Bristol Internship Programme

Youth Development

Application Form

Please return this form and the equal opportunities form to y 11amonMonday 7th October.
The selection days will take place onMonday 21st October at the IntoUniversityBristolcentre. Please get in touch if you are unable to make this date.
This application form must be completed in all sections – C.V.s are not an acceptable alternative. TYPED APPLICATIONS ONLY PLEASE. Thank you. Please reformat the form to fit the information you input.
If you have any questions about the Internship or application process please contact Jonathan Tan, Internships Manager, at r 02089831233.
Thank you for your interest in IntoUniversity and for taking the time to complete this application form. We will notify you byFriday as to whether or not you have been invited to a selection day.
Personal Information
Surname: / Other Names:
Title: (Mr/Ms) / Previous Names:
Contact Address:
Tel (home): / Tel (mobile):
Email address:
NI Number:
Do you require a work permit or visa to take up this internship opportunity? YES/NO
Unfortunately we are unable to provide visas for interns.
Availability: (Please think carefully about your availability and note that all applications will be considered equally. Your availability does not have any influence on our selection of candidates.)
Please choose from the following and highlight one:
I am available from the 4th Novemberfor: 2 months 3 months 4 months
I am available on these days of the week:
.
Most Relevant Experience of Working with Children or Young People
(paid or voluntary acceptable)
Job title/ voluntary position:
Name of employer/place of volunteering:
Address:
Date appointed: / Date of leaving (if applicable):
Salary (if relevant): / Reason for leaving:
Please use this box to tell us about the duties, responsibilities and challenges of your most relevant paid or voluntary experience
Education and formal training starting with secondary school
Dates / School, College, University / Course/Subjects / Qualifications with grades & date awarded
Other Previous Employment (Paid or Voluntary)
Dates / Name of Employer/ Voluntary Organisation / JobTitle/Key tasks / Reason for leaving
Supporting Statement
In approximately 500 words (please do not exceed the word limit by more than 10%) please use this section to tell us WHY you are applying for this internship and HOW you feel you could meet the requirements of the role and the IntoUniversity ethos.
Please use this section to demonstrate any skills, experience, achievements, knowledge and personal qualities that you feel are relevant. This could include voluntary work, leisure interests and any other activities which you consider relevant to this role.You may also wish to tell us about your longer-term career aims, e.g. teaching, working in the charity sector, youth work.
References
Please provide names, addresses, telephone numbers and email addresses for two referees who have knowledge of you in a working environment (paid/voluntary) and/or an appropriate academic referee. We will contact your referees if you are selected for interview.
Name: / Name:
Position/Relationship: / Position/Relationship:
Address: / Address:
Email: / Email:
Tel: / Tel:
Where did you see this post advertised?Please underline more than one if applicable.
IntoUniversity website university fair university careers service
university website Charity Jobs Guardian Online
Other (please state where) ______
Do you have any unspent convictions under the terms of the Rehabilitation of Offenders Act (1974)?
Yes / No
If you answered Yes, please provide further details:
Please Note: You will be subject to an enhanced CRB check if offered a position and your appointment will be withdrawn if your CRB check is not satisfactory.

DECLARATION

I declare that the information I have supplied on this form is true and accurate.

Signature: Date:

(If you are selected for interview you will be required to sign a hard copy of this form on the selection day).

CLOSING DATE: 11am on Monday 7th October 2013

SELECTION DATE:Monday 21st October, IntoUniversity Bristol

Please email if you are not available on the above dateand we will try to accommodate you at another time, however, this may not be possible.

This form is to be returned to . If you have any questions about the Internship or application process please contact Jonathan Tan, Internships Manager, at this email or 02089831233.

We would be grateful if you would fill in and return the Equal Opportunities monitoring form (below) along with your application form.

Equal Opportunities Monitoring Form

Strictly Confidential

To help us ensure that our recruitment procedures operate in such a way as to provide genuine equality of opportunity, and for no other reason, it would be helpful if you would assist this process by completing the brief questions below and return this sheet with your application form. This information will not be available to members of the selection panel.

Please answer the following questions:

Post : Graduate-entry Internship Programme - Youth Development

Sex:

Age:

Do you consider yourself disabled?:

Ethnic Origin:

Asian or Asian British – Bangladeshi, Indian, Pakistani or Other

Mixed – White and Asian, White and Black African, White and Black Caribbean or Other

Black or Black British – African, Caribbean or Other

White –British, Irish or Other

Chinese

Other

Thank you very much for your time.