WORK EXPERIENCE/EMS REQUESTS

*Required

Student/Work Experience Full name (First and Last) *

Contact email address *

Contact Phone number *

Clinic Preference? *
—Please choose an option—EitherChiswick OnlyFulham Only

Dates requested: DD/MM/YYYY- DD/MM/YYYY *

- TWO Week Minimum and Maximum for any EMS placements
- ONE week Minimum and Maximum for Work Experience

Some exceptions to the above e.g. Already completed a previous EMS with us/international bookings. Please let us know if you are wanting a longer or shorter time and we can discus if this is possible.
We only host one student at a time in each clinic to ensure each person gets the most out of their learning experience with us, this means that availability is limited.

Please also provide any additional notes you have on the requested dates *

Type of Student/Work Experience *
—Please choose an option—EMS Vet- Year OneEMS Vet- Year TwoEMS Vet- Year ThreeEMS Vet- Year FourEMS Vet- Year FiveStudent Vet Nurse- Year OneStudent Vet Nurse- Year TwoStudent Vet Nurse- Year ThreeStudent Vet Nurse- Year FourWork Experience 16-18year old- Wanting to be a vetWork Experience 16-18year old- Wanting to be a vet nurseWork Experience over 18year old- Wanting to be a vetWork Experience over 18year old- Wanting to be a vet nurseOther

Please Specify Other

Name of school provider

Age *
We cannot take anyone under 16 years old due to health and safety in a clinical environment
—Please choose an option—16-18 years oldOver 18 years old

Have you had a placement with us before? *
—Please choose an option—Yes- Second or more placement at Wolfe VetsNo- Never had a placement with Wolfe Vet before

If you have had a placement with Wolfe Vets before.
When was this DD/MM/YYYY and who was your clinical point of contact/person for your time with us

Do you have any previous work experience or EMS to act as a reference? Please attach

Due to the high demand for work experience placements, we ask all applicants to provide three specific learning objectives that they would like to achieve during their placement, along with a brief explanation of how they plan to work towards achieving each objective.

Your objectives should be relevant to your placement and demonstrate what you hope to learn or develop during your time with us.

Please note that all three learning objectives must be completed. Applications with this section left blank, or with objectives that are considered unsuitable or unrealistic for the placement, may be declined.

1st Learning objective*

2nd Learning objective*

3rd Learning objective*