2021 Apprentice Pre-Enrolment Questionnaire V2

Fields marked with a red asterisk * are required fields.

First name

Last name

Mobile

Address1

Address2

Town

Postcode

Job title

Weekly Contracted Hours

Annual Holiday Entitlement

Date of Birth (please select from calendar box or use the following format dd/mm/yyyy)

Which of the following most accurately describes you?

A:Female

B:Male

C:Let me type...

D:I prefer not to say

Let me type response...

Line Manager Details

Line Manager (Full Name)

Line Manager (Email Address)

Line Manager (Contact Number)

HR/L&D Details

HR/L&D Contact (Full Name)

HR/L&D (Email Address)

HR/L&D (Contact Number)

Eligibility

Are you currently on a Government funding training programme?

Yes

Are you a citizen of the UK and Islands, or the EEA and have a Right of Abode?

Yes

Have you been ordinarily a resident of the UK or the EEA throughout the last 3 years for reasons other than study?

Yes

ID Verification

Evidence Check (please show at your prior learning discussion and upload via the Evidence link on the Welcome Letter)

Driving Licence

Passport

Qualification Title including Level or Grade (e.g. GCSE, O Level, A Level, Standard Grade, Higher)

English (specify grade)

Mathematics (specify grade)

Other GCSEs (please include subject and grade)

A Levels or Certificates of Higher Education

Foundation Degrees, Bachelor’s Degrees and Masters Degrees

Other vocational qualifications (NVQ’s, VRQ’s, GNVQ’s HNC’s, HND’s, BTEC’s etc)

Recognition of Prior Learning

Do you wish to claim exemption for any part of this programme in recognition of similar prior learning?

Yes

If yes, please provide details

LLDD and Learning Support

Do you consider yourself to have a long term disability, health problem or any learning difficulties?

Yes

If yes, please specify

Additional Information (Mentor details etc if applicable)

Additional Information

Declaration

I declare to the best of my knowledge the information I have given is a true and accurate record.

Consent

I give my consent for Azesta Ltd to process this information in accordance with GDPR. I will inform Azesta Ltd if any details change.

Signature (Typing your full name in this field constitutes as your signature)

If you receive a pop up for an 'internal error' after submitting the form, please check your date of birth has been entered via the date selector, eg: 01/01/2021 Many thanks!