Work Placement Application Form

Please complete this form if you wish to apply for a minimum of 150 hours of Work Placement. We encourage applications from students from College & University who wish to learn more about the Trusts work.

Title:

If other, please enter here:

First Name: *

Last Name: *

Address line 1: *

Address line 2: *

Town: *

County:

Postcode: *

Daytime Contact Number:

Mobile:

Email: *

What would be the best way to contact you? *

Date of birth: *

Please give name and address of your college/university: *

College/University Course: *

Do you have any special needs or consider yourself disabled? *

If yes, please give any information you feel would help us accommodate your needs:

Do you have transport? *

Which areas of our work are you most interested in? *

Placement start date: *

Place finish date: *

How many hours are required? *

Any other information regarding placement dates?

Any additional information you would like to give to support your application

Why do you wish to do Work Placement at Wiltshire Wildlife Trust?: *

The Trust takes photographs for publicity purposes. This includes print, social media and website. Please indicate below if you give consent for us to use any such photographs in these ways. *

I consent to photographs being used as detailed above.I do not consent to photographs being used as detailed above.

Wiltshire Wildlife Trust uses your data to manage our volunteers and keep you updated on activities. Your information is only used by WWT, it is not shared with any third parties. You can change your preferences at any time. *

I accept the aboveI do not accept the above