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F2F Routes Into STEM
Virtual Routes Into STEM
IC Bronze Project
IC Gold Project
WEX
Residential Insight Into University
Insight Into Apprenticeships
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Student Details
F2F Routes Into STEM
IC Bronze Project
IC Gold Project
Insight Into Apprenticeships
New School Request
Placements
Residential Insight Into University
Virtual Insight Into University
Virtual Routes Into STEM
Virtual WEX
WEX
WEX 18+
YINI
First Name
Last Name
Gender
Male
Female
Prefer not to say
Not specified
Date of Birth
Nationality
Afghan
Albanian
Algerian
American
Angolan
Argentine
Armenian
Australian
Austrian
Azerbaijani
Bahrain
Bangladeshi
Belarussian
Belgian
Bolivian
Botswanan
Brazilian
British
Bulgarian
Cameroonian
Canadian
Central African
Chadian
Chilean
Chinese
Colombian
Congolese (Congo)
Congolese (DRC)
Costa Rican
Croatian
Cuban
Cypriot
Czech
Danish
Dominican
Dutch
Ecuadorean
Egyptian
Emirian
Eritrean
Estonian
Ethiopian
Faroese
Fijian
Filipino
Finnish
French
Gambian
Georgian
German
Ghanaian
Gibraltarian
Greek
Greenlandic
Grenadian
Guarmanian
Guatemalan
Guinean
Guyanese
Haitian
Honduran
Hong Konger
Hungarian
Icelandic
Indian
Indonesian
Iranian
Iraqi
Irish
Israeli
Italian
Ivorian
Jamaican
Japanese
Jordanian
Kazakh
Kenyan
Kosovan
Kuwait
Lao
Latvian
Lebanese
Liberian
Libyan
Lithuanian
Luxembourger
Macedonian
Malawian
Malaysian
Maldivian
Malian
Maltese
Mauritian
Mexican
Moldovan
Mongolian
Montenegrin
Moroccan
Mozambican
Myanmar
Namibian
Nepalese
New Zealander
Nicaraguan
Nigerian
Norwegian
Not indicated
Omani
Pakistani
Palestinian
Panamanian
Papua New Guinean
Paraguayan
Peruvian
Polish
Portuguese
Puerto Rican
Qatari
Romanian
Russian
Rwandan
Salvadorean
Samoan
Saudi Arabian
Senegalese
Serbian
Sierra Leonean
Singaporean
Slovak
Slovenian
Somali
South African
South Korean
South Sudanese
Spanish
Sri Lankan
Stateless
Sudanese
Surinamese
Swazi
Swedish
Swiss
Syrian
Taiwanese
Tanzanian
Thai
Tongan
Trinidadian
Tunisian
Turkish
Ugandan
Ukrainian
Uruguayan
Uzbek
Venezuelan
Vietnamese
Yemeni
Zambian
Zimbabwean
Nationality 2 (required if you hold Dual Citizenship)
Afghan
Albanian
Algerian
American
Angolan
Argentine
Armenian
Australian
Austrian
Azerbaijani
Bahrain
Bangladeshi
Belarussian
Belgian
Bolivian
Botswanan
Brazilian
British
Bulgarian
Cameroonian
Canadian
Central African
Chadian
Chilean
Chinese
Colombian
Congolese (Congo)
Congolese (DRC)
Costa Rican
Croatian
Cuban
Cypriot
Czech
Danish
Dominican
Dutch
Ecuadorean
Egyptian
Emirian
Eritrean
Estonian
Ethiopian
Faroese
Fijian
Filipino
Finnish
French
Gambian
Georgian
German
Ghanaian
Gibraltarian
Greek
Greenlandic
Grenadian
Guarmanian
Guatemalan
Guinean
Guyanese
Haitian
Honduran
Hong Konger
Hungarian
Icelandic
Indian
Indonesian
Iranian
Iraqi
Irish
Israeli
Italian
Ivorian
Jamaican
Japanese
Jordanian
Kazakh
Kenyan
Kosovan
Kuwait
Lao
Latvian
Lebanese
Liberian
Libyan
Lithuanian
Luxembourger
Macedonian
Malawian
Malaysian
Maldivian
Malian
Maltese
Mauritian
Mexican
Moldovan
Mongolian
Montenegrin
Moroccan
Mozambican
Myanmar
Namibian
Nepalese
New Zealander
Nicaraguan
Nigerian
Norwegian
Not indicated
Omani
Pakistani
Palestinian
Panamanian
Papua New Guinean
Paraguayan
Peruvian
Polish
Portuguese
Puerto Rican
Qatari
Romanian
Russian
Rwandan
Salvadorean
Samoan
Saudi Arabian
Senegalese
Serbian
Sierra Leonean
Singaporean
Slovak
Slovenian
Somali
South African
South Korean
South Sudanese
Spanish
Sri Lankan
Stateless
Sudanese
Surinamese
Swazi
Swedish
Swiss
Syrian
Taiwanese
Tanzanian
Thai
Tongan
Trinidadian
Tunisian
Turkish
Ugandan
Ukrainian
Uruguayan
Uzbek
Venezuelan
Vietnamese
Yemeni
Zambian
Zimbabwean
If your school is not listed, please click
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to request it to be added, then type the name of the school into the field and carry on with your application.
School/College Name
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If your school/college is not on the list, please select 'None'
Ethnic Origin
African
Asian British
Asian
Black
Caribbean
Mixed or Multiple Ethnicity
Other Ethnic Group
Prefer Not To Say
White
If you were to go to university, would you be the first person in your family to go?
If you were to go to university, would you be the first person in your family to go?
No
If you were to go to university, would you be the first person in your family to go?
Yes
Do you qualify for pupil premium funding/free school meals?
Do you qualify for pupil premium funding/free school meals?
No
Do you qualify for pupil premium funding/free school meals?
Yes
Are you or have you ever been in local authority care?
Are you or have you ever been in local authority care?
No
Are you or have you ever been in local authority care?
Yes
Do you have sole or shared responsibility for the care of a relative because they are ill or disabled?
Do you have sole or shared responsibility for the care of a relative because they are ill or disabled?
No
Do you have sole or shared responsibility for the care of a relative because they are ill or disabled?
Yes
Students Home Contact Details
Address Line 1
Address Line 2
Address Line 3
Town
County
Postcode
Mobile Phone
Email
In Case Of Emergency
Emergency contacts must be over 18 and at least one should be in the UK for the duration of the course. Please provide a separate phone number for each of your emergency contacts.
Title
First Name
Last Name
Mobile Phone
Email
Relationship
Parent
Step Parent
Guardian/Carer
Grandparent
Sibling
Aunt/Uncle
Cousin
Family Friend
Other
Title
First Name
Last Name
Mobile Phone
Email
Relationship
Parent
Step Parent
Guardian/Carer
Grandparent
Sibling
Aunt/Uncle
Cousin
Family Friend
Other
Medical And Dietary Information
We want to help you get the best from your work experience and need you to tell us about any special arrangements we need to make. You must keep us up to date on your wellbeing, so that we can seek to put in place arrangements where we are able to best support you taking part.
Please use this space to tell us about any of the following:
Mobility issues, hearing or visual impairment
Any health or medical conditions including anxiety or eating disorders
Any other recognised or diagnosed condition for example ADHD, Asperger's Syndrome, or Autism
Do you have any medical information you would like to make us aware of?
Do you have any medical information you would like to make us aware of?
No
Do you have any medical information you would like to make us aware of?
Yes
Do you have any dietary information you would like to make us aware of?
Do you have any dietary information you would like to make us aware of?
No
Do you have any dietary information you would like to make us aware of?
Yes
Additional Information
Preferred Course
Plymouth Hybrid Work Experience
Test BK (PRJ1010272)
TEST WEX (PRJ1010258)
Please write a short statement to tell us why you would like to do this work experience programme? (approx. 100 - 150 words)
Have You Previously Achieved Any Industrial Cadets Awards?
Challenger
Challenger
No
Challenger
Yes
Bronze
Bronze
No
Bronze
Yes
Silver
Silver
No
Silver
Yes
Gold
Gold
No
Gold
Yes
Platinum
Platinum
No
Platinum
Yes
Data Protection
Photo Consent
During participation in your chosen EDT programme, photographs/video footage may be taken of you and used by EDT or its partner organisations to promote EDT and STEM activities. Some examples of how we use images/video footage are for brochures, social media, website and fundraising resources. Images are carefully selected to portray the programmes and students positively as well as to further promote our cause.
I give consent to my photos/videos being used for the purposes stipulated above
Parent/Guardian and Student have read and understood the three EDT policies below
Click
here
for EDT's Privacy Policy | Click
here
for EDT's Online Policy | Click
here
for EDT's Safeguarding Policy
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