Application Form
For work placement
Personal Details
Name
*
First Name
Last Name
Full Names of Parents/Guardians (if you are under 21)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Phone Number (work)
-
Area Code
Phone Number
Mobile Number
*
-
Area Code
Phone Number
Email
*
example@example.com
DOB
-
Month
-
Day
Year
Date
Sex
Male
Female
ID or Passport Number
Nationality
Native language
Other languages
Employer
Occupation
Level of English
*Please note that Diploma classes and examinations are held in English.
What is your level of English
*
Elementary
Intermediate
Advanced
Sponsored Participants
This is filled in if an organisation is covering the costs of your stay in Malta
Name of the Organisation
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Contact Person
First Name
Last Name
Position
Work Experience / Internship
Professional field requested/ Internship sector:
Starting Day:
-
Month
-
Day
Year
Date
Ending Day:
-
Month
-
Day
Year
Date
Which Education degree do you have? School? University?
Which Vocational Training do you have?
In which professional field would you like to do the practical Training?
Do you undertake to follow the host organisation's health and safety procedures?
Expectations / Plans
Please describe what you expect from the practical training.
What are your career plans after the Practical Training?
Do you have any condition which may affect your performance during the work experience?
Why do you think, apart from professional qualifications, do you fit into the Practical Training?
CV
Attach a CV or complete all the details below
Browse Files
Cancel
of
Education
Qualifications Completed
Qualifications not completed
Additional Training
Employment History
Additional Information
Would you like to follow a course of study during your stay in Malta? Which course do you wish to follow?
*
Have you ever taken other courses at Future Focus?
*
Yes
No
If yes, list the course/s you have already taken
How did you hear about Future Focus
*
What do you intend to do after the course?
*
Additional details
Do you smoke?
Yes
No
Are you vegetarian or do you have any special dietary requirements?
Yes
No
Give details....................................
Do you have a driving licence?
Yes
No
Do you have a clean police conduct certificate?
Yes
No
Terms & Conditions of Enrolment
By signing below you accept the following Terms & Conditions of Enrolment and agree to abide by all the Rules and Regulations (printed version available from the office) of Future Focus.
I wish to receive Future Focus news by email
Yes
No
Date
*
-
Month
-
Day
Year
Date
Office use only
Fee paid
Date
Total amount Due
Signature
Submit
Should be Empty: