Blue Planet Aquarium GCSE Work Experience Application Form

In order for your application for work experience to be considered please ensure you;

1. Carefully read through all the information and requirements provided on our website;

2. Complete the application form fully, attach your CVand obtain the necessary signatures.

3. If your school requires their own forms to be completed, we would ask you to use the information on page 4 to complete them yourselves and then we are happy to sign them for you. Please note, for your application to progress to the next step- ALL sections must be completed.

4. Send the Completed application form to Blue Planet Aquarium via post or email. FAO-‘The Education Team’. Contact details provided at the end of this form.

  1. Personal Details

First Name:
Preferred Name:
Surname:
Date of Birth:
Age at Placement:
Home Address:
Home Telephone Number:
Mobile Number:
Email Address (compulsory):
Do you have any medical conditions we need to know about? Yes/No
(E.g Epilepsy, diabetes, asthma, allergies or back problems)

  1. Emergency ContactDetails

Their Name:
Relationship to Applicant:
Home Telephone Number:
Mobile Telephone Number:
  1. School Details

School Name:
School Address:
Work Experience Co-ordinator’s Name:
School Telephone Number:
School Email:
Your Year group and Tutor Group:
  1. Additional Comments or Information

  1. Please request the dates for your 1 week placement and state your required arrival/departure time.

1st Choice / From: / To:
2nd Choice / From: / To:
Arrival Time: / Departure Time:
6. Uniform. A BPA shirt will be provided, please indicate the size you require.
Top Size S M L XL
N.B Please wear dark blue/black combats and tidy trainers.
7. Along side your curriculum Vitae, please answer the following questions.
Why have you chosen BluePlanet Aquarium as your work experience choice?
What do you hope to gain from a work experience placement at the Blue Planet Aquarium?
How will this further your education and career path?
What skills do you think you can bring to our organisation?
  1. Character or Employer Reference. To be completed by a professional person that has known you for over 2 years (School teacher/Employer/Other Professional)

Name of Referee: Telephone Number:
Capacity in which you know this person:
I have known ………………………….. for………. years and I am pleased to provide you with the following statement.
  1. Declaration

Student
As the student named overleaf I agree to take part in this work experience scheme. I agree to hold in confidence any information about the Employer’s business which I may obtain during this work period. I also agree to observe all health, safety and security regulations in accordance with company policy.I declare that any information provided is to the best of my knowledge and believe, correct and that any appointment offered would be on this basis and form part of the terms and conditions of my placement.
Name / Sign / Date
Parent
As the Parent/Guardian of the student named I confirm that I agree to the placement and I am satisfied that it is a suitable environment in which my son/daughter may undertake their work experience.
Name / Sign / Date
Employer
As a representative of the above employer I confirm that we have ‘EMPLOYER’S LIABILITY INSURANCE’ and have checked that this extends to students on work experience and all company details provided below are correct.
Name / Sign / Date

N.B Application does not confirm your placement; we will contact your to inform you of your status as soon as possible. We do recognise the time and effort it takes to apply for a work placement, but due to the high number of applications that we receive we are unable to notify students who have been unsuccessful in their application; consequently if you have not heard from us within 4 weeks of the closing date, please assume that you have not been successful on this occasion.

Please remember that there is a high demand for our valuable work experience programmes so if you are successful but unable to complete the placement given then please let us know at the earliest time otherwise you will taking an opportunity away from someone else.

Now please either scan or email this completed form along with your CV for the attention of Stuart Evansor to post to:

GCSE Work Experience Programme

Blue Planet Aquarium

Cheshire Oaks

Ellesmere Port

Cheshire

CH65 9LF

Company Details – Blue Planet Aquarium

Blue Planet Aquarium is a Leisure attraction, ideal for a family day out.

Our aim- ‘To enlighten, increase knowledge and raise interest in the marine environment using an interactive, entertaining and sustainable approach”

Blue Planet Aquarium

Longlooms Road Email

Cheshire Oaks Contact Name- Stuart Evans

Ellesmere Port Telephone:01513578804

CH65 9LF

Insurance Details

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