Surname: Forename(s): Address: Date Of Birth: Home Telephone: Mobile: Email:
We offer 1 week long placements per student. Please note that your start date must be a Monday
1st Choice: 2nd Choice: Have you done any previous work experience with us?: Yes No If yes, please provide the dates you attended: Please give us details of your relevant experiences, interests or skills that you could bring to this work experience and your reasons for applying: Do you have any pets and if so what species/breed are they? If yes, are they registered at Acorn House Vets? Yes No If applicable, please give details of the school or college you attend and the subjects you are currently studying: What are your hobbies and interests: Please give brief details of any conditions that may affect your ability during your placement:
Acorn House is committed to the development of positive policies to promote equal opportunities in employment, regardless of race, colour, nationality, ethnic or national origin, creed, disability, sex, marital status, sexual orientation or age.
I declare that the information given on this application is true and complete to the best of my knowledge and belief.
Acorn House Veterinary SurgeryLinnet Way, Brickhill, Bedford, MK41 7HNinfo@acornhousevets.co.uk