Work Experience Form

Name :

Date Of Birth :

Address :

Postcode :

Telephone Number:

E-Mail Address :

Name of College / University :

Course Being Undertaken :

Name of Tutor :

Year of Course :

College / University Telephone Number :

Relevant Experience :

Related Skills :

Interests and Hobbies :

Please State Why you want to get work experience at Blair Drummond Safari Park:

Please Indicate the sections you would prefer to work on. We cannot guarantee you will be working on this section

Dates Available (From):

Dates Available (To) :

Have you ever been convicted of a criminal offence? Yes No

Do you have any objections to a police check? Yes No

Are you or have you ever been a member of
(or have any close associations with) any
animal rights or welfare group or charity? Yes No

If Yes, which one?

When were you a member?

For how long were you a member?

Please give the name and address of a professional person who has known you for over 2 years and who would be willing to act as a character reference for you

Name :

Address :