Skills Bootcamp Form

  • Skills Bootcamp

    Learning Agreement

  • 1. Learner Information

  • Date of Birth*
     / /
  • Legal Sex (stated on passport / birth certificate)*
  • Gender*
  • Undergoing Gender Reassignment*
  • Format: 07000000000.

  • 2. Further Information

  • Do you have any criminal conviction(s) (Excluding minor motoring offences)*
  • Are you currently caring for children or other adults*

  • 3. Emergency Contact Details

  • Format: 07000000000.

  • 4. Qualifications

  • Prior Attainment / Highest Previous Qualifications*

  • 5. Employment Information

  • Hours in this position*
  • If you are unemployed, how long have you been unemployed for*
  • If unemployed, please tick one of the following*
  • Are you attending this bootcamp via your current employer (has applicant been sent on the bootcamp through their current employment)*
  • Do you plan to work alongside the bootcamp*

  • 6. Disability, Learning Difficulty and or Health Problem(s)

  • Do you consider that you have a learning difficulty, disability or heath problem*
  • Please tick what applies to yourself (If what you need is not listed below, please select 'Other' in the previous question and list what is missing)
  • If you have ticked more than one of the above, please state which disability, learning difficulty and / or health problem impacts most on your learning (If you ticked one, please skip this question)

  • 8. Learner Declaration and Commitment

  • I agree that the information given in this agreement is true, correct and completed to the best of my knowledge and I understand that DTN Academy has the right to cancel my enrolment if it is found that I have provided false or inaccurate information. I agree that this information can be used to process my data for any purposes connected with my studies or my health and safety whilst on the premises. This also includes any other contractual requirements and, in particular, the disclosure of all the data on this form or otherwise collected about me to the DfE (Department for Education) for the purposes noted in the new Privacy Notice. I also agree with the below points relating to my chosen programme:

    • Take appropriate responsibility for my own learning, development and progression
    • Attend and undertake training required to achieve the Skills Bootcamp identified in Programme Details in the ILP
    • Promptly inform the Employer and/or DTN Academy if any matter or issue(s) arise, or might arise, that will, or may, affect my learning, development and progression
    • All times behave in a safe and responsible manner and in accordance with the statutory requirements of health and safety law relating to my responsibilities from time to time
    • Comply with the policies, regulations and procedures of my Employer and/or DTN Academy, notified to me from time to time
  • Your information may also be shared with other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislation. You can agree to be contacted for other purposes by ticking any of the following boxes:
  • I agree to visual images being used for marketing purposes*
  • Date*
     / /
  • Should be Empty: