RESEARCH INTERN APPLICATION FORM

Please complete this form as fully as possible (IN CAPITALS).

Use a continuation sheet if necessary. Please email to: info@streetlight.uk.com

*Please note that this internship/placement is an unpaid role.

1. PERSONAL CONTACT DETAILS

Title: Surname
Forename (s): D.O.B
Address:

Postcode:
Home Tel No:
Mobile No:
Email Address:

2. SKILLS & EXPERIENCE

What degree are you studying for?

What research skills have you been able to develop in your course and how will you be able to apply it in this
setting?

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Do you have a particular area of interest within research? If so please explain.

What are you hoping to gain from this experience?

3. MEDICAL HISTORY
Do you suffer from any physical or mental ailments that may restrict your work activity? (e.g. back or limb
problems, dust allergies, stress reaction, depression etc.) If so, please give details:
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4. EMERGENCY CONTACT
Please provide details of someone whom we can contact on your behalf in the event of an accident or
emergency.
Name: ..................................................................... Relationship to you: .........................................
Contact Telephone Number: Home……………………………………. Mobile……………………………………………..

5. DECLARATION
I confirm that, to the best of my knowledge, the information given on this form is correct. I understand that
false information could lead to dismissal. I consent to the data processing of the information I have given on
this form as defined under the Data Protection Act 1998 for the purpose of my work with StreetlightUK.

Signed: ............................................................................ Date ..........................................................

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 STREETLIGHT UK VISION STATEMENT

Exposing the harms, ending the violence, offering fresh choices to women involved in prostitution. Changing
the public narrative around prostitution and shifting the current burden of the law in England and Wales, off
of victims and onto perpetrators. Streetlight UK is specifically focused on providing tangible and material
pathways for women out of a lifestyle of prostitution and violence and has developed its specialism and
understanding of women involved in prostitution since 2012.

We fully expect to continue to create a replicable model of specialist support, for a significant and
marginalised group of vulnerable women across Sussex, Surrey and London over the next five to ten years.
We will continue to do this through a partnership approach - developing our direct support work with
women, alongside our training resources. Crucially we will continue to actively enable women ‘survivors’ to
join our staff and volunteer teams, shaping our specialist support service for women involved in prostitution.

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