Internships

Apricot Computers Internship Application Form

We ask everyone interested in interning with Apricot Computers to complete this application form. It requests your contact details and a little background information on what you’d like to get out of interning with Apricot Computers. Please read the role descriptions on the website for further information about our interning and career roles.

Please email your completed form to support@apricotcomputers.live. All suitable applicants will be invited for an informal interview in-person or online.

Preferred Title (Mr, Mrs etc.) *

First Name *

Surname *

Address

Post Code

Telephone Number (Home)

Telephone Number (Work)

Telephone Number (Mobile)

We will contact you via email unless you for the majority of our correspondence.

Intern Role

Please give us details about what you are interested in doing as an intern– indicate all that apply and please
remember that appropriate training can be given for each role.

Community Contact

YesNoOur community contacts help us to promote Apricot Computers within their own local area, building up links between Apricot Computers, local health, ICT and digital services and people within their community, and encouraging people to use Apricot Computers’ services.

Enter and View Representative

YesNoEnter and View representatives visit health and adult social care services to see how they are run. By making observations, chatting to customers/residents and visitors, E&V reps work as part of a team to produce reports with recommendations for improvement or highlighting best practice to share with other services.

Champions

YesNoOur Champions support Apricot Computers at drop-ins and other public events, gathering client opinion and raising awareness of our organisation. Apricot Computers Champions can also attend meetings and forums on our behalf.

Administrative / Research Intern

YesNoWe welcome interns with either administrative or research experience in order to enable us to achieve our outcomes, by helping with the collection and analysis of data and information and the writing of reports or by carrying out specific administrative tasks which support the work of the staff team.

Why are you interested in this role?

Please tell us why you want to intern with Apricot Computers and what you hope to get from your experience
with us. This can include any relevant internship, intern or paid experience, any qualifications, hobbies or interests
that you have had that would help you undertake the role that you are applying for.

Why I would like to Intern with Apricot Computers:

Where did you find out about our intern opportunities?

Wheelchair userLarge printHearing loopInterpreter

Please let us know of any reasonable adjustments we could make to enable you to intern with us

Availability

When would you be able to intern with us? Please provide the times you are available.

Hours

Minutes

Or give a total if the day cannot be fixed:

Comments:

Supporting Information

Please provide us with the names of two people to provide a reference.
They must be over the age of 18 and must not be related to you. They should have known you for at
least two years. These can be previous employers, university tutors, or anyone else who can comment
on your suitability for the intern role. Referees will only be contacted after your interview if you are
accepted, to ask their opinion of you as a potential intern.

First Referee

Full Name

Address

Telephone

How do you know this person?

Second Referee

Full Name

Address

Telephone

How do you know this person?

Declarations

Declaration of convictions

Some of Apricot Computers’s interning opportunities may involve direct
contact with potentially vulnerable members of the public. This means that if you are
applying for a role which will involve contact with vulnerable people you will be
required to declare your entire criminal record including cautions, reprimands, final
warnings and criminal convictions categorised as spent under the above legislation.
This information will only be disclosed to specific Apricot Computers staff.

Have you been convicted of a criminal offence?

YesNo

If Yes, please provide details:

Before you begin:

• Don’t submit this form if you have, or are eligible to get, a U.S. social security number (SSN).

Reason you’re submitting Form W-7. Read the instructions for the box you check. Caution: If you check box b, c, d, e, f, or g, you must file a U.S. federal tax return with Form W-7 unless you meet one of the exceptions (see instructions).

a. Nonresident alien required to get an ITIN to claim tax treaty benefitb. Nonresident alien filing a U.S. federal tax returnc. U.S. resident alien (based on days present in the United States) filing a U.S. federal tax returnd. Dependent of U.S. citizen/resident aliene. Spouse of U.S. citizen/resident alienf. Nonresident alien student, professor, or researcher filing a U.S. federal tax return or claiming an exceptiong. Dependent/spouse of a nonresident alien holding a U.S. visah. Other

Additional information for a and f:

Enter treaty country

treaty article number

If d

enter relationship to U.S. citizen/resident alien

If d or e

enter name

SSN/ITIN of U.S. citizen/resident alien

Foreign (non U.S.) Address:

Don’t use a P.O. box number

Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Birth Information:

Date of birth

City

state or province (optional)

Country of birth

Gendar

MaleFemale

Other Information

6a. Country(ies) of citizenship

6b. Foreign tax I.D. number (if any)

6c. Type of U.S. visa (if any), number, and expiration date

6d . Identification document(s) submitted

PassportDriver’s license/State I.D.USCIS documentationOther

6e . Have you previously received an ITIN or an Internal Revenue Service Number (IRSN)?

No/Don’t know Skip line 6fYes. IF Yes! Complete line 6f. If more than one, list on a sheet and attach to this form

6f. Enter ITIN and/or IRSN

ITIN

IRSN

6g. Name of college/university or company

Sign Here

Under penalties of perjury, I (applicant/delegate/acceptance agent) declare that I have examined this application, including accompanying documentation and statements, and to the best of my knowledge and belief, it is true, correct, and complete. I authorize the IRS to share information with my acceptance agent in order to perfect this Form W-7, Application for IRS Individual Taxpayer Identification Number.

Signature of applicant (if delegate, see instructions)

Name of delegate, if applicable

Delegate’s relationship to applicant

ParentCourt-appointed guardianPower of attorney

Acceptance Agent’s Use ONLY:

Name and title

Name of company

EIN

PTIN

Office code