General Intern Application Form

Title

Date of Birth

Student Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone

Mobile

Email

University Attended

Degree Studying/Studied

Will the internship be part of your placement year? *

Yes
No

If Yes, what year of your degree will the internship take place in?

How do you intend to balance your time between your degree and the internship, considering the intership is 3-4 days a week?

Please confirm how many days a week you are looking to work for us, and if you can travel to the London Office (for which we will cover the cost).

Which internship will you be applying for?

8 Month Placement
12 Month Placement

If you were unsuccessful in your application to be a general intern, would you be happy to be considered for the communication internship if we demand you had transferable skills and knowledge? Yes or No

How have the skills you have developed academically throughout the degree apply to the role of a general intern?

Is there a particular area of StreetlightUK that you would be interested in learning more about? If so, please explain

This is a fast-paced and multifaceted role. How does your previous experience from part time work or volunteering transfer to the general intern position?

What unique skills and / or attributes will you bring to the Streetlight UK team?

How does the general intern role relate to your future academic or career aspirations?

What are you hoping to gain from this experience?

Medical History

Do you suffer from any physical or mental ailments that may restrict your work activity? (E.g. back or limb problems, dust allergies, stress reaction, depression etc.) If so, please give details)

Please provide emergency contact information.

Please provide details of someone whom we can contact on your behalf in the event of an accident or emergency. Name / Relationship to you / Contact Telephone /Number

DECLARATION

I confirm that, to the best of my knowledge, the information given on this form is correct. I understand that false information could lead to dismissal. I consent to the data processing of the information I have given on this form as defined under the Data Protection Act 1998 for the purpose of my work with StreetlightUK. Please sign your full name in the box above.

Sign Name Here *

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Last

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General Intern Application Form

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