Career Academy student application form 2011/12

Please print in BLACK ink. This form will be photocopied.

Todays date _____/_____/_____

School / college: Anniesland College

Contact information
Last name Gill Is this your legal name? Yes No Town/City and Country of Birth Glasgow Address 32 Randolph Road Name of parent / carer Town / city Glasgow First name Andrew If not, what is your legal name? Middle name Iain Former name, if you have one Your National Insurance number JX 65 88 74 C Date of birth 02/ 11 /1993 Age 17 Nationality Scottish County Post code G11 7LG Home telephone number (0141) 334 4533 Mobile telephone number Male Female

Alison Green (+44 )7990570844 Part of the Career Academy programme involves an internship in a company. ALL companies, for security reasons, ask to see a passport (or full birth certificate if you are a British National) as proof of identity and right to work in the UK. Do you have a passport (and visa/ permit if you are not an EU Citizen) that will still be valid in August next year? Yes No

Education and community information

Please list the schools you attended between the ages of 11 and 16 Name and address of school/s Hyndland Secondary School Lauderdale Gardens Glasgow G12 9RQ 0141 582 0130 Attended from (date) To

August 2005

June 2011

Please list the subject and level of your qualifications Cisco I.T Essentials Higher Computing Higher Physics Intermediate 2 English

Date qualification achieved

Grade awarded

S.Grade Technology S.Grade Craft & Design S.Grade Mathematics S.Grade English S.Grade Physics S.Grade Computing S.Grade Modern Studies S.Grade French

Name of your current tutor Richard Copeland

Please list the courses or subjects you are currently studying at this school / college HNC Networking

Are you currently working part-time? Yes No

If yes, please give details of your work and weekly hours.

Please list below any community, work experience or volunteer activities you have undertaken in the last three years Current Member of Friends of Naseby Park(A Local Community Group) Currently Assisting In Teaching Karate To Children Ages 5+ Completed One Year Paired Reading Course in School

Please list any other responsibilities outside school / college that you may have Occasional Chid Minding Little Sister(Aged 11)

General information
Please answer the following questions as fully as possible. This is an opportunity to display your written communication skills, so use complete sentences. Why are you interested in joining a Career Academy? I am interested in joining the Career Academy as I would like an insight into how mass corporations work. I am also interested in meeting people who are working in the IT sector of work. I hope it would allow me to use the knowledge acquired in my college course in a working environment.

What do you expect to gain from joining the Career Academy? Attending the Career Academy would allow me to extend my knowledge base in a working environment. I would hope to use the experience to aid me in an application for university.

What is the one thing youve done of which you are the most proud? Why? In my life the thing that has made me most proud is achieving my 1st Degree (Dan) Black Belt in Shotokan Karate as it was the culmination of years of mental and physical training.

List three things you do well at the moment Getting up every morning on time for my paper round. Help with technological queries from my neighbours, family and friends. Convey my knowledge and enthusiasm to my young students.

List three things you would like to learn to do better Cope with difficult parents of karate students Be able to Cook Installing a full home network with everything linked properly.

How do you feel about learning new skills? I enjoy learning new things that will help me in the future.

Describe yourself in three words Friendly, Interesting, Passionate

What goals have you set yourself? Achieve My 2nd Degree Black Belt Pass My HNC Networking Expand My PC Repairs Business

Your signature
The above information is true to the best of my knowledge. Career Academies UK and your school / college will use the above information to consider and process your application. It may also use the information to contact you about future events, to invite you to conferences, or to send you newsletters or other pieces of information you may find interesting. The information I have provided on this form is true and correct to the best of my knowledge X Your signature Date

Please return completed forms to the Career Academy representative at your school / college.

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UK Career Academy Foundation, 25 Canada Square, Canary Wharf, London E14 5LB T: 020 7986 5494 F: 020 79865497