Section 1 (of 4): Personal Information
Date of Birth (day, month, year)
Section 2 (of 4): Education and Experience
Most recent school / training college
List qualifications/subjects most recently studied
Which course are you applying for and at what level?
Section 3 (of 4): Misc
Are you currently undertaking any other form of Government funded training with a training provider other than The Academy?
If yes give details
List any questions you would like to be answered at interview?
Please explain about any dependants or caring responsibilities you have
Are you in custody as a prisoner or on remand?
Do you have any criminal convictions?
If Yes please explain.
Do you have a long term disability, health problems or learning difficulty? If Yes please explain.
Have you the right of abode and been resident in the UK for the past 3 years?
Which applies to you
EEA Migrant Worker who has been in the EU for the past 3 years
Have “settled status” i.e. resident in the UK for the past 3 years
Spouse of UK citizen/person with settled status who has been married and resident in the UK for 1 year
Equal Opportunities Monitoring - please choose your ethnic group:-
Gypsy or Irish traveller
Any other White Background
White and Black Caribbean
White and Black African
White and Asian
Any other Mixed/Multiple Ethnic Background
Any Other Asian Background
Any other Black/African/Caribbean Background
Not known/Not Provided
Which of these apply:-
No household member is in employment and household includes one or more dependent children
No household member in employment and household does not include any dependent children
Learner lives in a single adult household with dependent children
None of the above
Section 4 (of 4): Confirmation
I confirm this information is true, complete and accurate