Application for Mini-Pupillage

Please complete this form and send it with a brief covering letter marked for the attention of The Pupillage Secretary, Wilberforce Chambers, 8 New Square, Lincoln's Inn, London WC2A 3QP.

Title

First Name*

Last Name*

Address*

Postcode*

Telephone*

Mobile*

E-mail address*

Schools Attended (dates)

O Levels/GCSEs/equivalent (number at each grade)

‘A’ and ‘S’ Levels or equivalent (date; exam; subject; grade; school)

University Attended

Have you completed your degree? Yes / No

(delete as applicable)

If yes, what was your final grade?

If no, please give full details of all course results (date; nature of qualification; subject; institution; class; post-graduate degrees)

Other post-graduate qualifications including GDL and BPTC (date; institution; nature of qualification; grade)

Have you completed the BPTC? Yes / No

(delete as applicable)

Individual subjects studied as part of law degree or GDL (subject; date; grade)

Scholarships, Awards, Prizes (dates and details)

Called to bar

Mini-pupillages undertaken (date; Chambers; mini-pupil supervisor; describe work experienced; assessed/non-assessed)

Other relevant work experience/voluntary work (dates and brief details)

What intake are you applying for?

Why have you chosen a career at the Bar? (limit 250 words please)

Why Wilberforce Chambers? (limit 100 words please)

We are looking for a candidate with written and oral communication skills. What experience can you offer us?

References – two; one of which should be academic (please give details including telephone numbers)

WILBERFORCE CHAMBERS

EQUAL OPPORTUNITIES MONITORING FORM

Wilberforce Chambers is committed to providing equal opportunities for all pupils.

It would greatly assist us in monitoring the effectiveness of our equal opportunities policy if you could please complete this form and return it with your application.

The information on this form will be used only for monitoring purposes and not for the purpose of assessing the merits of your application. Full details of how this information will be processed are set out in Wilberforce Chambers Equality and Diversity Policy, available on our website.

  1. What is your current age in years?

……………………………………………………

Prefer not to say□

  1. What is your gender?

Male□

Female□

Prefer not to say□

  1. Do you consider yourself to be disabled to the extent that you have a physical or mental impairment which has a substantial and long-term adverse effect on your ability to carry out normal day-to-day activities?

Yes□

No□

Prefer not to say□

  1. Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months?

Yes, limited a lot□

Yes, limited a little□

No□

Prefer not to say□

  1. Which of the following options most closely describes your ethnic origin?

Asian / Asian British

Bangladeshi □

Chinese□

Indian□

Pakistani □

Any other Asian background (please specify):

……………………………………………………………

Black / African / Caribbean

Black African□

Black Caribbean □

Any other Black / Caribbean /Black British (please specify):

………………………………………

White

White British □

White Irish □

Gypsy or Irish Traveller□

Any other White Background (please specify):

…………………………………………………………..

Other ethnic group

Arab□

Any other ethnic group (please specify):

……………………………………………………………………

Mixed / multiple ethnic groups

White and Asian □

White and Black African□

White and Black Caribbean □

White and Chinese □

Any other mixed / multiple ethnic background (please specify):

……………………………………………………………………………………………………………………………

  1. Do you identify yourself as belonging to a religion?

Yes□

No□

Prefer not to say□

  1. If ‘yes’, what is your religion?

Buddhist □

Christian (all denominations)□

Hindu□

Jewish□

Muslim□

Sikh□

Any other religion (please specify):

……………………………………………………………………………

  1. What is your sexual orientation?

Bisexual □

Gay / homosexual man □

Gay woman / lesbian□

Heterosexual / straight □

Other □

Prefer not to say□

  1. Were you part of the first generation of your family to go to university?

Yes□

No □

Prefer not to say□

  1. Did you mainly attend a state or fee paying school between the ages of 11 and 18?

UK State School □

UK Independent / fee-paying school□

Attended school outside the UK□

Prefer not to say□

  1. Were you at any stage of your school education entitled to receive Free School Meals?

Yes□

No □

Don’t know □

Prefer not to say□

  1. Did you take your undergraduate degree (or first, if more than one) on a full or part time basis?

Full time□

Part time□

Prefer not to say□

  1. If you were to commence pupillage in October 2014, what would be you anticipated level of student debt?

£0-£9,999□

£10,000-£19,999□

£20,000-£29,999□

£30,000-£39,999□

£40,000-£49,999□

£50,000+□

  1. Are you a primary carer for a child or children under the age of 18?

Yes□

No □

Prefer not to say□

  1. Do you look after, or give any help or support to family members, friends, neighbours or others because of either long-term physical or mental ill-health/disability or problems related to old age (do not count anything you do as part of your paid employment)?

No□

Yes, 1 – 19 hours a week□

Yes, 20 – 49 hours a week□

Yes, 50 or more hours a week□

Prefer not to say□