Apprenticeship Expression of Interest Form

Title

First Name(s) - Please ensure this is your legal name & not an abbreviation*

Surname*

Previous Surname(s)

Sex*

Please select your legal sex

Gender*

Please select your gender

Pronouns*

she/her
he/him
they/them
prefer not to say
please tick this box if you would like us to make your selections for this selection visible to your teachers and relevant members of staff, to help us refer to you correctly on internal and external college communications

Date of Birth*

Current Age*

Address*

Street Address Address Line 2 City County / State / Region Post Code

Previous Postcode

Last time you were in education (if different from above).

Email address*

Contact Phone No*

Nationality*

Your ethnic origin*

Have you been permanently resident in the UK for the last three years?*

Yes
No

Unique 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 identification

National Insurance Number

Are you currently/have you previously studied at Runshaw before?*

If you are an internal progression applicant we will follow the internal progression policy.

Yes
No

Do you have a UK driving licence and access to your own vehicle?*

Yes
No

Qualifications

Please state below all qualifications you have, and/or examinations you are taking.

All Qualifications	Subject	Year of Entry	Result (if known)	Estimated Grade	Date Expected

Please attach copies of your qualification certificates and an up to date CV.

Drop files here or

Accepted file types: jpg, gif, png, pdf, word, powerpoint, Max. file size: 80 MB.

I am currently employed and my employer is supporting my apprenticeship.

Yes
No

Employer Name

Employer Contact Name

Employer Phone Number

Apprenticeship Programme

Name of your Apprenticeship Course

Course applied for

I do not have an employer and I am interested in applying for vacancies offering the following programmes:

Courses

Accounting
Business Administrator
Team Leading/Supervisor
HR Support
Customer Services
Early Years
Teaching Assistant
Quality/Improvement Practitioner

Vacancy reference e.g. BA30

If you have seen a vacancy you want to apply for, please state the vacancy or name of employer.

Personal Statement*

Please state your reasons for applying for this apprenticeship programme including how it links to your future career goals and aspirations.

Additional support

If 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, please let us know below.

Do you have a special educational need, learning difficulty? Please tick*

Yes
No

Please provide more information

Do you require extra support/specific arrangements putting in place in the workplace?*

If yes, your application will be forwarded to the study support referral team.

Yes
No

Are you in care, just left care or consider yourself to be a young carer? Please tick*

If you tick yes, you may qualify for a care leaver bursary. If you are unsure, please tick unsure to allow us to investigate.

Yes
No
Unsure

Please provide more information

Do you have any health problems? Please tick*

Yes
No

Please provide more information

Do you have an Educational Health Care Plan (EHCP)? Please tick*

Yes
No

Do you give Runshaw College permission to forward any stated/declared health problems/or additional required to the employer?*

Yes
No

Do you give Runshaw College permission to share your medical history and/or the additional support you may require with the employers we are recruiting for?*

Yes
No

Attendance

Please provide details of any dates you will not be available for interview or trials with employers in the next 8 weeks.

Criminal Convictions

Have you got, or ever had any criminal convictions or cautions in the UK or any other country?

Yes
No

Are you under current police investigation?

Yes
No

Are you working with Youth Offending Team or Probation Services?

Yes
No

DBS check

Please 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?*

If other, please specify:

As you are under 19, please add contact details for a Parent/Guardian/Carer

Name of Parent/Guardian/Carer*

Does your Parent/Guardian/Carer live at the same address as you?*

Yes
No

Address*

Street Address Line 2 Town/City County Post Code

Phone*

Email*

Relationship*

Consent

Data Processing Consent*

Privacy Notice - Your personal data will be processed in accordance with the Data Protection Act 2018. We may share your data with your previous school/college, employer/prospective employer and various government bodies in line with statutory requirements. Further information related to how we process the personal data of Applicants and Students can be found within our Privacy Notice which is available at https://www.runshaw.ac.uk/resources/college-policies/

By ticking this box you are consenting to the processing of your personal data for the purposes of administering my apprentice application, including correspondence related to the application and any follow up materials which may be of relevance.
By ticking this box you agree to receive marketing correspondence related to future events, and details of courses which may be of interest to you.

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Name

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Apprenticeship Expression of Interest Form

PLEASE READ

Qualifications

Course applied for

Additional support

Attendance

Criminal Convictions

DBS check

As you are under 19, please add contact details for a Parent/Guardian/Carer

Consent

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Adult (19+) Courses

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