Work Experience Application Form

Application for a Work Experience Placement at the St Monica Trust

Welcome to our work experience application page and thank you for considering the St Monica Trust as your chosen placement organisation.

Please take time to fully complete the questions below, providing as much detail as possible, to ensure that we are able to consider a possible work experience placement for you.

All work experience applications are subject to department availability and an interview. Please allow up to 5 working days’ to receive a response to your application.

Due to high demand, the more notice that we receive, the more successful you are likely to be in your application. Please note: if an application is received with less than one months' notice, it is likely to be unsuccessful.

We look forward to hearing from you and receiving your application.

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* 1. About You

Full Name:

Address:

Postcode:

Your Telephone Number:

Your Email Address:

Emergency Contact Name:

Emergency Contact Number:

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* 2. Where would you like to work? Please select a 1st, 2nd and 3rd choice.
(Please note: there are some job roles which are only available at our Head Office building on our Cote Lane site)

	1st Choice	2nd Choice	3rd Choice
Activity Assistant	Activity Assistant 1st Choice	Activity Assistant 2nd Choice	Activity Assistant 3rd Choice
Administration Assistant	Administration Assistant 1st Choice	Administration Assistant 2nd Choice	Administration Assistant 3rd Choice
Catering Assistant	Catering Assistant 1st Choice	Catering Assistant 2nd Choice	Catering Assistant 3rd Choice
Gardening Assistant	Gardening Assistant 1st Choice	Gardening Assistant 2nd Choice	Gardening Assistant 3rd Choice
Housekeeping Assistant	Housekeeping Assistant 1st Choice	Housekeeping Assistant 2nd Choice	Housekeeping Assistant 3rd Choice
IT Support	IT Support 1st Choice	IT Support 2nd Choice	IT Support 3rd Choice
Laundry Assistant	Laundry Assistant 1st Choice	Laundry Assistant 2nd Choice	Laundry Assistant 3rd Choice
Maintenance Operative	Maintenance Operative 1st Choice	Maintenance Operative 2nd Choice	Maintenance Operative 3rd Choice
Marketing Assistant	Marketing Assistant 1st Choice	Marketing Assistant 2nd Choice	Marketing Assistant 3rd Choice
Portering Assistant	Portering Assistant 1st Choice	Portering Assistant 2nd Choice	Portering Assistant 3rd Choice
Sales Assistant	Sales Assistant 1st Choice	Sales Assistant 2nd Choice	Sales Assistant 3rd Choice
Variation Week (if you are not sure what you would like to do, select 3 roles for a variety week)	Variation Week (if you are not sure what you would like to do, select 3 roles for a variety week) 1st Choice	Variation Week (if you are not sure what you would like to do, select 3 roles for a variety week) 2nd Choice	Variation Week (if you are not sure what you would like to do, select 3 roles for a variety week) 3rd Choice
No preferences	No preferences 1st Choice	No preferences 2nd Choice	No preferences 3rd Choice

Other (please specify)

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* 3. At which of our sites would you like to be based?
(Please note: not all sites can accommodate all job roles)

Care at Home

Cote Lane

Head Office

Monica Wills House

Sandford Station

The Chocolate Quarter

Westbury Fields

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* 4. How did you find out about work experience at the St Monica Trust?

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* 5. When would you like to start your work experience placement?

Date

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* 6. How long would you like the placement to be?
(Please state the ideal duration of your placement e.g. one week (5 working days), one day per week for 4 weeks etc.)

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* 7. Are you related to a service-user or employee of the Trust?

Yes (please specify)

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* 8. Please complete the section below in relation to your current education/personal circumstances:

Name of your School/College/University:

Address of your School/College/University:

Email Address of your Tutor/Placement Officer:

Telephone Number of your Tutor/Placement Officer:

If the above options are not applicable, please provide an email address and telephone number for a personal reference (please note, that your referee must not be related to you):

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* 9. Do you suffer from a disability, or have any long term health problems, which may require adjustments to either the workplace or the duties assigned to your chosen role(s)?
We welcome applications from people with disabilities.

Yes (Please specify below)

Please give details, including any arrangements that you would like us to make, to ensure that we can fully assist and support you:

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* 10. Do you have any dietary requirements or allergies?

Yes (please specify)

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* 11. Why have you applied for a work experience placement at the St Monica Trust and what would you like to achieve during your time with us?

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* 12. Please be aware that this section is for statistical purposes only and will not affect your work experience application:

Age:

Date of Birth:

Prefer not to say:

Thank you very much for completing an application for a work experience placement at the St Monica Trust.

In order to complete your application, please now ensure that your tutor/placement officer/personal referee visits our dedicated work experience web page to provide a supporting statement.

Following the receipt of a supporting statement and, subject to colleague availability, you will then be contacted to confirm the status of your application and to arrange a convenient date and time to attend an interview with our Work Placement Co-ordinator, Ella Britton.

If you have any questions meanwhile, or require any additional support, please call Ella on: 0117 949 4324 or e-mail her via: workexperience@stmonicatrust.org.uk

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* 1. About You

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* 2. Where would you like to work? Please select a 1st, 2nd and 3rd choice. (Please note: there are some job roles which are only available at our Head Office building on our Cote Lane site)

Question Title

* 3. At which of our sites would you like to be based? (Please note: not all sites can accommodate all job roles)

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* 4. How did you find out about work experience at the St Monica Trust?

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* 5. When would you like to start your work experience placement?

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* 6. How long would you like the placement to be?(Please state the ideal duration of your placement e.g. one week (5 working days), one day per week for 4 weeks etc.)

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* 7. Are you related to a service-user or employee of the Trust?

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* 8. Please complete the section below in relation to your current education/personal circumstances:

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* 9. Do you suffer from a disability, or have any long term health problems, which may require adjustments to either the workplace or the duties assigned to your chosen role(s)? We welcome applications from people with disabilities.

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* 10. Do you have any dietary requirements or allergies?

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* 11. Why have you applied for a work experience placement at the St Monica Trust and what would you like to achieve during your time with us?

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* 12. Please be aware that this section is for statistical purposes only and will not affect your work experience application:

* 2. Where would you like to work? Please select a 1st, 2nd and 3rd choice.
(Please note: there are some job roles which are only available at our Head Office building on our Cote Lane site)

* 3. At which of our sites would you like to be based?
(Please note: not all sites can accommodate all job roles)

* 6. How long would you like the placement to be?
(Please state the ideal duration of your placement e.g. one week (5 working days), one day per week for 4 weeks etc.)

* 9. Do you suffer from a disability, or have any long term health problems, which may require adjustments to either the workplace or the duties assigned to your chosen role(s)?
We welcome applications from people with disabilities.