Graduate application form

Please complete this form to apply for a graduate position. This online form cannot be saved. If you would like to download and email the form instead, please click here.

Strictly Confidential
The information given on this form will be treated with the strictest confidence. Please complete it fully and carefully, as this form will be used to make an initial assessment of your application.

If you are human, leave this field blank.

Specialism of interest:

Position of interest:

Graduate

Industrial Placement

Summer Placement

Work Experience

First choice location:

Second choice location:

Personal details

First name(s) *

Surname *

Maiden name

Date of birth

Address *

Address

City

County

Post code

Country

Contact number *

Email *

General details

Do you hold a current driving licence?

Yes

Give details and dates of any endorsementsGive details and dates of any endorsements

Do you require a work visa? *

Yes

National Insurance Number *

References

Please give names and addresses of two people, preferably from previous employers, whom we may contact for references. At least one of these should be from your most recent employer. Referees will not be contacted without your permission.

Name *

Address and contact telephone number *

Name *

Address and contact telephone number *

Are references able to be contacted immediately?

Yes

Any commentsAny comments

Available start date

Education, qualifications and training

Secondary school *

Dates attended *

Examinations taken *

Grades *

University / Colleges *

Dates attended *

Examinations taken *

Grades *

Professional qualifications

Please indicate grade of membership

Special training courses attended

Interests *

Main interests, activities, sports etc. Please state particular achievements.

Present or last employment

Name of employer *

Address of employer *

Position held *

Nature of business *

Notice period *

Current salary *

Reason for leaving *

Please describe your present job, indicating your main responsibilities and duties. What do you consider to be your main achievement?

Previous appointments

Dates *

Employer's name and address *

Position held *

Reason for leaving *

Supplementary information

Why do you want to work for Curtins? *

Give a brief description of your aims and ambitions for the future and how you plan to achieve them *

Please give any other information that you feel appropriate to your application, e.g. key skills

Statement *

I declare that that above particulars are true, complete and correct. I understand that any false statements or withholding any relevant information will result in the withdrawal of any offer of employment or my immediate dismissal if employment has commenced.