Youwill Onlybe Ableto Type Inthe Grey Boxes

WORKEXPERIENCEAPPLICATIONFORM

SUMMER 2016

PERSONALDETAILS–pleaseprintclearly–ifyouarecompletingthisonaPC,

youwill onlybe ableto type inthe grey boxes.

FirstName/s: / Surname:
Home Address: / Date of Birth:
E-MailAddress: / MainContactNumber:
AlternativeContactNumber:

EMERGENCYCONTACTDETAILS–PleaseprovidedetailsofNextofKinand yourSchool/Collegein case ofan emergency

Name of Parent/Guardian: / RelationshiptoApplicant:
Home Address (leave blank if same as
candidate) / MainContactNumber:
E-MailAddress: / AlternativeContactNumber:

Next of Kin

School/College

Name of School/College: / ContactName:
Addressof School/College: / TelephoneNumber:

Datesof PlacementRequested:

From: To:

Do you or your parents/guardians have any relationship with Doughty Street Chambers, i.e.

relative/friend of staff orbarrister?Ifyes,please givefurtherdetails Yes No

Anyfurther informationyouwishtobetakenintoconsideration

At the time of completing this application form, I believe all of the information supplied to be accurate and concise. I understand that if I provideincorrectinformation, oromitrelevantinformation,thismay jeopardise myapplication.Please tick thebox to accept theseterms:

Name: Date:

Thankyoufor completingour workexperienceapplicationform.

Pleaseensureyou alsocompletetheequal opportunitiesmonitoring formfromtheworkexperience page of the website. We will not be able to accept applications if they do not include this information.This is for the purposesof equalopportunitiesmonitoring.

Applicationsshouldbemadebetween1st November2015and5th January2016forthesummerof

2016.Pleasenote that ourprogrammerunsfortwoweeks from 27th June 2016 – 1st July 2016 and 25th July – 29th July 2016. Ifyouhaverequestedaplacementoutsideofthistimescale,itisunlikelywewillbe able toaccommodate,butwewill ofcoursedoour best.

Oncetheapplicationprocesshasclosed, candidates willbeselected atrandomfromthe applications wehavereceived.Youwillbeadvisedby31st January2016astowhetheryourapplicationwas successfulor not,andfurther joininginstructionswillbeprovided.

Ifyouarecompletingthis formmanually,weassume youareunabletosubmit yourapplication electronically viaemail.Pleasethereforesend your applicationbypostto:

Abday Azzi

DoughtyStreetChambers

53-54 DoughtyStreet

London

WC1N2LS

Theinformationyouhavesuppliedwillbekeptconfidentiallywithintheadministrationteamuntil theapplicationprocessis complete.Ifyourapplicationissuccessful,relevantinformationmaybe sharedwithbarristersyouareshadowing.Ifyouarenotsuccessful,yourdetailswillbekeptonfile fora periodof6 months andthen destroyed securely.

DoughtyStreetChambersoperatesanEqualOpportunitiesPolicy,inaccordancewiththeEquality

Act 2010. Acopy ofourpolicyis availableonrequest.

Shouldyouhaveanyqueries,pleasedonothesitatetocontactAbday Azzi at