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Work experience application form Please complete the application form and return to Debbie Collingwood at Devon Air Ambulance Trust. It will help us to ensure you receive the most suitable work experience.

Application for work experience Name: ____________________________________________________________________ Address: __________________________________________________________________ ________________________________ Postcode _________________________________ Home telephone number: ____________________________________________________ Mobile: ___________________________________________________________________ Email address: _____________________________________________________________ Date of birth: ______________________________________________________________ Dates of work experience: __________________ to _______________________________ Present education Name of school /college: _____________________________________________________ Address: __________________________________________________________________ __________________________________________________________________________ ________________________________ Postcode _________________________________

Reference from school/college Please give details of referee (teacher/tutor/lecturer) Name: ____________________________________________________________________ Address: __________________________________________________________________ __________________________________________________________________________ ________________________________ Postcode _________________________________ Telephone number: __________________________ Extension ______________________ Email address: _____________________________________________________________


Personal statement In this statement could you please provide the following information: • your interests • your reasons for wanting work experience at Devon Air Ambulance Trust • your thoughts about any future career.

_______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ Signed (student): ______________________________ Date: ____________ Signed (parent/guardian): _______________________ Date: ____________


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