Reason for application Student support worker Professional development / research (tick one box) Please attach relevant supporting Please attach a letter stating your documents e.g. letter or contract area of interest and why your confirming your employment needs cannot be met by the public library service Phone number(s) Email * I have read and agree to abide by the Signature * You must provide a current address All personal information provided by or about you will be treated strictly in terms of the Data Protection Act 1998. This means that confidentiality will be respected and that measures will be taken to prevent unauthorised disclosure. If applying by post Send the completed signed form and photocopies of ID/proof of address (copies will be securely destroyed and not held on file) to: Information Administration Room 201, Charles Library Plymouth University Drake Circus Plymouth PL4 8AA Telephone: (01752 588588) Documentation Staff use Date: Initials: received: Info Admin Expiry Card Number: Initials: Staff use Date:
Reason for application (tick one box) Student support worker Professional development / research Please attach relevant supporting documents e.g. letter or contract confirming your employment Please attach a letter stating your area of interest and why your needs cannot be met by the public library service Phone number(s) Email * Signature I have read and agree to abide by the * You must provide a current address All personal information provided by or about you will be treated strictly in terms of the Data Protection Act 1998. This means that confidentiality will be respected and that measures will be taken to prevent unauthorised disclosure. If applying by post Send the completed signed form and photocopies of ID/proof of address (copies will be securely destroyed and not held on file) to: Information Administration Room 201, Charles Library Plymouth University Drake Circus Plymouth PL4 8AA Telephone: (01752 588588) Staff use Documentation received: Date: Initials: Info Admin Staff use Card Number: Expiry Date: Initials: