PICS Learner Management System : Applicant Sign Up : Apprentice Enquiry Form

Apprentice Enquiry Form

Personal Details

First names *

Middle Name(s)

Surname *

Title *

Sex *

Date of Birth *

NI Number *

Address *

Address 2 *

Address 3

Address 4

Postcode *

If you have lived less than 3 years at the above address, please confirm all previous addresses to cover at least the last 3 years

Work Email *

Personal Email *

Mobile Number *

Ethnicity *

Does your gender differ from your birth sex?

Please state your Nationality *

Have you been a permanent resident in the UK/EU/EEA for the past 3 years? *

If no, please state the country you have been living in for the past 3 years

Date of entry to the UK (If applicable)

To be eligible for an apprenticeship you must have the right to work and study in England and be one of the following *

Country of Birth *

Do you have any restrictions on your residency in the UK? *

I have the right to work in England with no restrictions *

Previous Education and Qualifications

What is your highest level of education achieved so far? *

Grade of highest achieved qualification *

Date achieved *

Please detail below any other qualifications you hold that may be relevant to the Apprenticeship qualification for which you are enrolling

Are you currently undertaking any other Government funded training? For example, another apprenticeship, HE or AEB funded qualification *

If yes, please provide full details of the course

Have you officially left school?

GCSE English Grade (if applicable)

GCSE Maths Grade (if applicable)

Please attach any evidence of these qualifications. Any Accredited Prior Learning to be used for exemptions i.e. Maths, English certificates MUST be produced within the first 12 weeks of programme otherwise these will not be accepted. Personalised Learner Records will be checked.

Please attach any evidence of a Level 2 (GCSE Equivalent) English qualification.

Drop files here or click to browse.

Please attach any evidence of a Level 2 (GCSE Equivalent) maths qualification.

Drop files here or click to browse.

Employment Details

Employer

Employer *

Employer Address *

Employer Phone Number *

Employer Email *

Levy or Co-Funded *

Employee Count *

Details of person responsible for Health & Safety on site *

Details of person responsible for Staff Development *

Employer Representative

Full Name *

Job Role *

Email *

Telephone *

Learner Employment Status

Please select one of the following options *

Employment Job Title *

Is your contract permanent or temporary?

permanent
temporary

How long have you been employed - current employer *

Employment Intensity Indicator. Please select one of the following *

Please confirm number of Contracted Hours per week *

Please confirm number of days holidays per year *

Do you have a contract of employment? *

Do you work at least 50% of your working hours in England? *

Individual Learning Plan

Which Apprenticeship Standard are you interested in? *

When are you available to start an apprenticeship programme? *

Disability or Learning Difficulty

We positively welcome your application if you have a disability or support need. Any information given will be treated confidentially and will only be used to offer the support needed. It will not affect your chance of getting on a course.

OXPE staff may add comments to the information given, but it will be treated in the strictest confidence

Do you consider yourself to have a learning difficulty, disability or health problem? *

Do any of the following apply which might require additional support in order to complete your programme successfully? *

Please confirm what you consider to be your primary learning difficulty, disability or health problem *

Do you have any long-term medication?

If yes, what type?

Have you any other difficulty not listed which may make work activities difficult? *

If yes, please give details

Do you have Education and Healthcare Plan? *

Are you a care leaver? *

a young person aged 16-25 years old who has been looked after by a UK local authority or health and social care trust at some point since they were 14 years old and were in care on or after their 16th birthday

I do / do not consent for appropriate health information to be shared with my employer. *

How we will use your Personal Information

The personal information you provide is passed to the Chief Executive of the Education Skills Funding Agency and when needed the Department for Education to meet the legal duties under the Apprenticeships, Skills, Children and Learning Act 2009, and for the Agency’s Learning Records Service (LRS) to create and maintain a unique learner number (ULN). The information you provide may be shared with other partner organisations for purposes relating to education or training.

Allowed Contact Methods *

Preferred Contact Method *

For surveys and research *

Allow courses or learning opportunities *

Further information about use of and access to your personal data, details of organisations with whom we regularly share data, information about how long we retain your data, and how to change your consent to being contacted, please read the ESFA Privacy Notice.

Please also see Oxford Professional Education’s Privacy Policy.

Please also see OXPE’s further policies.

Equal Opportunities Monitoring

OXPE are committed to providing equality of opportunity for staff, learners and potential learners. As a part of ensuring that this commitment is met, monitoring is to take place to see if staff and learner profiles reflect that of the local population. All the information will be treated in the strictest confidence and will only be used for monitoring purposes.

Submission

All completed forms will be reviewed by a member of the Apprenticeships Team.

Please note: Submission of this form does not guarantee a place/ funding on any course/ programme with Oxford Professional Education.

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Apprentice Enquiry Form

Personal Details

Previous Education and Qualifications

Drop files here or click to browse.

Drop files here or click to browse.

Employment Details

Employer

Employer Representative

Learner Employment Status

Individual Learning Plan

Disability or Learning Difficulty

How we will use your Personal Information

Equal Opportunities Monitoring

Submission