Paid Internship Application Form - St Peter's Solihull Teaching School Alliance

Deadline: 6th March 2020

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* 1. Which internship are you applying for? We are only funded to offer internships in the following subjects listed. Some study routes will qualify you to enter in more than one subject; for example many engineering degrees meet the criteria for both physics and maths entry.

Maths

Physics

Maths & Physics

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* 2. What is your current year of study? If you select other, please explain how your course is structured below. Please note that the decision on whether we can accept your application may need to go out to our funding body, the NCTL

Year 1 of a 3 year course

Year 2 of a 3 year course

Year 3 a 3 year course

Year 1 of a 4 year course

Year 2 of a 4 year course

Year 3 a 4 year course

Year 4 a 4 year course

Other (please explain)

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* 3. Which University are you studying at?

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* 4. What degree are you studying?

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* 5. Can you confirm that you are available for the whole period of the internship? The scheme will require your attendance for Monday to Friday full days between Monday 15th June - Friday 10th July. If no please state your availability in the box below

Yes

(Availability)

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* 6. Are you a member of the DBS update service? (Please note you do not need to have DBS checks already in place as St. Peter’s will carry out all safeguarding checks if your application is successful).

Yes

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* 7. If successful do you consent to undergoing a DBS?

Yes

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* 8. Home Address

Name *

Address *

Address 2

City/Town *

Postal Code *

Country

Personal/Home Email Address *

Phone Number *

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* 9. University Address

Name *

Address *

Address 2

City/Town *

Postal Code *

Country

University Email Address *

Phone Number *

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* 10. Date of Birth

Date / Time

Date

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* 11. Gender

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* 12. Nationality

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* 13. Ethnicity

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* 14. Please list any medical needs/disabilities/medication

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* 15. Emergency contact

Name *

Relationship to you

Contact Number *

Question Title

* 1. Which internship are you applying for? We are only funded to offer internships in the following subjects listed. Some study routes will qualify you to enter in more than one subject; for example many engineering degrees meet the criteria for both physics and maths entry.

Question Title

* 2. What is your current year of study? If you select other, please explain how your course is structured below. Please note that the decision on whether we can accept your application may need to go out to our funding body, the NCTL

Question Title

* 3. Which University are you studying at?

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* 4. What degree are you studying?

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* 5. Can you confirm that you are available for the whole period of the internship? The scheme will require your attendance for Monday to Friday full days between Monday 15th June - Friday 10th July. If no please state your availability in the box below

Question Title

* 6. Are you a member of the DBS update service? (Please note you do not need to have DBS checks already in place as St. Peter’s will carry out all safeguarding checks if your application is successful).

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* 7. If successful do you consent to undergoing a DBS?

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* 8. Home Address

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* 9. University Address

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* 10. Date of Birth

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* 11. Gender

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* 12. Nationality

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* 13. Ethnicity

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* 14. Please list any medical needs/disabilities/medication

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* 15. Emergency contact

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* 16. How do you intend to travel from your home address to your placement school?

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* 17. Car registration (if applicable)

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* 18. How did you hear about the Internship Scheme?

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* 19. Qualifications. Please list all GCSEs. (GCSE Subject - Date Obtained - Grade)

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* 20. Qualifications. Please list all A Level results. (A level - Date Obtained - Grade)