PERSONAL INFORMATION
Forename: / Surname:
Known as: / Title (Mr, Mrs, Miss etc.)
Home Address:
Postcode: / Term Time Address (If applicable):
Postcode:
Telephone
Home:
Mobile: / Telephone
Term-Time:
Mobile:
E-mail address:
Do you hold a current driving license? / Yes / No (Delete as appropriate)
ESSENTIAL CRITERIA QUESTIONS
Are you currently in education where a placement is a recommended or required part of your studies? / Yes / No (Delete as appropriate)
Are you able to commit to the full length of the internship?
  • 11th June to 2nd September (12 weeks)
  • 3 days per week including weekends. Hours will be rota’d depending on activities and will either be 10am-2.30pm, 12.30pm-4.30pm or 9am-4pm.
If no, please state dates you are unable to commit to: / Yes / No (Delete as appropriate)
Are you age 18 or over? / Yes / No (Delete as appropriate)
Are you friendly, confident and happy to engage with guests of all ages? / Yes / No (Delete as appropriate)
Do you have an interest in education, conservation and animals and have a ‘can do’ attitude? / Yes / No (Delete as appropriate)
Do you have any holidays booked between the dates of the program(s) you have applied for?
If yes, please state dates: / Yes / No (Delete as appropriate)
This internship is subject to a DBS check, can you confirm that you would be happy to complete the DBS check? / Yes / No (Delete as appropriate)
Are you available to interview on Friday 20 April 2018? / Yes / No (Delete as appropriate)
Do you require any adjustments or assistance in order to enable you to attend an interview? If yes, please detail in the space below:
WHERE DID YOU HEAR ABOUT THIS INTERNSHIP?
On our website / Through BIAZA / On ‘zoowork.blogspot.co.uk’
Through your education provider / Other (please state):
In no more than 500 words, please explain the main reasons as to why you want to complete this internship at Knowsley Safari and what you can bring to the role:
EDUCATION & QUALIFICATIONS
Secondary School/College/University / Examinations Taken / Result
WORK HISTORY
Name of Employer: / Position Held: / Dates of Employment:
Description of Duties:
Name of Employer: / Position Held: / Dates of Employment:
Description of Duties:
Name of Employer: / Position Held: / Dates of Employment:
Description of Duties:
CRIMINAL RECORD CHECK
Do you have any convictions which are not regarded as ‘spent’ under the Rehabilitation of Offenders Act 1974 (as amended)?
If ‘Yes’ please gives details of the date(s) of offence(s) and sentence(s) passed: / Yes / No
DECLARATION
I declare that all information given is, to the best of my knowledge, accurate and complete. I understand that if it is subsequently discovered any statement is false or misleading, or that I have withheld relevant information, my application may be disqualified or, if I have already been selected, my internship may be ended. I hereby give my consent to the Company processing the data supplied on this application form for the purpose of recruitment and selection for the Learning & Discovery Internship. I acknowledge that if I am unsuccessful, my application with be destroyed within three months of the start date of the internship.
Signed: Date:

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