Apprenticeships

Apprenticeship Application Form

Company Contact Details

Company Name (*)

Please let us know your companies name.

Company Contact Name (*)

Please let us know your companies name.

Building Number/Name and Road Name

Please let us know the companies building number/name and road name.

Company Address - Line 2

If your company address has a second line, please enter it here.

Town/City

Please let us know the town/city where your company is.

County

Please select...AvonBedfordshireBerkshireBordersBuckinghamshireCambridgeshireCentralCheshireClevelandClwydCornwallCounty AntrimCounty ArmaghCounty DownCounty FermanaghCounty LondonderryCounty TyroneCumbriaDerbyshireDevonDorsetDumfries and GallowayDurhamDyfedEast SussexEssexFifeGloucestershireGrampianGreater ManchesterGwentGwynedd CountyHampshireHerefordshireHertfordshireHighlands and IslandsHumbersideIsle of WightKentLancashireLeicestershireLincolnshireLothianMerseysideMid GlamorganNorfolkNorth YorkshireNorthamptonshireNorthumberlandNottinghamshireOxfordshirePowysRutlandShropshireSomersetSouth GlamorganSouth YorkshireStaffordshireStrathclydeSuffolkSurreyTaysideTyne and WearWarwickshireWest GlamorganWest MidlandsWest SussexWest YorkshireWiltshireWorcestershire

Please let us know the county where your company is.

Postcode (*)

Please submit the postcode, i.e WA10 1PP

Email Address (*)

Please let us know your companies email address.

Company Contact Number (*)

Please let us know your companies contact telephone number.

Head office or HR contact details (if required)

Please let us know your head office or HR contact details (if required)

Workplace Mentor Information

You only need to fill in this section, if the information is different from above.

Workplace Mentor Name

Please let us know your Workplace Mentor Name if it is different from above.

Workplace Mentor Email

Please let us know your Workplace Mentor Email if it is different from above.

Company Details

Number of Employees

Please let us know the Number of Employees that your company has.

Brief description of company

Please give us a brief description of your company.

Levy or Non Levy

Please select...LevyNon Levy

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For a full list of our apprenticeship offer, click/tap here to view.

Proposed Apprenticeship Course (*)

Please select from...AccountingBusiness and ManagementComputing and ITConstructionEarly Years and Teaching AssistantEngineeringHair and BeautyHealth and Social CareHuman ResourcesMotor VehicleScienceUnsure

Please let us know which apprenticeship you are interested in.

Accounting Apprenticeships

Please select from...Accounts Assistant - Level 2Assistant Accountant - Level 3Professional Accounting or Taxation Technician - Level 4

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Business and Management Apprenticeships

Please select from...Customer Service Practitioner - Level 2 Customer Service Specialist - Level 3 Business Administrator - Level 3Team Leader or Supervisor - Level 3Assessor Coach - Level 4Operations or Departmental Manager - Level 5

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Computing and IT Apprenticeships

Please select from...Digital Support Technician - Level 3Software Developer - Level 4

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Construction Apprenticeships

Please select from...Bricklayer - Level 2Carpentry and Joinery - Level 2Painter and Decorator - Level 2Plasterer - Level 2Wall and Floor Tiler - Level 2Advanced Carpentry and Joinery - Level 3Gas Engineering Operative - Level 3Installation Electrician / Maintenance Electrician - Level 3Plumbing and Domestic Heating Technician - Level 3

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Apprenticeship Provider Delivery Site

Please let us know the Apprenticeship Provider Delivery Site

Apprenticeship Details

Job Title of Apprentice and Brief Overview of Duties

Please let us know the job title of the apprentice and brief overview of duties for the apprentice.

Apprentice start date with employer (in this role)

Day01020304050607080910111213141516171819202122232425262728293031MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear20212022202320242025202620272028202920302031

Please let us know the apprentice start date with employer (in this role)

Apprentice Working Shift Pattern

Please let us know the apprentice working shift pattern.

Total amount of working hours per week

Please let us know the total amount of working hours per week.

Hourly Rate of Pay

Please let us know the apprentice's hourly rate of pay.

Apprentice Details

Apprentice Name (*)

Please let us know your apprentice's name.

Apprentice Date of Birth (*)

Day01020304050607080910111213141516171819202122232425262728293031MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear2006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901

Please enter the apprentice's date of birth.

Please indicate which category best describes your ethnic origin:

Please select...White - BritishWhite - IrishWhite - Gypsy or Irish TravellerWhite - Any other White backgroundMixed/Multiple ethnic group - White and Black CaribbeanMixed/Multiple ethnic group - White and Black AfricanMixed/Multiple ethnic group - White and AsianMixed/Multiple ethnic group - OtherAsian/Asian British - IndianAsian/Asian British - PakistaniAsian/Asian British - BangladeshiAsian/Asian British - ChineseAsian/Asian British - Any other Asian backgroundBlack/Black British - AfricanBlack/Black British - CaribbeanBlack/Black British - Any other Black backgroundArabOtherNot Known/Provided

Please let us know your apprentice's ethnicity.

House Number/Name and Road Name

Please let us know your house number/name and road name.

Apprentice Address - Line 2

Please let us know the second line of your address if you have one.

Town/City

Please let us know your town/city where you live.

County

Please select...AvonBedfordshireBerkshireBordersBuckinghamshireCambridgeshireCentralCheshireClevelandClwydCornwallCounty AntrimCounty ArmaghCounty DownCounty FermanaghCounty LondonderryCounty TyroneCumbriaDerbyshireDevonDorsetDumfries and GallowayDurhamDyfedEast SussexEssexFifeGloucestershireGrampianGreater ManchesterGwentGwynedd CountyHampshireHerefordshireHertfordshireHighlands and IslandsHumbersideIsle of WightKentLancashireLeicestershireLincolnshireLothianMerseysideMid GlamorganNorfolkNorth YorkshireNorthamptonshireNorthumberlandNottinghamshireOxfordshirePowysRutlandShropshireSomersetSouth GlamorganSouth YorkshireStaffordshireStrathclydeSuffolkSurreyTaysideTyne and WearWarwickshireWest GlamorganWest MidlandsWest SussexWest YorkshireWiltshireWorcestershire

Please let us know the county where you live.

Postcode (*)

Please let us know the postcode

Email Address (*)

Please let us know your apprentice's email address.

Apprentice Telephone Number (*)

Please let us know your apprentice telephone number.

National Insurance Number

Please let us know your apprentice's national insurance number.

Qualifications

Predicted Maths Qualification (*)

Please selectGrade 9Grade 8Grade 7Grade 6Grade 5Grade 4Grade 3Grade 2Grade 1Grade A*Grade AGrade BGrade CGrade DGrade EGrade FGrade GGrade U

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Predicted English Qualification (*)

Please selectGrade 9Grade 8Grade 7Grade 6Grade 5Grade 4Grade 3Grade 2Grade 1Grade A*Grade AGrade BGrade CGrade DGrade EGrade FGrade GGrade U

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Any prior qualifications in the apprenticeship subject?

Please let us know any prior qualifications in the apprenticeship subject.

Additional Information

Any learning needs or difficulties? (*)

Yes No

Please let us know if we have you have any learning needs or difficulties.

Do you have an EHC Plan? (*)

Yes No

Please let us know if you have an EHC Plan.

Please upload a copy of your EHC plan here. (*)

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Do you have any unspent criminal convictions? (*)

Yes No

Please let us know if you have any unspent criminal convictions.

Is there anything additional that you would like to add to support your application?

Please let us know if there anything additional that you would like to add to support your application.

Emergency Contact Details

Details #1

Emergency Contact Name (*)

Please let us know your emergency contact name.

Relationship to Emergency Contact (*)

Please let us know your relationship with your emergency contact.

Emergency Contact Number (*)

Please let us know your emergency contact number.

Details #2

Emergency Contact Name

Please let us know your emergency contact name.

Relationship to Emergency Contact

Please let us know your relationship with your emergency contact.

Emergency Contact Number

Please let us know your emergency contact number.

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Privacy Notice

What we do with the information we gather

We require this information to understand your needs and provide you with a better service, in particular for the following reasons:

• We will use the contact details provided to invite you to attend information and enrolment events in relation to your apprenticeship and to request further information from you, where required, to support the admissions and enrolment process and to keep in touch with you before starting your apprenticeship.
• We may use the information provided to monitor and support your progress as a student.
• We may use the information to improve our products and services.
• We may periodically send promotional emails about new products/services or other information which we think you may find interesting, using the mail address which you have provided.
• From time to time, we may also use your information to contact you for market research purposes. We may contact you by email, phone or mail.

Your personal information
By completing this form you are giving your consent to us processing your personal information in this way. We will not sell, distribute or lease your personal information to third parties unless we have your permission or are required by law. You have the right to request details of personal information which we hold about you.

For further information about we use and store your personal data, please read our Privacy Policy.

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Student Signature(*)

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