Kia Apprenticeship

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    Learner Details

    First Name *

    Surname *

    Date of Birth *

    Do you have a National Insurance number?

    National Insurance Number *

    Address *

    Town *

    County *

    Postcode *

    Time at Address *

    Previous Postcode (if less than 5 years at current)

    Mobile Phone *

    Home Telephone

    E-mail Address *

    Confirm Email Address *

    Password *

    Confirm Password *

    Nationality *

    Gender *

    Equal Opportunities

    (this information is confidential and will not be disclosed)

    Ethnic Origin *

    Health or Learning Difficulties *

    Other non-specific difficulty *

    Cognitive Learning Difficulties *

    Other Disabilities *

    Are you in or have you recently left care? *

    Are you in or have you recently left care? *

    Do you need help leaving a building in an emergency? *

    Do you have an Education, Health and Care Plan? *

    Are you happy to share a copy of your Education, Health and Care Plan? *

    Declaration of Criminal Convictions

    Do you have any unspent criminal convictions? *

    Declaration of Criminal Convictions- Our aim is to create a safe and healthy environment for all those who use Skillnet services. This includes all those studying and working at Skillnet or using its services. We have a duty of care to those under the age of 18 and those deemed to be vulnerable and ‘at risk’. To help achieve these goals we need to know about those applying to Skillnet with unspent convictions. If you answer YES, you will be asked to complete a confidential form disclosing the nature of the unspent conviction. A judgment will then be made based on the information provided. Failure to reveal a conviction may end any training agreement with Skillnet. However, having a criminal record will not necessarily bar you from a place on a Skillnet programme. This will depend on the course, circumstances, and background of the offence.

    Next of Kin Details

    (Must be completed for all learners)

    Name *

    Relationship to you *

    Address *

    County *

    Postcode *

    Home Tel. No *

    Mobile *

    Email *

    Parents/Guardians Details

    (To be completed if different from Next of Kin and learner is 16-18 years old)






    Home Tel. No



    Learner Eligibility

    For further information refer to Apprenticeship funding rules August 2020 to July 2021

    Have you completed school year 11 at the end of the academic year (last Friday in the month of June) and do not intend to return to full time education after the summer holidays?

    Are you enrolled on another apprenticeship or attending school or FE College / university as a full time as a student?

    Are you of British or EEA nationality?

    Are you an overseas national subject to employment or training restrictions and/or full limit on your stay? (Other than a refugee or an asylum seeker).

    Have you been normally and lawfully resident in the UK / EEA for the three years before your apprenticeship start date?

    In which Country have you normally lived over the past three years? *

    Are you taking part in any other employment training or enterprise programme or scheme funded by Her Majesty’s Government?

    Are you in custody as a prisoner or on remand in custody?

    Do you have a contract of employment?

    If no will you have contract of employment by your Apprenticeship start date?

    Are you or will you be paid at least the minimum apprenticeship wage?

    Prior Learning, Qualifications and Exemptions

    Have you already achieved any of the following qualifications? Please select the current level of your highest qualification.

    If level 4 or above, please indicate Level and Qualification



    English GCSE Result *

    Maths GCSE Result *

    Current Employment Status

    In Paid Employment

    Length of Employment

    Weekly Hours Worked

    In Paid Employment

    Length of Unemployment