First Name (s)
Family / Surname
Town or City
Post code / Code Postal
Age and Date of Birth
Sex: Male Female
Describe what you are doing at this present time ? i.e are you at University and what are you studying? Or are you working and if so what is your job? Or are you unemployed? Is this part of your gap year or year out?
Do you hold a full driving license ? Yes No
Did you send us your CV or resumé ?
If you had to choose three subjects from the Internship Job description, which do you think would be the most important for you to learn or develop?
The address you will be travelling from is it different from the above. (i.e. If you are a student) are you travelling direct from is your university?
If you become ill or have an accident whilst staying at La Giraudière who would we contact? Please supply their name, telephone number, and their relationship to you.
What medical and hospital insurance cover will you have? (Please state the name of your insurance company)
What languages do you speak ?
Will you be applying for academic credit ? Yes No Note: If you are applying for academic credit there may be a minimum period required by your university, or faculty, so check with your administrator, advisor or careers officer prior to applying.
Where would you like to see your career 10 years from now ?
Will you require a receipt for your booking in order to help with your Travel / Visa application ?Remember that some nationals are not allowed to visit France without a permit and/or a visa but you are allowed to visit as a paying guest or a tourist with a confirmed accommodation reservation. Please click the box to confirm yes if you do require an accommodation reservation receipt for your visa application
Do you have any dietary issues?
How long an internship would you like to do? You can check multiple 4 week internship
6 week internship
8 week internship
10 week internship 12 week internship
Tell us your preferred
starting date start
Tell us your second choice start date
Tell us your third choice start date
Are you flexible about your dates? Yes
If you would like to add something about your dates please note it here
The Your arrival pick up point is Chalais Gare - please indicate this is ok or what other plans you have. Chalais Gare (Station)
I will arrive direct at La Giraudière and will not need picking up
I have my own car / transport and will arrive direct
If you cannot make the trip or you are delayed you should notify us as soon as possible. No prior cancellation then No refund. We must have time to fill your place.
By submitting your application form for an internship you confirm you have read the
internship agreement and you agree to its' contents. You further realise that this internship is a training internship which provides a learning experience and is no way a position or employment or neither does this internship take away a position from another.