Apprenticeship Application Form

Ethnicity

1. We need to be sure our Equal Opportunities Policy is being carried out. Please help us by completing the section below. This information is not used in any selection decision. White - English / Welsh / Scottish / Northern Irish / British White - Irish White - Gypsy or Irish Traveller White - Any Other White background Mixed / Multiple ethnic group - White and Black Caribbean Mixed / Multiple ethnic group - White and Black African Mixed / Multiple ethnic group - White and Asian Mixed / Multiple ethnic group - Any Other Mixed / Multiple ethnic background Asian / Asian British - Indian Asian / Asian British - Pakistani Asian / Asian British - Bangladeshi Asian / Asian British - Chinese Asian / Asian British - Any Other Asian background Black / African / Caribbean / Black British - African Black / African / Caribbean / Black British - Caribbean Black / African / Caribbean / Black British - Any Other Black / African / Caribbean background Other ethnic group - Arab Other ethnic group - Any Other ethnic group Any Other Not known / Not provided

Education Details

1. School / College Attended
   Leaving Date

Qualifications

Which subjects did you study at School? (Include any craft or practical subjects, such as Resistant Materials, CTD etc.) If you have already taken an examination state the type (GCSE, GNVQ etc.,) and, if you know them, the grades obtained.

1. Subject (eg. GCSE's)
   Predicted Grade
   Actual Grade
   Date Taken
2. Subject (eg. GCSE's)
   Predicted Grade
   Actual Grade
   Date Taken
3. Subject (eg. GCSE's)
   Predicted Grade
   Actual Grade
   Date Taken
4. Subject (eg. GCSE's)
   Predicted Grade
   Actual Grade
   Date Taken

Work Experience

1. (eg. part-time work, summer holiday, work placement)

Hobbies and Interests

Learning Difficulties / Medical Details

1. Do you consider that you have a learning difficulty, a disability or a health problem that might affect your work or training? Yes No
2. If YES, please give details

Some jobs in the construction industry will be too difficult or dangerous for people with certain health problems. To find jobs which are suitable and safe for you, we need to know if you suffer from any of the following:

1. Poor Eyesight Yes No
2. Poor Hearing Yes No
3. Fear of Heights Yes No
4. Asthma Yes No
5. Epilepsy Yes No
6. Colour Blindness Yes No
7. Allergies (e.g. eczema, hay fever, etc.)
8. Other Physical Disabilities

How did you hear about the Apprenticeship Training Programmes?

Which of the following trades do you wish to train for?

Put (1) against your first choice and (2) against your second choice.

1. Bricklaying
2. Carpentry and Joinery
3. Gas Installation
4. Painting and Decorating
5. Plastering
6. Electrical Installation
7. Plumbing
8. Refridgeration and Air-Conditioning

Previous Training

1. Have you previously been on a Training Scheme or an Apprenticeship Yes No
2. If YES, please name the previous scheme

Are you employed? If so, please give your employers name and details

1. Name
2. Address
3. Postcode
4. Telephone Number
5. Contact Name
6. Occupational Area

Residency

1. Have you been resident in Britain or an EU country for the last three years? Yes No
2. Country of Residence

Declaration

I certify that the above information is correct and agree that GBCT may share this information with other organisations for administrative, statistical and research purposes, to inform Careers / Connexions and to monitor progress of learners.

1. Submit Information