COMMERCIAL TRAINING LEARNER AGREEMENT

COMMERCIAL TRAINING LEARNER AGREEMENT
Course Attending*
Date*

DayMonthYear
Date
Delegate Name*

First NameLast Name
Take Profile Picture*
Tutors Name*
Your Date of Birth*

DayMonthYear
Date
Contact Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Post Code
Employer / Company Name:*
Email Address*
example@example.com
For SMART AWARDS accreditations please ensure you use the same email address you have / or will be registered to your NOPS card.
IF YOU PROVIDE AN INCORRECT EMAIL ADDRESS IT WILL BE YOUR RESPONSIBILITY TO CONTACT SMART AWARDS TO HAVE THIS AMENDED.
Do you have any Health / Learning Difficulties*

NOYES
If YES please state below :
Gender:*

MaleFemaleOther
CONSENT:
Media Consent – I hereby give consent to the collection and use of my personal images. I acknowledge any images maybe used in publications or DTN Academy website to promote the company in the future. I understand that no personal information will be used unless express consent has been given. I understand I can revoke this consent by written notification.

PRIVACY NOTICE:
A full privacy notice is available at reception. Further information about use of your personal data and details of organisations whom we share data with and how long we retain your data can be reviewed at:

https://www.gov.uk/government/publications/esfa-privacy-notice

HEALTH & SAFETY:
I hereby acknowledge that I will co-operate with DTN Academy to ensure compliance with the H&S policy during my time at DTN Academy.

PLEASE READ THE DECLARATION BELOW BEFORE SIGNING DECLARATION:
BY SIGNING THE BOX BELOW YOU ARE CONFIRMING THAT YOU HOLD VALID PRE-REQUISITE ACCREDITATIONS REQUIRED TO COMPLETE YOUR TRAINING WITH DTN ACADEMY. A FULL LIST OF PRE-REQUISITES REQUIRED IS LISTED OVER THE PAGE. IF YOU ARE UNSURE PLEASE SPEAK WITH YOUR TUTOR FOR CLARIFICATION.

I acknowledge that I have read and completed this form to the best of my ability and all the information provided is correct. I understand that upon signing this agreement I agree to all the above; media, H&S and privacy notice, and have declared I have the valid pre-requisite accreditations required. Whilst at DTN Academy I will abide by the rules and regulations of the company.
Media*

YES (I am happy for my picture to be used)NO (I dont want my picture used on any media)
Signature*

Clear
Should be Empty: