ITWALES.COM - Student Application Form

Student Graduate Placement Application Form

Please complete as many fields as possible, fields marked with a * are compulsory.

Title: * Name(s): * Surname: *

*Date of Birth: day: month: year: Gender: *

Please make sure you complete the following, we need at least one* telephone number:
Home Phone Number:		Term Phone Number:
Mobile Number:		email address: *

University/College: *
if you selected "Other", please specify:

Course: *
Year of Study: *, if "Other", please specify:

Do you have a valid driving licence?:
If yes, is this licence clean?:
Do you have your own transport?:
Are you prepared to travel?:

Do you have any disabilities?:
If yes, please give details:

*Type of Work:
What sort of work are you looking for? (select all that apply)

	Y N
Summer Placement
Year Out
Part Time Job (during term time)
Full Time Job (Final Year/MSc Students only)

*Location of Work: (where would you consider working)

Your Skills:

Please select the appropriate boxes below:
** please ensure this section is filled in as accurately as possible **


PROGRAMMING	Never used	Basic Knowledge	Good Knowledge	Expert
.NET
Pascal
Delphi
C
C#
C++, Visual C++
Basic
Visual Basic
FoxPro
Oracle
Java
Javascript
Actionscript
Perl
Director
WEB DEVELOPMENT	Never used	Basic Knowledge	Good Knowledge	Expert
HTML
XHTML
DHTML
CSS
XML
MySQL
Shockwave/Flash
CGI Programming
FrontPage
ASP
PHP
Ecommerce / Shopping Cart
Dreamweaver
Fireworks MX
Search Engine Optimisation
PDA	No Knowledge	Some Knowledge	Good Knowledge	Expert
PDA Development
Satellite Forms
GENERAL SUBJECTS	No Knowledge	Some Knowledge	Good Knowledge	Expert
Databases
Web Design
Desktop Publishing
SQL
Spreadsheets
Word Processing
Programming
Networks / Computer Networking
CAD
CRM
Multimedia
Graphic Design
SYSTEM KNOWLEDGE	No Knowledge	Some Knowledge	Good Knowledge	Expert
Computer Maintenance (Fixing minor problems, applying patches/updates)
Computer Assembly (Building PC's from scratch, adding/removing hardware)
IT Support (Operating System Installation / Configuration)
IT Support (Setting up Server software and securing systems)
IT Support (Software upgrades)
IT Support (Helpdesk)
Linux / Unix (Clients)
Linux / Unix (Servers)
Windows Clients (XP/2000/ME/98/95)
Windows Server (NT Servers, 2003, 2000, NT)
Macintosh
MS SQL Server
Apache Server
IIS Server
APPLICATIONS	Never used	Basic Knowledge	Good Knowledge	Expert
Quark
Adobe Photoshop
Adobe Illustrator
Paint Shop Pro
MS Word
MS Excel
MS Access
MS Powerpoint
MS Publisher
Sage

Language Abilities: (Please specify any languages you can speak below)

Any other skills you'd like to mention:

Finally, if you had the choice, what sort of job would you be looking for:

Thanks for your time, and good luck!

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