ANGLO-EASTERN GROUP
APPLICATION FOR CADETSHIP

 

PERSONAL DETAILS & MEDICAL QUESTIONNAIRE                                                                                                                            

Position Applied for:        Deck  Engine Cadet                       (please tick relevant box)

 

Surname:

Forenames:

Address:

      

Postcode:

Telephone no:

      

Date of birth:

Mobile no:

     

Email address:

Place of birth:

Nationality:

                                                                                               Male  Female    (please tick relevant box)

 

 

Height:

Weight:


Do you:                                                                                      Have you:

Wear glasses and/or contact lens

 

Suffer from colour deficiency       

(colour blindness)?

 

Suffer from diabete? 

 

Have any medical condition likely to prevent a career at sea?                                    

 

Yes No

 

Yes No

 

Yes No

 

Yes No

Ever suffered from epilepsy?

 

 

Ever suffered from asthma?  

 

Ever suffered from any nervous disorders?     

 

Ever had any criminal convictions?                                                         

Yes No

 

Yes No

 

Yes No

 

Yes No

 

 

If the answer to any of the above questions is yes, please provide details below:

 

Your Doctor’s Name:   Address: 

 

Give details of any youth organizations to which you belong:

 

Your hobbies, interests and recreational pursuits: 

 

Nearest airport to your home: 

 

GENERAL AND TECHNICAL

 

Name and Address of School or College:

 

Telephone Number:  

 

      GCSE OR STANDARD GRADES                               A LEVEL OR HIGHER GRADES

Subject

Grade

(If yet to be taken, please indicate expected grade)

Year Taken

Subject

Grade

(If yet to be taken, please indicate expected grade)

Year Taken

Mathematics

Mathematics

English Literature

English

English Language

Physics

Physics

Others

Dual Science

 

 

 

Chemistry

 

 

 

Geography

 

 

 

History

 

 

 

CDT

 

 

 

I.T.

 

 

 

Others

OTHER QUALIFICATIONS

 

 

 

 

 

 

 

 

 

 

 

 


Give details of any temporary/ permanent employment:

Name

Address

Occupation

 

Give details of referees:

Name

Relationship

Address

 

 

Please write a short account on why you wish to pursue a seafaring career

 

Full name and address of parent / legal guardian (tick as appropriate): 

Will the above- names act as a guardian? (see note 4): 

 

Part 2

To be completed by your headmaster (see note 6)

 

Certain minimum academic standards are necessary for entry to the various cadet training schemes. Since

applicants are often considered before examination results are known, it would be helpful if you could indicate

below the likely outcome of the examinations the applicant expects to sit. We may contact you for confirmation of

any of the information given.

                                                                                 (Please indicate if your forecast relates to any examination other than GCSE)

 

Subject/ Examination

Expected Grade

Comments

 

Personal qualities/ general conduct?

Application and diligence?

Attendance and punctuality?

Relationship with peers/ teachers and school in general?

Posts of responsibilities held in school/ sporting activities/ extra curricular activities?

 

 

Please provide any further information which you consider relevant to the application and which assists us in assessing the applicant's suitability for a seagoing career at officer level.

 

GENERAL COMMENTS

 

Position:

Date:

Date:

Name of College:

Address:

 

 

NOTES OF GUIDANCE FOR APPLICANTS

 

1. The purpose of this application form is to give the company sufficient information about you to enable

   preliminary assessment to be made as to your suitability. Completion of the form does not bind you to continue

   with the application.

2. Acceptance is conditional upon you meeting the industry’s medical standards.

3. Candidates for deck officer cadetships will be required to pass the Maritime and Coastguard Agency's eyesight

    examination prior to final acceptance.

4. Cadets agreements require the signature of a guardian/for those cadets under 18 years of age at the

    commencement of training. The company will explain the guardian's obligations.

5. On completion of parts 1 and 2 you should give the whole form to your headmaster for completion of part 3.

    If you have left full time education please give the form to the headmaster of the school or college where you

    gained your main qualifications

 

NOTE TO HEADMASTER

 

6. Headmasters are requested to complete part 3 of the form and return it to:

    Cadet Training Officer

    Anglo-Eastern (UK) Ltd

    144 Elliot Street, Glasgow, G3 8EX

    Tel: 0141 353 1020 Fax: 0141 271 4532

    Email: aecmuk@angloeasterngroup.com

 

The information given will be treated as confidential, and will only be used for the purposes stated in note 1 above.