ORT JUMP ALTERNATIVE WORK EXPERIENCE WEEK 2025 APPLICATION FORM

ORT JUMP Year 12 Alternative Work Experience Application Form 2026

Name(Required)

First Last

Pronouns (e.g. She/Her, He/Him, They/Them, etc)(Required)

School Email(Required)

Mobile Number(Required)

Personal Email(Required)

Date of Birth(Required)

Home Address(Required)

Address Line 1 Address Line 2 City Postcode

School/6th Form College(Required)

Teacher Reference Name(Required)

Teacher Reference Email(Required)

School/6th Form College Safeguarding Lead Name(Required)

You can find out details of the safeguarding lead from your school/6th form college office

School/6th Form College Safeguarding Lead Email(Required)

You can find out details of the safeguarding lead from your school/6th form college office

GCSEs studied(Required)

A Levels / BTEC (studying)(Required)

What would you like to gain from the programme?(Required)

Understand more about an industry

How to communicate within a professional setting

How to create a personal profile for an application

Advice on public speaking

Careers options

Networking skills

Other

Other(Required)

Although this is a skills based programme, please give details of industries you're interested in.

Please provide information explaining who you are, your interests, aspirations and goals. Include any work experience or work skills you have to date.(Required)

Do you have any individual needs (Would you require The ORT JUMP Alternative Work Experience Programme to be adapted for any individual needs? e.g. wheelchair access, severe allergies, etc.)

Guardian Name(Required)

First Last

Guardian Phone(Required)

Guardian Email(Required)

How did you hear about this programme?(Required)

Consent(Required)

I the participant, confirm that I will conduct myself in a respectful and responsible manner throughout my work placement.

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