Apprentice EOI Form 2020 Apprenticeships, Runshaw College TitleMrMrsMissMsFirst Name(s)*Surname*Previous Surname(s)GenderMaleFemaleDate of Birth* Current Age*Address* Street Address Address Line 2 City County / State / Region Post Code Email address* Telephone NoMobile NoHave you been permanently resident in the UK for the last three years?*YesNoUnique Learner Number (if known)If you do not have a Unique Learner Number you will need to bring either a passport, driving licence, your National Insurance card or a bank/credit/debit card for identificationNational Insurance NumberCourse applied forCourse Applied for*Please note that students who do not attend for the first two weeks and make no contact with the college, will automatically be withdrawn from their courseQualificationsPlease state below any qualifications you have, and/or examinations you are taking. Please attach any supporting letter or CVAll QualificationsSubjectYear of EntryResult (if known)Estimated GradeDate Expected Employment detailsEmployment StatusEmployed 16+ hours per weekEmployed less than 16 hours per weekFull Time Education or TrainingVolunteeringSelf EmployedUnemployedEmployerEmployment Address Street Address Address Line 2 City/Town County Post Code Employer PhoneContracted Weekly HoursHoliday Entitlement per annumAnnual LeaveBank/Public HolidaysAdditional Leave (Closure Days)Further informationPlease state your reasons for applying for this course. Please include your career aims, interests and relevant work experience. Continue on a separate sheet if necessary.Your ethnic origin*Asian or Asian/British -BangladeshiAsian or Asian/British - IndianAsian or Asian/British - PakistanAsian - otherBlack or Black British - AfricanBlack or Black British - CaribbeanChineseMixed White/AsianMixed White/Black AfricanMixed White/Black CaribbeanMixed White/OtherWhite - BritishWhite - IrishWhite - OtherAny other / Not knownAdditional supportDo you have a disability (e.g. physical or sensory, health, mental health, mobility, etc) or learning difficulty (e.g. dyslexia, etc) that we need to be aware of or that you will need support for on your course?Do you have a special educational need, learning difficulty? Please tick Yes No If yes, please provide more informationAre you in care, just left care or consider yourself to be a young carer? Please tick Yes No If yes, please provide more informationDo you have any health problems? Please tick Yes No If yes, please provide more informationDo you have an Educational Health Care Plan (EHCP)? Please tick Yes No AttendanceRegular and punctual attendance is expected in order for you to achieve, progress and realise your full potential. Please provide details of any dates you will not be able to attend your course and the reason for the absence. You should include any planned holidays.DBS checkPlease be aware that if your long term goal is to work in an area with vulnerable adults or any person under the age of 18, it will be necessary to undergo a Disclosure and Barring Service (DBS) check at your place of employment. If you have a criminal conviction this may exclude you from working in some job roles.How did you find out about the course?*College PublicationPoster / LeafletRecommendationNewspaper AdvertSocial MediaRadio AdvertText (SMS) MessageCareers ServiceEmployerDirect Enquiry to CollegeCollege WebsiteCollege EventOther, please specifyPlease select all that applyConsentI give consent to the processing of my data by Runshaw College and any other organisation which has a statutory right to receive any of it in accordance of the Data Protection Act 2018. I give consent to the processing of my data I would like to receive emails about further details of learning opportunities and associated events Written Name and Surname*UntitledFirst ChoiceSecond ChoiceThird Choice
