Application For Industrial Attachment To apply for an industrial attachment at Bentworth Energy please complete the below form. Industrial Attachment Questionnaire Period of AttachmentNumber of Weeks. Please give details of how long you would want the attachment to be. From DD slash MM slash YYYY To DD slash MM slash YYYY Current Field of Study Name First Last PhoneEmail Nationality Educational Qualifications.School/Institution(s) attended and list qualifications achieved and gradesUpload certificates Drop files here or Select files Max. file size: 1 GB. Other AchievementsPlease include details below of other relevant achievements these might include: co-curricular activities, leadership positions held, awards, prizes or certificates, volunteer work and professional membershipsPrevious internships or industrial attachmentsPlease include details in chronological order including: name and address of the organisation, length of service and project briefDeclaration (tick here to accept the statements below)I hereby declare that all information given above is true and correct to the best of my knowledge and belief. I authorise background investigation of all statements contained in this record if my application is considered. I understand and accept that if the above information is subsequently found to be incorrect or untrue, partially or wholly, I will be disqualified from the attachment.