Apply Now (Traineeship)

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Traineeship Application Form

Your answers to this questionnaire will ensure that the programme we offer you is best suited to your needs. When we recieve this form it will passed to the appropriate department at Heathercroft who will assess the information given against the course you would have shown interest in and also check for funding eligibilty. You will then be contacted with options most suitable for your learning needs. All information you give us will be treated confidentially. If you wish to receive more information on the courses we offer or would like to discuss your training needs in further detail, please do not hesitiate to contact us for further guidance. 

Title
Name
Surname / Family Name
Any Previous Names
Current Address & Postcode:
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Previous Post if you have not lived here for 3 years:
Telephone Number:
Mobile Number:
Gender
Date of Birth
Age:
National Insurance Number:If NI number starts with "S" put passport number below
Emergency Contact Details
Name:
Relationship:
Contact Number:
Employment Status
Unemployed?
How long have you been unemployed for?
Are you willing to gain employment?
Are you claiming any state benefits?If yes list below
State Benefits claimed if Yes:
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Your Employment: if applicableDo you work no more than 16 hours a week and earn less than £330 per month?
Work address:
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Postcode
Telephone Number:
Workplace name:
Nature of the business:
Additional Information
Have you lived in the UK for the last 3 years?
If no which country did you live in?
Is this country in the EU?If NO please answer the next question
Do you have a work visa for the UK?If Yes please provide a copy
Have you ever been a resident of any country other than the UK?
If yes - which country?
Please give dates from dd/mm/yyyy to dd/mm/yyyy
Education Information
What school did you attend / or are currently attending?
If still in Education please provide a supporting statement grom your school/teacher if you have one: detils of-
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Do you have a 10 digit unique learner code?
If yes please povide it here:
I authorise HTA to access my Personal Learning Record to obtain my ULN and check my previous qualifications.
Are you currently undertaking any other funded training course?
If so please provide details here:
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Do you have a Learning Difficulty Assessment?
Do you have an Education Healthcare Plan in place?
If you are protected under this plan which County Council manages it for you?

Please list all academic qualifications you have achieved, including overseas qualifications: These could include Degrees, Diplomas, GCSE's O/A levels - (Please specify grades and dates) Qualification/Grade/Date

Qualification, grade and date
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Which Traineeship are you interested in (Please Check Box)
Other please state
Do you have access to a computer at work or home?
Are there any personal circumstances that may affect your training (Please check any that apply)
Please specify:
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Please give details:
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Data protection & your personal information

Heathercroft Training Academy (HTA) is registered under the Data Protection Act 1998. Data collected about learners will be used for educational, administration, guidance, statistical research and health and safety purposes. Data will be shared with our other organisations directly associated with funding, educational support and guidance in accordance with our data protection notification. Processing this data will enable the performance of HTA to be monitored and for HTA to operate effectively and plan future provision. Please be aware that enrolling on a funded training course gives consent to HTA to hold and use information about you as stated above. If you do not wish to give this consent, HTA may not be able to offer you a funded training course and may withdraw any offer already made. If you have any concerns about this, please contact your tutor.

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