Traineeship Application Form

Title:

Full Name*

First NameLast Name

Date of Birth*

MonthDayYear

First Language:

Contact Number (Home)*

Area CodePhone Number

Mobile Number*

Area CodePhone Number

E-mail address*

This must be a valid email address and unique to you. We may use this to contact you about your registration.

E-mail address (please enter again)*

This must be a valid email address and unique to you. We may use this to contact you about your registration.

Address*

Number / street name /building number

Street Address Line 2

City / TownCountry

Postcode

Next of Kin / Emergency Contacts

Emergency Contact Name*

First NameLast Name

Emergency Contact Relationship:

Emergency Contact Email Address:

Emergency Contact Phone Number*

Area CodePhone Number

Do you live with this person?

YesNo

Disabilities, Medical Conditions and Learning Support Details

Do you have any disabilities, learning difficulties or mental health difficulties?

YesNo

Do you have a medical condition which may affect your learning?

YesNo

Do you have an Education Health & Care Plan?

YesNo

Do you need extra help with your course or at interview?

YesNo

Are you currently in the care of the Local Authority?

YesNo

Please tick if you are a Local Authority Looked After Child (16-18), unaccompanied asylum seeker or previously care experienced(e.g. in foster care, supported lodgings, residential care, special guardianship, in receipt of leaving care services or adopted)

Have you recently left Care?

YesNo

Please tick if you are a Recent Care Leaver (18-25), unaccompanied asylum seeker or previously care experienced(e.g. in foster care, supported lodgings, residential care, special guardianship, in receipt of leaving care services or adopted)

Criminal Convictions

Do you have any convictions, cautions, reprimands, final warnings or pending court cases which are not protected as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013)?

YesNo

School

Please tell us your previous school:

Did you receive Free School Meals?

YesNo

How did you hear about us?

Qualifications

Please tell us about any previous qualifications:

Learning Agreement Declaration

Required consents

I confirm that before signing this form I have read the data protection policy and privacy notice and consent to the College processing my personal data including any sensitive data in accordance with the data protection principles.
I confirm that I have received, read and agree to abide by the terms and conditions of enrolment, I agree that all of the information on this form is correct.
I confirm that I have received appropriate advice and guidance prior to enrolling on this course and I understand that if I am 16 to 18 years old then English, maths and work experience form mandatory elements of my study programme and I will be required to undertake each of these where appropriate.
The College will

Send you information about your course. However we would also like to send you information about other learning opportunities, courses and events.
Where you are under the age of 18 the College will:

Provide my previous years education provider with information about my academic attainments for the purpose of evidencing educational destination and outcomes;
Provide my parent/guardian/carer with information about my attendance, behaviour, progress and achievement outcomes

ESFA Privacy Notice

This privacy notice is issued by the Education and Skills Funding Agency (ESFA) on behalf of the Secretary of State for the Department of Education (DfE) to inform learners about the Individualised Learner Record (ILR) and how their personal information is used in the ILR. Your personal information is used by the DfE to exercise our functions under article 6(1)(e) of the UK GDPR and to meet our statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 Please see the full privacy notice here: https://guidance.submit-learner-data.service.gov.uk/ilrprivacynotice

LRS privacy notice

The information you supply is used by the Learning Records Service (LRS). The LRS issues Unique Learner Numbers (ULN) and creates Personal Learning records across England, Wales and Northern Ireland, and is operated by the Education and Skills Funding Agency, an executive agency of the Department for Education (DfE).For more information about how your information is processed, and to access your Personal Learning Record, please refer to: https://www.gov.uk/government/publications/lrs-privacy-notices

Confirmation

I confirm I have read and understand the information above.