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Apprentice Enquiry Form

Personal Details

First names *

Surname *

Title *

Sex *

Date of Birth *

NI Number *

Address *

Address 2 *

Address 3

Address 4

Postcode *

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)

Previous Education and Qualifications

What is your highest level of education qualification 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

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.

I live full time in the UK

I am aged 16-18

I am aged 19 and over

Do you have a Level 4 or above qualification (HNC, HND, Foundation Degree, Degree)

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

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 *

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 *

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? *

An eligible child – a young person who is 16 or 17 and who has been looked after by local authorities/ Health & Social Care Trust for at least a period of 13 weeks since the age of 14 and who is still looked after.

A relevant child – a young person who is 16 or 17 who has left care after their 16th birthday and before leaving care was an eligible child.

A former relevant child – a young person who is aged between 18 and 21 [up to their 25th birthday if they are in education or training]

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

How we will use your Personal Information

This privacy notice is issued by the Education and Skills Funding Agency (ESFA), on behalf of the Secretary of State for the Department of Education (DfE). It is to inform learners how their personal information will be used by the DfE, the ESFA (an executive agency of the DfE) and any successor bodies to these organisations.

For the purposes of relevant data protection legislation, the DfE is the data controller for personal data processed by the ESFA. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR).

Your information will be securely destroyed after it is no longer required for these purposes. Your information may be used for education, training, employment and well-being related purposes, including for research. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training.

Your information may also be shared with other third parties for the above purposes, but only where the law allows it and the sharing is in compliance with data protection legislation.

You can agree to be contacted by other third parties by ticking any of the following boxes.

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