Traineeship Enrolment Form

16-18 Traineeship Enrolment Form

To undertake a Traineeship Programme, you must ensure that you meet the individual and funding eligibility requirements:

You must meet any course specific entry requirements
You must not hold a Level 4 or above qualification (or equivalent)
You must be unemployed or have little or no work experience
You must be a UK/EU citizen or have the legal right to be in the UK
Have been a resident of the UK for the 3 years preceding the course start date
You must be aged 16 - 18 on the 31.08.2022
You must be assessed as having the potential to be ready for employment within 12 months

Programme Details

Please provide the start date for this Traineeship:

Please select the Employability Qualification Level that will be undertaken:

Please select the Mathematics Qualification that will be undertaken:

Please upload evidence of the prior attainment for Math exemption:

Choose File

Please select the responsible Mathematics Tutor:

Please select the English Qualification that will be undertaken:

Please upload evidence of the prior attainment for English exemption:

Choose File

Please select the responsible English Tutor:

WIll the learner be undertaking any additional qualifications?

Please select the additional qualification the learner will be enrolling on:

WORK PLACEMENT AND WORK PREPARATION TRAINING

MATHEMATICS ELEMENT

ENGLISH ELEMENT

FLEXIBLE ELEMENT

Previous qualifications / Experience

Please detail any qualifications you have previously attained.

Relating to the qualifications you have previously attained please select the most appropriate below:

Please enter your highest GCSE Maths grade:

Please enter your highest GCSE English grade:

Please tell us about any previous experience you have that is relevant to your chosen course:

Please tell us how this course is relevant to your career objectives:

Employment Details

Which of the following best describes your employment status: *

Employed Individuals (Further details)

Please only complete this section if you have stated in the previous question that you are employed

How long have you been employed:

Is your salary less than £17,004.00 (before deductions)?

Yes

Low salary evidence – please upload evidence of your last 3 months payslips:

Choose File

How many hours do you work per week:

Employer Name

Employer Postcode

Unemployed Individuals (Further details)

Please only complete this section if you have stated in the previous question that you are unemployed

How long have you been unemployed:

Are you in receipt of any government benefits?

Yes

Please state the benefits you are currently in receipt of:

Job Seekers Allowance

Employment & Support Allowance

Another state benefit other than JSA or ESA

Universal Credit

None

Please upload evidence of the benefits you are in receipt of:

Choose File

Next of Kin details

Next of Kin name:

Next of Kin relationship:

Next of Kin telephone number

Next of Kin email address:

Contact Preferences

The European Social Fund (ESF) Managing Authority (or agents acting on it's behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training.

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 shared with third parties for education, training, employment and well-being related purposes, including for research. This will only take place where the law allows it and the sharing is in compliance with the data protection legislation. You can agree to be contacted for other purposes by selecting one of the below:

I consent to Achievement Training Limited, CSW Group and City College Plymouth processing my personal data under Data Protection legislation in accordance with Article 6 with my consent and to process my information and understand that this is for the performance of the contract in relation to the course that I have applied for, I acknowledge that specific details of processing activities undertaken by ATL and City College Plymouth is available on the Achievement Training Limited website. By submitting this form I agree to Achievement Training processing the personal data on this form in accordance with prevailing Data Protection legislation. You can agree to be contacted by Achievement Training for other purposes by ticking any of the following boxes:

LRS (Learning Records Service) - The information you supply will be used by the Education and Skills Funding Agency, an Executive Agency of the Department for Business, Innovation and Skills, to issue you with a ULN (Unique Learner Number), and to create your personal learning record. For more information about how your information is processed and shared refer to the Extended Privacy Notice available on Gov.uk (The LRS privacy notice is available to view here: https://bit.ly/2xQNzk8), you cannot opt out, you can however opt-in to sharing your participation and achievement data through the Learning Records Service by ticking below:

Opt-in to share personal learning record

Learner Signature

Sign Here

Enrolling Officer Declaration

Type of identification provided by the learner:

Please confirm you have checked learner ID held with the enrolment form:

I have witnessed the learner and confirm that they are a true likeness to the identification provided. The name is correct and recorded correctky on the enrolment form.

Please confirm you have checked the details entered on the enrolment form:

I confirm that I have reviewed the enrolment form and confirm that all details including the learner address and contact details are correct.

Where a customer has stated they are unemployed and in receipt of state benefits, please state which benefit you have witnessed and can confirm the customer is in receipt of:

Please upload evidence of the Maths BKSB assessment showing the level achieved:

Choose File

Please upload evidence of the English BKSB assessment showing the level achieved:

Choose File

Please note: If the learner is enrolling on a functional skills qualification, the relevant Diagnostic Assessment must be available.

I confirm to the best of my knowledge the information supplied by the learner is correct I have determined the learners eligibility for the chosen programme. I have discussed and agreed a programme with the learner including level, course content and attendance requirements, start dates and planned end dates.

Enrolling Officer Signature:

Sign Here

Date / Time

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16-18 Traineeship Enrolment Form

Programme Details

Learner Personal Details

Previous qualifications / Experience

Employment Details

Employed Individuals (Further details)

Unemployed Individuals (Further details)

Next of Kin details

Contact Preferences

Enrolling Officer Declaration