APPLY ONLINE Section 1 – Personal Information First Name* Last Name* Email* Mobile Phone* Address* Town/city* Postcode* National Insurance Religion Date of Birth* Section 2 – 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 – Misc Are you currently undertaking any other form of Government funded training with a training provider other than The Academy?YESNO If yes, please 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?YESNO Do you have any criminal convictions?YESNO If yes, please give details Do you have a long term disability, health problems or learning difficulty?YESNO If yes, please give details Have you the right of abode and been resident in the UK for the past 3 years?YESNO Which applies to you?UK CitizenEU NationalEEA Migrant Worker who has been in the EU for the past 3 yearsHave “settled status” i.e. resident in the UK for the past 3 yearsSpouse 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:-English/Welsh/Scottish/Northern Irish/BritishIrishGypsy or Irish travellerAny other White BackgroundWhite and Black CaribbeanWhite and Black AfricanWhite and AsianAny other Mixed/Multiple Ethnic BackgroundIndianPakistaniBangladeshiChineseAny Other Asian BackgroundAfricanCaribbeanAny other Black/African/Caribbean BackgroundArabAny OtherNot known/Not Provided Which of these apply:-No household member is in employment and household includes one or more dependent childrenNo household member in employment and household does not include any dependent childrenLearner lives in a single adult household with dependent childrenNone of the above Section 4 – Confirmation Tick to accept:I confirm this information is true, complete and accurate APPLY NOW
