application form



Applicants must be EU nationals and resident in the UK.


If you have any difficulties completing the application form please contact us on 0191 269 2500


Division *

Surname *

Place of Birth *

Title *

Forename (s) *

Nationality *

Street Address *

Address Line 2 *

City *

County / State / Region *

Postal Code *

Country *

Telephone *

Mobile *

Email Address *

Confirm Email Address *

Relatives

Have you or any close relatives been to sea?

Please provide details:


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Medical History


It is a good idea to check the medical standards which apply before embarking on training or examinations, so as to avoid wasted time and expense if you are subsequently found to have a medical condition which makes you unfit for service. Futher details can be found on the Department for Transport's website.

Successful applicatns will be required to pass a Merchant Navy medical and eyesight exam (Eng1


Do you have any health conditions that may affect your ability to pass this? *

Please provide details of medical conditions (if applicable):


Are you receiving medical treatment/taking medication for any existing health conditions? *

Are you colour blind? *


Criminal Offences


Have you ever been arrested or convicted of any offence or crime? *


Criminal Offence Details:


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Education


Please give details of schools, colleges and/or universities attended over the last 5 years.


School / College / University - 1 *

Please state name of school, dates attended, address and telephone number and head teachers name.


School / College / University - 2 *

Please state name of school, dates attended, address and telephone number and head teachers name.


School / College / University - 3 *

Please state name of school, dates attended, address and telephone number and head teachers name.


GCSEs or Standard Grades


Entry Requirements: 5 GCSEs at grades A - C / 5 Standard Grades at grades 1 -3, including Maths, English and a Science based subject

If you are currently sitting your examinations this year please give your predicted grades and indicate with a 'P'

Please state grade and year sat.


Mathematics *

Physics *

English Language *

English Literature *

Other Grades *

Please list other GCSE subjects with grade and year sat.

** If you have undertaken a modular or integrated science course which includes physics please indicate whether this leads to a double GCSE (by inputting 'double' after your grade).


A Levels of Highers


Please list all A Level or Highers subject names with grade and year sat.

Entry Requirements: 120 UCAS points in unspecified A Levels or Scottish Highers Plus 5 GCSE/Scottish Standard Grades at grades A to C / 1- 3 including Maths, English and a Science based subject.


A Levels / Highers *

Please list subjects with grade and year sat.


Further / Alternative Education *

Please enter details of Courses, Dates and Awards attained where applicable.


Please list any exams you are due to take this year *



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Employment


Please enter details of all employment taken during or after education.


Employment *

Please state employer(s) name, role and dates employed.


Personal Statment


Please write a short account (minimum 1000 words) stating why you wish to pursue a seafaring career.


Statement * 1000 words remaining


Where did you hear about the Maersk cadet training scheme? *



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References


Please give details of EMPLOYER / REFEREE who we may contact for reference if you have left school.


Reference 1 *

PERSONAL REFERENCE: Please supply name, address and occupation.


Reference 2 *

PERSONAL REFERENCE: Please supply name, address and occupation.

By submitting this form, you confirm to the best of your knowledge that the information supplied above is true and accurate.


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