Insurance Activities Human Health, Community & Social Work Activities Information Services, ICT, Digital & Communications Manufacturing & Advanced Manufacturing Mining & Quarrying Professional Services, Business, Legal, Scientific & Technical Activities Public Administration, Government & Defence Real Estate Activities Transport, Distribution & Storage Water Supply & Waste Management Services Wholesale & Retail Trade Other If Other - please specify Q11 What is your current/last job title: Q12 Please summarise your main responsibilities in your current/last role: Page 4 of 5
Part 2: Equal opportunities monitoring We re using this information to understand more about our Enterprise Advisers. Q13 What is your gender? Female Male Q14 What is your age? 18-24 years old 25-34 years old 35-44 years old 45-54 years old 55-64 years old 65-74 years old 75 years or older Q15 What is your ethnic group? Choose one option that best describes your ethnic group or background. White Mixed/Multiple ethnic groups Asian/Asian British Black/African/Caribbean/Black British Other ethnic group Please submit your responses via the Pye Tait online hub. Page 5 of 5