Apprenticeship Application Form

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If you need alternative language versions or formats please telephone ... ESF Match funding – You are made aware that
For SETA use only

CONFIDENTIAL REPORT

Employer

Applicant Name:

(To be completed by the School)

Please give a brief assessment of the Student Alternatively, a pre-printed school format which covers similar aspects is acceptable GCSE EXAMINATIONS TO BE TAKEN AND EXPECTED GRADES SUBJECT

EXPECTED GRADE

SUBJECT

EXPECTED GRADE

ASSESSMENT OF ATTITUDE, EFFORT & ATTAINMENT Attendance and Timekeeping……………………. Attitude to Teachers and Authority ………………………………………………………… ………………………………………………………… ………………………………………………………... …………………………………………………………. Reliability and Initiative ………………………………………………………… ………………………………………………………… ………………………………………………………… ……………………………………………………….. Additional learner support required :

Any known physical or mental limitations ………………………………………………………… ………………………………………………………… ………………………………………………………… ………………………………………………………….

YES □

NO □

(please indicate)

Any recent lapses or misdemeanours ……………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………… HEADTEACHER’S PERSONAL COMMENTS, RECOMMENDATIONS OR OTHERWISE ……………………………………………………………………………………………………………………….. ……………………………………………………………………………………………………………………….. ……………………………………………………………………………………………………………………….. ……………………………………………………………………………………………………………………….. ……………………………………………………………………………………………………………………….. ………………………………………………………………………................................................................... .................................................................................................................................................................... Name:…………………………………...................… Signature:….……………..……………………….. Position…………………………………………..…………………………………

Apprenticeship Application Form SETA Training & Advisory Services Limited

Date…………………...

SAFEGUARDING/ EQUALITY & DIVERSITY SETA is committed to Safeguarding and promoting the welfare of children. The Association wholeheartedly supports the principle of Equality and Diversity in employment and opposes all forms of unlawful or unfair discrimination on the grounds of colour, race, nationality, ethnic or national origin, sex, marital status or disability.

18 Hammond Avenue, South Reddish, Stockport, SK4 1PQ Phone: 0161 480 9822

Email: [email protected]

EQUALITY & DIVERSITY SETA is committed to an Equality & Diversity Policy in providing all its services. To help us monitor this, please complete the following:

PLEASE COMPLETE THE FOLLOWING IN BLOCK CAPITALS AND IN BLACK PEN FULL NAME

NI NUMBER

ADDRESS

DATE OF BIRTH

/

/

MOBILE TEL NO

EMAIL

DO YOU DRIVE

NEXT OF KIN

EMERGENCY CONTACT NO

SCHOOL QUALIFICATIONS: SUBJECT

YES / NO

Do you require additional learner support due to Dyslexia, Dyspraxia, ADHD, etc. Ethnic Origin: Please tick below as applicable YES / NO

YES / NO

White British

Black African

Indian

Chinese

White Irish

Black Caribbean

Pakistani

Other

White Other

Black Other

Bangladeshi

Details

If you need alternative language versions or formats please telephone 0161-480-9822

DATE TAKEN: GRADE

MALE / FEMALE

Do you consider yourself disabled?

SCHOOL/ COLLEGE ATTENDED HOME TEL NO POSTCODE

Gender

SUBJECT

GRADE

Household Situation Please tick the relevant box that applies No household members in employment and the household includes one or more dependent children No household member is in employment and the household does not include any dependent child You live in a single adult household with dependent children You wish to withhold this information None of the above apply to me

POST 16 QUALIFICATIONS: COLLEGE SUBJECT

Do you have internet access at home? GRADE

COLLEGE

SUBJECT

GRADE

FULL OR PART TIME WORK (Including work experience)

HOBBIES/ INTERESTS/ ACTIVITIES

WHAT SKILLS AND ATTRIBUTES DO YOU FEEL YOU POSSESS THAT WOULD BE OF INTEREST TO AN EMPLOYER?

YES / NO

SFA FUNDING ELIGIBILTY CHECKLIST 1. Are you a UK Citizen?

YES / NO (if yes go to 4)

2. Have you the right to abode in the UK without any immigration restrictions?

YES / NO (if yes go to 4)

3. Are you a Citizen of a country within the European Economic Area (EEA)?

YES / NO

4. Have you been ordinarily resident in the UK for at least the previous three years?

YES / NO (if yes completed)

5. Have you been ordinarily resident in the EU or an EEA country for at least the previous three year?

YES / NO

ESF Match funding – You are made aware that the funding for your Framework may be used as matched funding from the European Social Fund (ESF) via the Skills funding Agency (SFA) SIGNATURE

DATE

/

/

IMPORTANT : NO APPLICATION WILL BE PROCESSED WITHOUT A SIGNATURE When completed, please take this to your school, with a stamped addressed envelope, addressed to SETA, for your Headteacher to complete their reference.