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Student Placements Application form
Thank you for your interest in carrying out your vet placement at Elysian.
Please complete this application form to move to the next stage of the application process.
* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Permanent address
*
Your answer
Mobile number
*
Your answer
Which Elysian site(s) are you interested in being based at?
(Choose all options that apply)
*
Shamley Green (Guildford)
West Horsley
Liss (Petersfield)
Froxfield (Petersfield)
Required
What is your availability during term-time and/or school holidays?
Choose all that apply
*
Week day mornings only (9am - 1pm)
Week day afternoons only (1pm - 5pm)
Week days - all day
Saturday mornings only (9am - 1pm)
Sunday mornings only (9am - 1pm)
Saturday afternoons only (1pm - 5pm)
Sunday afternoons only (1pm - 5pm)
Other:
Required
When is your preferred start date?
*
MM
/
DD
/
YYYY
Please provide details of what you are studying, where you are studying and level of study?
*
Your answer
Are you familiar with a current or previous staff member or client of Elysian? If 'Yes' please give details below:
*
Your answer
What experience with animals do you have,
which
deems
you suitable for working
without Elysian Staff support (after initial induction)
*
Your answer
Do you have any medical, physical or emotional needs we need to be aware of? Any risks? Allergies? Phobias etc? Are there any animals you are not comfortable working with?
*
Your answer
Please provide emergency contact details - full name, telephone number and their relationship to you.
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
What is your current age?
*
16 years of age
17 years of age
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