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Apprenticeship Register of Interest form
Welcome to the Apprentice Register of Interest form!
By completing this form, you'll help us gather all the necessary information to ensure a smooth and stress-free enrolment process for you. It may seem like a lot of information, but we understand the importance of avoiding duplication and want to make sure we have everything we need right from the start.
Rest assured that any information you provide will be treated with the utmost confidentiality and in compliance with data protection regulations. If you have any questions or need assistance, our team is here to help. You can email us anytime at admin@education-wise.org
Thank you for choosing Educationwise Academy for your apprenticeship journey. We appreciate your time and effort in filling out this form. Let's get started!
Personal Details
Title
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Dr
Miss
Mr
Mrs
Ms
Forename
*
Surname
*
Known as (Preferred Name)
NI Number (Required)
*
Date of birth
*
Sex
*
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Female
Male
Other
Ethnicity:
*
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English/Welsh/Scottish/Northern Irish/British
Irish
White Other
Gypsy/Irish Traveller
African
Caribbean
Mixed - White and Black Caribbean
Mixed - White and Black African
Black Other
Pakistani
Indian
Bangladeshi
Chinese
Other Asian
Mixed - White and Asian
Arab
Other
Mixed - Any other mixed background
Not provided
Address line 1
*
Address line 2
Address line 3
Town
*
Postcode
*
County
*
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Avon
Bedfordshire
Berkshire
Buckinghamshire
Cambridgeshire
Cheshire
Cleveland
Cornwall
Cumbria
Derbyshire
Devon
Dorset
Durham
East Sussex
Essex
Gloucestershire
Hampshire
Herefordshire
Hertfordshire
Humberside
Isle of Wight
Kent
Lancashire
Leicestershire
Lincolnshire
London
Manchester
Merseyside
Norfolk
North Yorkshire
Northamptonshire
Northumberland
Nottinghamshire
Oxfordshire
Rutland
Shropshire
Somerset
South Yorkshire
Staffordshire
Suffolk
Surrey
Tyne and Wear
Warwickshire
West Midlands
West Sussex
West Yorkshire
Wiltshire
Worcestershire
Landline
Mobile
*
E-mail
*
For your safety and to ensure that we can provide assistance in any urgent situations, it is important that we have the contact details of someone who can act on your behalf if needed:
Primary Next of Kin Details:
Name:
*
Relationship to Learner:
*
Primary Contact Number:
*
Secondary Contact Number (If Applicable):
Email Address
Please provide the details an individual who can be contacted on your behalf. The primary next of kin will be our first point of contact in case of an emergency.
Residential Status
Residential Status
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British - Living in UK for 3+ years
EU/EEA - Living in UK for 3+ years
Other - Living in UK for 3+ years
Not Living in UK/EU/EEA for 3+ years
If not resident in the UK for the previous 3 years, please give your Date of Entry to the UK:
Immigration Status
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Asylum Seeker
Exceptional Leave to Remain/ Enter
Himanitarian Protection/ Discretionary Leave to Remain
Refugee
Right of Abode/ Indefinite leave to Remain/ Enter
Please upload a copy of your ID (British Passport, UK birth certificate, biometric residency permit, home office letter or settlement status)
*please note that once eligibility for the programme has been confirmed, your ID will be deleted
Please upload proof of residency for the last 3 years (examples include: council tax bill dated 3 years ago, utility bill excluding mobile phone dated 3 years ago or tenancy agreements dated 3 years ago)
Employment Details
Employment Status:
*
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In Paid Employment
Not in paid employment and looking for work
Not in paid employment and not looking for work
Not Known/ Not Proivded
If Employed:
What is your current Job Title?
*
Date Started with Employer
*
Employer Company Name:
*
Company Postcode
Employer Contact (Manager):
*
Employer Contact Number:
*
Employer Contact Email:
*
Contracted weekly Hours of Employment
*
Please upload a copy of your Employment Contract if already employed
Please upload a copy of your Job Description if already employed
Additional Information
Apprenticeship Applied For
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L2 - Community Activator Coach
L3 - Community Sport & Health Officer
L4 - Sports Coach
L2 - Playworker
L3 - Teaching Assistant
L5 - Specialist Teaching Assistant
L5 - Learning & Skills Teacher
L3 - Personal Trainer
L3 - Business Administrator
L3 - Recruiter
L3 - Customer Service Specialist
L3 - Team Leader
L5 - Operations Manager
L3 - Content Creator
L4 - Sales Executive
Please upload a copy of your current CV
Please enter your highest English and Maths GCSE grades below, if you have not sat GCSE please list the highest qualification and grade i.e. "Functional Skills Level 2 - Pass":
Highest English Grade
Highest Maths Grade
Apprentices in Care Bursary
Click Yes if any of the following applies to you:
1. You're 16 or 17 years old and have been in the care of a UK local authority or health and social care trust for at least 13 weeks since you turned 14, and you are still in care.
2. You're 16 or 17 years old, you are no longer in care but you left care after turning 16, and before leaving, you were in care for at least 13 weeks since the age of 14.
3. You're under 25 years old and were in care for at least 13 weeks since the age of 14 before you turned 18, whether you left care after turning 16 or you were still in care when you turned 18.
If confirmed that you are eligible, you could be entitled to a bursary payment to support your learning. This bursary could total up to £3,000, which will be paid according to a predetermined payment plan over the first year of your apprenticeship. For more information, please click
Further Info
If none of these situations apply to you, please progress with the rest of the form.
Care Leaver Status
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Don't Know
I am Over 25 and in care before the age of 18
I am Under 25 and in care before the age of 18
I have never been in care
Learning Support, Disability or Learning Difficulty
Do you have an Education Health Care Plan? (If No please leave blank)
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Yes - I do not have an Educational Health Care Plan
Do you have a Learning Difficulty or Disability
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1 - Has Difficulty/Disability
2 - No Difficulty/Disability
9 - No information provided
If Yes please tick any that apply to you
*
00 - No Additional Support Required
04 - Vision impairment
05 - Hearing impairment
06 - Disability affecting mobility
07 - Profound complex disabilities
08 - Social and emotional difficulties
09 - Mental health difficulty
10 - Moderate learning difficulty
11 - Severe learning difficulty
12 - Dyslexia
13 - Dyscalculia
14 - Autism spectrum disorder
15 - Asperger's syndrome
16 - Temporary disability after illness (for example post-viral) or accident
17 - Speech, Language and Communication Needs
93 - Other physical disability
94 - Other specific learning difficulty (e.g. Dyspraxia)
95 - Other medical condition (for example epilepsy, asthma, diabetes)
96 - Other learning difficulty
97 - Other disability
98 - Prefer not to say
99 - Not provided
18 - Down Syndrome
Which of the above is most likely to affect your learning?
*
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00 - No Additional Support Required
04 - Vision impairment
05 - Hearing impairment
06 - Disability affecting mobility
07 - Profound complex disabilities
08 - Social and emotional difficulties
09 - Mental health difficulty
10 - Moderate learning difficulty
11 - Severe learning difficulty
12 - Dyslexia
13 - Dyscalculia
14 - Autism spectrum disorder
15 - Asperger's syndrome
16 - Temporary disability after illness (for example post-viral) or accident
17 - Speech, Language and Communication Needs
93 - Other physical disability
94 - Other specific learning difficulty (e.g. Dyspraxia)
95 - Other medical condition (for example epilepsy, asthma, diabetes)
96 - Other learning difficulty
97 - Other disability
98 - Prefer not to say
99 - Not provided
18 - Down Syndrome
Other learning difficulty (If Applicable)
Are you currently studying any other qualifications? if yes please specify
*
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No
Yes
Specify other Qualification(s)
Contact Preferences
Allowed Contact Methods:
*
Do Not Contact
Email
None Recorded
Post
SMS/ Text
Telephone
Preferred Contact Method:
*
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Do Not Contact
Email
None Recorded
Post
SMS/ Text
Telephone
Would you like to receive further communications from Educationwise Academy?
*
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No
Yes
Please let us know where you found out about this opportunity:
*
Educationwise' Website
Email
Google Advert
Google Search
Leaflet/ Flyer
Other
Social Media
Word of Mouth
Could you let us know your availability, as well as your mentor's for an Information, Advice and Guidance (IAG) Teams Meeting to discuss the next steps:
*
Proposed Apprenticeship Start Date
*
Privacy Notice - Click here to view
Please Confirm you have read the Privacy Notice:
*
Please confirm the qualification you've selected:
*
At Educationwise, we love celebrating the success of our learners! Please tick below to confirm you're happy for us to share your inspiring training journey as part of our marketing efforts to motivate others
*
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Yes, I’d be glad to inspire others with my story.
No, I’d rather keep my journey personal.
Thank you for registering your interest. A member of our team will be in touch in 2-5 working days. In the meantime please don't hesitate to reach out to admin@education-wise.org if you have any questions.
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