"Aker Student app form"
Excel Southampton – UK 2012 – 9 Weeks Student Application Form Personal Details Student ID No: Please ensure this is correct do not include library digit. Contact Number: University Email: Alternative Email: Address: Placement you are applying for: Host Employer Aker Solutions Name Job Title Engineering Intern Please indicate where you heard about this opportunity from by putting ‘yes’ below: Email from Careers: Email from Faculty: Career Destinations Event: Poster/Flyer: Facebook: Sussed: Plasma Screen: Word of Mouth: Other, please specify: Why are you suited to this role and why does it interest you? (maximum 200 words) Work experience: Please indicate below any relevant work experience that will assist you in this role Participation in any Clubs and / or Societies or other extracurricular activities of note Degree information Degree Programme of Faculty of Study Study Year of Graduation Predicted Grade References: Please outline contact details for two References. Referee 1: Referee 2: Contact Name: Contact Name: Organisation & Job Organisation & Job Title: Title: Capacity in which Capacity in which known to you: known to you: Contact Tel: Contact Tel: Contact Email: Contact Email: May we contact this Yes / No May we contact this Yes / No person prior to person prior to interview? interview? Additional Information Do you have the right to work in the United Kingdom for the duration of the contract period (2nd July 2012 – 22nd September 2012)? If you require a visa to work in the United Kingdom, which visa do you currently hold? Please indicate which date you are available to begin the placement?* *dates are subject to change at the particular needs of a host organisation. Assessment Centre As Part of the Recruitment process Career Destinations will run assessment centres in the w/c 30 th April 2012. Please indicate which time periods you would be available to attend the Assessment centre on by putting ‘yes’ next to the options below. Please note if you are unable to attend an assessment centre you will not be able to continue on the scheme. Wednesday am: Thursday am: Friday am: Wednesday pm: Thursday pm: Friday pm: Please include your CV with your completed application form PLEASE ENSURE YOU HAVE READ AND UNDERSTAND THE DATA PROTECTION STATEMENT FOUND ON THE NEXT PAGE Excel Southampton Placement Programme Candidate Data Statement I confirm that all the information I have given is correct, and I will contact Placements to update information as necessary. I understand and agree that, for as long as is reasonably necessary for the purposes of providing me with a work- placement, the University of Southampton: - will securely store information provided by me and may access such information in order to source appropriate work placement opportunities; - may pass information provided by me to organisations (including their employees and agents) for the purposes of providing me with work placement opportunities I understand and agree that the University of Southampton may pass information contained within and resulting from my application (including a copy of the application itself) to the host company (including their employees and agents) who seek to employ me as part of the Excel Southampton Placement Programme. I acknowledge that, without my consent to the processing of my personal data in this manner, the University of Southampton may not be able to assist me in my search for work. I hereby confirm that my personal data may be held, processed and disclosed by the University of Southampton for the purposes and in the manner set out above. I understand, acknowledge and intend that checking the checkbox below and sending this document electronically via my University email account shall have the same effect as if I had signed the document PRINT NAME SIGNED DATE