Application Form

MGT Contact

Progessing to another qualification? Yes

No

Employer Chain

Division

Company name

Start date

Candidate Details

NI number * DOB * Area Gender * M

F

Prefer not to say

First Name * Last Name * Middle Name Another Name (before marriage etc.)

Title * Postcode * Street Address * House Number * Town * Telephone Number * Mobile Number * E-mail *

FOH / BOH FOH

BOH

Commercial / SDS Commercial

SDS

Have you been previous funded for accreditation? * Yes

No

Details

Employer Details

What is your job role and what Apprenticeship route would you like to follow? *

Tasks

Mentor allocated within the workplace *

Where do you see yourself in 3 months? *

Where do you see yourself in 6 months? *

Hobbies *

Strengths

Weaknesses

Opportunities

Threats

What do you like most about your job? *

What department do you enjoy most? *

What department do you do you dislike most? *

What apprenticeship route do you think now suits you best?

National Training Programme

1. Ethnic Group *

Please read the list below and choose one category that most closely describes your ethnicity

White

Scottish Other British Irish Other white background

Asian, includes Asian Scottish and Asian British

Bangladeshi Indian Pakistani Chinese Other asian background

Black background includes Black Scottish & Black British

African Carribean Other african background

Mixed ethnic background Other ethnic background

2. Disability *

We welcome disabled applicants, and will seek to provide support and/or make adjustments to meet your requirements. The information you provide in this section can help us to do this. If you do not want to give this information at this time, we would recommend that you tell your employer/training provider as soon as you can, so that they are able to fully support you.

1. Do you have an impairment, health condition or learning difficulty?

Yes No Prefer not to say

2. Please tick if any of the categories below apply to you (tick all that apply)

a. You have a social/communication impairment such as a speech and language impairment or Asperger’s syndrome/other autistic spectrum disorder, or cognitive impairment
b. You are blind or have a visual impairment uncorrected by glasses
c. You are deaf or have a hearing impairment
d. You have a long standing illness or health condition such as cancer, HIV, diabetes, chronic heart disease, or epilepsy
e. You have a mental health difficulty, such as depression, schizophrenia or anxiety disorder
f. You have a specific learning difficulty such as dyslexia, dyspraxia or AD(H)D
g. You have a physical impairment or mobility issues, such as difficulty using your arms or using a wheelchair or crutches
h. You have a disability, impairment or medical condition that is not listed above

To help your employer/training provider ensure appropriate support and/or adjustments are in place, please explain in the box provided below if you will need any facilities or support relating to your impairment, health condition or learning difficulty. This might include particular adjustments, extra equipment, readers or interpreters or extra time in assessments.

4. Sexual Orientation *

Do you consider yourself to be?

Bisexual Heterosexual/Straight Homosexual (gay/lesbian)

Other Prefer not to say

5. Transgender *

Have you ever identified as transgender?

Yes No Prefer not to say

6. Care Leaver *

Have you ever been “in care”*?

Yes No Prefer not to say

*Care – as in looked after and accommodated by a local authority

7. Ex offender *

Do you consider yourself to be an ex-offender?

Yes No Prefer not to say

Provider/Candidate Details *

Candidate's, Personal, Career & Progression Objectives *

Assessment *

Qualifications, Experience & Skills

Qualifications (e.g. School Qualifications, SVQs, NVQs etc)

Title	Level	Grade	Date Achieved

	From	To	Total
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Grand Total Hours

MGT Training

Candidate Details

Details

Employer Details

What is your job role and what Apprenticeship route would you like to follow? *

Tasks

Mentor allocated within the workplace *

Where do you see yourself in 3 months? *

Where do you see yourself in 6 months? *

Hobbies *

Strengths

Weaknesses

Opportunities

Threats

What do you like most about your job? *

What department do you enjoy most? *

What department do you do you dislike most? *

What apprenticeship route do you think now suits you best?

NTP EO Monitoring

1. Ethnic Group *

2. Disability *

3. Religion or Belief or none *

4. Sexual Orientation *

5. Transgender *

6. Care Leaver *

7. Ex offender *

Preferred Method of Contact *

CANDIDATE HISTORY AND CURRENT EMPLOYMENT STATUS

Employed Status *

How Long Unemployed (before commencement of MA) *

Current Role Length (How long have you been in your (candidate's) current job role with your current employer?) *

Employment Length (How long were you employed prior to the start of training?) *

Employment Status *

Pre-employment status (what were you doing before starting to work for your current employer?) *

SCQF Level Held *

Provider/Candidate Details *

Candidate's, Personal, Career & Progression Objectives *

Assessment *

Qualifications, Experience & Skills

Qualifications (e.g. School Qualifications, SVQs, NVQs etc)

Individual Training Plan - Delivery

Outline details of Induction training, including any specific outcomes

Barriers Identified?

Extra Support Required?

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