Application Form

What type of course are you applying for? *

Apprenticeship (placement already arranged)

Apprenticeship (need to find placement)

16-18 Advance Course

Standalone Vocational Course (through learning loan or private funding)

GCSE Maths

GCSE English

Functional Skills

Do you already have a work placement arranged with a local employer? *

Yes

No

Are you already in employment and interested in doing an apprenticeship at your place of work?

Yes

No

Employer Details

Employer Name*

Employer Address*

Employer Postcode*

Your Job Title

Date Employed From*

Start Application

Personal Details

Title

First Name(s)*

Last Name*

Home Phone Number*

Mobile Phone Number

Email*

Gender

Date of Birth*

National Insurance Number*

Home Address

Address*

Postcode*

Preferred Method of Contact

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Who should we contact in the event of an emergency?

Name*

Telephone Number*

Address*

Postcode*

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What is your nationality?*

Have you been resident in the UK, EU or EEA for the past 3 years?

Yes

No

In which country do you normally live?*

What date did you enter the UK?*

Which country did you live in before coming into the UK?*

How long have you lived there?*

Please state if any of these conditions apply to you:

Indefinite Leave to Enter, Remain, Right of Abode or Refugee status

Naturalisation or Registration as British Citizen

Spouse/Civil Partner of 'settled' UK, EU or EEA Resident: (lived in UK for more than 1 year and married for more than 1 year)

Asylum Seeker

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Please give details of any qualifications that you hold as well as grades. (eg, GCSE, BTEC Diploma, A-level etc)

Personal Statement*

Please provide a brief overview of your interests, work experience, achievements and ambitions you have for the future.

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Disability is defined as any physical or mental impairment which has a substantial and long term (over 12 months) adverse affect on your ability to carry out day to day activities.

Do you have an Education, Health & Care Plan (EHCP)? If yes, you will need to send us a copy of your plan.

Yes

No

Criminal Convictions

You must tick 'Yes' if you have a conviction unless it is:

a) A motoring offence that you received a fine or three penalty points for, OR
b) A spent sentence (as defined by the Rehabilitation of Offenders Act 1974)

Please be aware that for certain courses, particularly in teaching, health and social care, you must tell us about ANY criminal conviction(s), including spent sentences and cautions. If you are serving a prison sentence you must tick the ‘Yes’ box. If you are convicted of a criminal offence after you have enrolled, you MUST let us know immediately. If you are not sure whether to tell us about a previous conviction you should get more advice from your Citizens Advice Bureau. In line with the College safeguarding procedure if you declare a conviction we will need to complete a risk assessment form before we can process the application any further.

Do you have any criminal convictions?

Yes

No

Safeguarding - The College’s designated Safeguarding Officer is Debra Baldwin

If you are under 18 answer this question.

Who do you live with?*

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Please help us monitor our Equality and Diversity policy by selecting the most appropriate option

I consider my ethnic origin to be:*

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Please select one:

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Upload File: (Max Size: 1 MB - Supported Types: PDF, DOC, DOCX, RTF, TXT)

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Under the Data Protection Act of 1998 we need your consent before we can process and store your information. By ticking this box you are consenting to the personal data you supply being used to: (1) Process your application (2) Investigate and provide the correct level of support that may be required by you.

You must agree to this disclaimer before submitting the form.

The information contained on this form will be used to process your application and to keep you informed of courses at HL College. If you do not wish to receive future mailings from us please tick this box.

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