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First name: * Required
Surname: *Required
Email: *Required
Age: * Required
Address: *Required
Parent/Carer/Guardian name: *Required
Parent/Carer/Guardian telephone number (including STD code): * Required
Dates for which you require work experience:
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 2011 2012 to 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 2011 2012
Your current course(s) or subject(s) of study:
Qualification(s) currently working towards:
If other, please specify:
Preferred department for work experience (select up to two):
Community Safety Support Corporate Communications Estates & Facilities Finance Fire Protection Health & Safety Human Resources Information Management Information Technology Occupational Health Planning & Performance Prince’s Trust Risk Information Advisory Team Training Workforce Development Workshops & Fleet
Name of School/College/University: * Required
School/College/University Address: *Required
School/College/University telephone number (including STD code): * Required
Teacher/Tutor/Lecturer name: *Required
* Required field