Môn CF Apprentice Placements
Application Form for Placement Apprenticeships
What industry would you like to work in?
*
Please tell us what sector you'd like to do your apprenticeship in - for example, plumbing, catering, construction etc.
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Section 1
Personal Details
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
Mobile Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Can we contact you at work?
*
Yes
No
National Insurance Number
*
Are you free to remain and take up employment in the UK with no current immigration restrictions?
*
Yes
No
Do you hold a full, clean, valid UK driving license?
*
Yes
No
Do you own your own car or have access to a vehicle for work related travel?
*
Yes
No
What is your first language?
Are you a fluent Welsh speaker?
Yes
No
Are you able to hold a basic conversation in Welsh?
Yes
No
Type a question
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Section 2
Current Employment
What is your current employment status?
*
Please Select
Employed
Unemployed
In Education
Current Employer (If now unemployed please provide details of your most recent employer)
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Post Title
Department/Section
Date of Appointment
-
Month
-
Day
Year
Date
Salary
Brief Description of duties:
Period of Notice
Last day of service (If no longer employed)
Reason for leaving
Did you receive any redundancy or retirement benefit?
Yes
No
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Section 3
Previous Employment. List your employment history with your most recent employer first. Please cover the last 10 years and state the nature of business - if not public sector. If there are not enough fields to include all your history, an additional text field has been included for further writing.
Employer Details - 1
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Position Held
Summary of Duties
Employer Details - 2
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Position Held
Summary of Duties
Employer Details - 3
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Position Held
Summary of Duties
Additional Employment History (If Required)
Provide additional employment history here if more fields are required
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Section 4
Education - Please list any qualifications obtained from Schools, Colleges, and Universities. Please list the highest qualifications first.
School/College/University Name
Qualification & Grades Obtained
School/College/University Name
Qualifications & Grades Obtained
School/College/University Name
Subjects & Grades Obtained
Professional, Technical or Management Qualifications
This can include any qualifications you've attained whilst in-work i.e a forklift license
Qualification
Course Details
Qualification
Course Details
Membership of any Professional/Technical Associations - Please state level of Membership:
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Section 5
Training and Development - Please give details of any training and development courses or non-qualifications which support your application. Include any on the job training as well as formal courses i.e first-aid training.
Title of Training Courses & Duration of Course
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Section 6
Personal Statement
Please include abilities, skills, knowledge and experience relevant to the role
Please use this section to explain in detail how you meet the requirements of the apprenticeship scheme.
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Section 7
Rehabilitation of Offenders Act (1974)
Do you have any convictions that are unspent under the rehabilitation of offenders act 1974?
Yes
No
If yes, please provide details/dates of offence(s) and sentence:
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Section 8
Protecting Children & Vulnerable Adults - The following information may be required if the post you are applying for has a requirement for a Criminal Records Bureau police check.
Enhanced Checks Only. Are you aware of any police enquiries undertaken following allegations made against you, which may have a bearing on your suitability for this post?
Yes
No
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Section 9
Disability Discrimination Act - This Act protects people with disabilities from unlawful discrimination. We actively encourage applications from people with disabilities. The Disability Discrimination Act defines a disabled person as someone who has a physical or mental impairment which has a substantial and adverse long-term effect on his or her ability to carry out normal day to day activities.
Do you have a disability which is relevant to your application?
Yes
No
If Yes, please provide details
If Yes, please provide details
Do you require any reasonable adjustments to attend interview? We will try to provide access, equipment orother practical support to ensure that people with disabilities can compete onequal terms with non-disabled people.
Yes
No
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Section 10
Health - Successful applicants will be required to complete a detailed medical questionnaire and may be required to attend a medical examination prior to being appointed.
Number of sickness occasions in the last 2 years
Number of days sickness or absence in the last 2 years
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Section 11
References - Please give the names and addresses of your two most recent employers (if applicable). If you are unable to do this, please clearly outline who your references are.
Reference 1 - Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Reference 2 - Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Please choose referees we can contact prior to interview.
Referee 1
Referee 2
Do not contact any prior to interview
Where did you see this post advertised?
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