Mini-Pupillage Application Form

Name

This field is for validation purposes and should be left unchanged.

Unique ID

Personal details

Name(Required)

Title Forename(s) Surname

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

(please make sure you notify us of any changes)

Email(Required)

Enter Email Confirm Email

Contact Number(Required)

Education

Undergraduate Degree:

Name of Institution:(Required)

Attended From:(Required)

Attended To:(Required)

Subject of Degree:(Required)

Grade:(Required)

Obtained/Predicted(Required)

Please provide a full breakdown of all modules taken so far and results

Module:

Result:

Additional rows can be added.

Please give details of any extenuating circumstances you would like to bring to our attention

Other Undergraduate / Post Graduate / Professional Qualifications, Including CPE / BPTC (formerly BVC):

Name of Institution:

Attended From:

Attended To:

Subject:

Grade:

Obtained/Predicted

Please provide a full breakdown of all modules taken so far and results

Module:

Result:

Additional rows can be added.

Other Undergraduate / Post Graduate / Professional Qualifications, Including CPE / BPTC (formerly BVC):

Name of Institution:

Attended From:

Attended To:

Subject:

Grade:

Obtained/Predicted

Please provide a full breakdown of all modules taken so far and results

Module:

Result:

Additional rows can be added.

Do you need to add additional Undergraduate / Post Graduate / Professional Qualifications?(Required)

‘A’ Levels / ‘S’ Levels / Equivalent:

Name of School/College:(Required)

Please provide a full breakdown of all results(Required)

Date:

Subject:

Grade:

Additional rows can be added.

GCSEs / ‘O’ Levels / Equivalent:

Name of School/College:(Required)

Please provide a full breakdown of all results(Required)

Date:

Subject:

Grade:

Additional rows can be added.

If your results were obtained overseas, please explain their equivalence to A-Levels/GCSEs

Scholarships / Awards / Prizes:

Please provide a full breakdown of all Scholarships, Awards and Prizes

Date:

Name of Scholarship/Award/Prize:

Awarded by:

Additional rows can be added.

Experience:

Please list any other mini-pupillages which you have undertaken, or arranged for the future

Date:

Name of Chambers:

Additional rows can be added.

Other work/work experience

Employer

Dates of Employment

Position

Brief description of role/responsibilities

Please list your previous employers, the dates you worked and the position you held

Experience of public speaking

(please give short details of mooting, debating or other public speaking in the box below)

Reasons for Applying

What skills do you have that you think would make you a good barrister? (max 150 words)(Required)

Why are you applying to 4 Pump Court for a mini-pupillage? Please tell us in particular which practice areas are of interest to you and why. (max 150 words)(Required)

Please include below any additional supporting material that you would like to mention but have not covered in previous questions

Do you intend to apply for pupillage at any set in the next Pupillage Gateway?(Required)

Would you prefer to attend a remote mini-pupillage day, conducted via MS Teams?

Do you have any preference between the dates currently listed on our website?

Data Protection Act 1998 Notice:

We hold and process personal data relating to applicants for mini-pupillage in order to carry out our selection procedures, and, in relation to successful applicants, to arrange and manage their mini-pupillages. Our holding of your personal data is subject to our Privacy Notice (https://www.4pumpcourt.com/about-us/privacy-notice), and further details of your rights in this context are set out in the Privacy Notice.

Declaration:

Equality & Diversity Monitoring Form

We are committed to equal opportunities and diversity and aim to select candidates for both pupillage and tenancy solely on merit irrespective of age, disability, gender reassignment, marital or civil partnership status, pregnancy or maternity, race, colour, nationality, ethnic or national origin, religion or belief, sex or sexual orientation. In accordance with BSB recommendations, we monitor all stages of our application process to try and ensure that unfair discrimination is not taking place. To assist us in this monitoring process, we would be grateful if you could complete the following form. Please answer each question in turn by choosing one option only, unless otherwise indicated. If you do not wish to answer the question please choose the option “Prefer not to say‟ rather than leaving the question blank. Please note that you are not required to provide your Diversity Data. You are free to choose whether or not you wish to provide all, some or none of your Diversity Data. Any information provided in this form will only be used for monitoring and statistical analysis and will not be passed on to selectors.

Age

From the list of age bands below, please indicate the category that includes your current age in years:

Sex

Gender Identity

Is the gender you identify with the same as your sex registered at birth?

Please enter gender identity (write in)

Disability
The Equality Act 2010 generally defines a disabled person as someone who has a mental or physical impairment that has a substantial and long-term adverse effect on the person’s ability to carry out normal day-to-day activities. “Long term” means that the impairment is likely to or has lasted for 12 months or more).

(a) Do you consider yourself to have a disability according to the definition in the Equality Act?

(b) Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months?

What is your ethnic group?

Asian / Asian British

Black / African / Caribbean / Black British

Mixed/Multiple Ethnic Groups

White

Other ethnic group

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