Leicestershire Fire and Rescue Service

Work Experience with Leicestershire Fire and Rescue Service

Using the form below, you can request either long or short term work experience with us. Alternatively, click here to be taken back to the main data submission portal.

Please provide as much information as possible to allow us to process your request promptly. Failure to provide all necessary information could a delay or a refusal in your application.

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About You

Work experience/placement duration

Name

Email Address

Age

Preferred start date

Preferred end date

Course of Study *

Department

School/College/University Address

School/College/University Telephone

Teacher/Lecturer Name

Please tell us why you would like to undertake a work experience placement with the department you have chosen

Your Address

Parent/Carer/Guardian Name *

Parent/Carer/Guardian Telephone

Diversity Monitoring

Leicestershire Fire and Rescue Service is committed to promoting equality of opportunity irrespective of age, gender, disability, race/ethnicity, religion or belief, sexual orientation or transgender status. The information you provide will be used for monitoring and improving the service we provide to the communities of Leicester, Leicestershire and Rutland.

Date of Birth

Gender

Ethnicity

Do you have a disability?

Religion

Are these details correct?

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About You

Diversity Monitoring