SECTION 1 - LEARNER INFORMATION

Title

Date of Birth (Date)

National Insurance Number

First Name

Last Name

Previous Surname

Gender

Nationality

Ethnicity

Address

Address Line 2

Address Line 3 - CITY

Address Line 4 - Region / County

Postal code

Mobile phone number

Emergency Contact Details

Name

Relationship

Contact Number

SECTION 2 - PRIOR ATTAINMENT

Are you currently undertaking a learning programme/course that is government funded?

Have you attended any other Skills Bootcamp with any educational provider from 1st April 2023 to present?

Please select the highest level of qualification you have.

Do you have any prior qualification relating to the topic of your Bootcamp?

If you have a Level 6 qualification or above, please select from the drop-down in what field this was attained.

Prior Qualifications: If you answered yes, please provide the details of the prior qualification.

SECTION 3 - PROOF OF ELIGIBILITY FOR GOVERNMENT FUNDING

I confirm that I am a citizen of/have been resident in the UK or EEA member state continuously for at least the previous 3 years and that my residency has not been purely for the purpose of full-time education.

Please confirm your date of entry to the UK or other member state.

Are you ordinarily a resident in England?

EU Settlement Scheme Status (if applicable)

Do you have "indefinite leave to remain" or "settled status"?

Do you have a Visa?

Do you have official status as an Asylum Seeker?

Do you have official status as a refugee?

If you have an official status as an asylum seeker, please enter the date of application

Please ensure that you upload a copy of all relevant paperwork below, including passport and Home Office documentation where applicable.

SECTION 4 - EMPLOYMENT STATUS INFORMATION

Employment Status

Employer Name

Employer Postcode

Job Title

Industry or sector of current occupation

Employed Hours

Length of Employment

Please detail your current earnings

How often do you receive this amount?

Do you plan to work alongside the bootcamp?

Are you looking for work?

Are you available to start work?

Length of Unemployment

What was your last job/occupation?

What sector was this in?

What benefits are you in receipt of?

Type of Business

Industry or Sector

Self-employed hours

Length of self-employment

Estimated annual income before tax

How will this Skills Bootcamp support your business?

If you are employed, has your employer sent you to attend this bootcamp?

Employer Contact Name

Employer Contact Email Address

Employer Contact Phone Number

Do you intend to seek a new job at a different employer (or become self employed), after finishing your Bootcamp?

Are you in full time education/training prior to enrolment?

If you are in full education / training prior to enrolment, please provide details.

SECTION 5 - SUPPORT & MENTORING

Do you consider yourself to have any special educational needs and/or disabilities?

Please select your most significant or primary barrier to learning

Do you have any unspent criminal convictions (excluding minor motor offences)?

How did you hear about us?

SECTION 6 - EVIDENCE DOCUMENTS

Please upload any required documents. If you follow the link using your mobile phone/ tablet you will be able to take a picture and upload it here.

COPY OF PROOF OF ID

Accepted forms of proof of ID include Passport, Driving License, Birth Certificate. If your name is different from the name on your proof of ID, please also attach a copy of your Marriage Certificate or Deed Poll document.

COPY OF PROOF OF RESIDENCY

Accepted forms of proof of residency status include Passport, Visa, Home Office Document, or other evidence of your residency status. Please note that your evidence must show that you are an UK/ EEA resident, and if applicable this will need to cover the last 3 consecutive years.

COPY OF PROOF OF ADDRESS

Accepted forms of proof of address are Benefit Letter, Utility Bill, Payslip, Bank Statement (all dated within the last 3 months). Tenancy Agreement or Council Tax Bill/ Statement (dated within the last 12 months) and or Driving License.

Learner Enrolment Form

Skills Bootcamps - Learner Enrolment Form

SECTION 1 - LEARNER INFORMATION

Emergency Contact Details

SECTION 2 - PRIOR ATTAINMENT

SECTION 3 - PROOF OF ELIGIBILITY FOR GOVERNMENT FUNDING

SECTION 4 - EMPLOYMENT STATUS INFORMATION

SECTION 5 - SUPPORT & MENTORING

SECTION 6 - EVIDENCE DOCUMENTS

Please contact us if you require additional information or assistance:

Guaranteed job interview

Boost career prospects through upskilling

Develop knowledge, skills and confidence

Personalised career support

Engaging and interactive activities

Everything starts with a conversation...