EmailMe Form - Work Experience Placement Application

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Email

Your contact phone numbers *

Next of kin contact phone numbers *

I am currently studying *

At (name of college/university) *

COURSE DETAILS
I confirm I am undertaking the below course which requires a placement of 150 hours or a two week or more block . I understand BCTGB cannot accept applications from students undertaking a Level One or Two Animal Care Course. *

HOURS OF WORK.
I understand that any work experience placement offer will be subject to the following conditions:-

The normal working day is 0830 – 1230 and 1400 – 1800 I understand I will need to attend at those times unless other arrangements have been agreed prior to the placement.(Please note there is no public transport suitable)

Should these conditions not be met I understand that the placement may be terminated.

Please select one of the options below *

ATTENDANCE
I understand that that should a placement be offered, it is subject to regular attendance and involvement in the daily routine at the rescue centre.

In the event that I was unable to attend I would contact the centre office on 01889 577058 as soon as possible. I understand that I would need to speak personally to the kennel manager or a senior member of staff.

Text messages, voice mails, message via social media and emails are not acceptable and will not be considered as contact.

Should these conditions not be met I understand that the placement may be terminated.

CLOTHING
Suitable clothing will be necessary as duties will include dog walking in changeable weather conditions and kennel cleaning. Appropriate foot wear is important.

Please select one of the options below *

I wish to apply for a work experience placement to commence on *

DD / MM / YYYY

And then every (day of the week) *

Until

DD / MM / YYYY

Health/Disability/Special Needs - Please indicate any health issues/special needs which you feel we would need to know about to ensure your safety whilst working at the centre. This information will enable us to act swiftly in case of an emergency and will not in way preclude full consideration of your application

Signature (to be signed on visiting the centre)

Clear

Centre Use - Initial visit

On (date)..................................... with (staff name)........................................