Application Questionnaire Let's get you startedYou can use this form to apply for an HTP Apprenticeship, Pre-Apprenticeship, Full-time course, or commercial course. We will need to check your eligibility for programme so you’ll need to give us information including your personal details, education history and any work history you may have. You’ll also need to know your National Insurance (NI) Number if you have one. Please complete all the sections in full. If you have any problems completing the Application Form, please call us on 01983 533926 Monday to Thursday 9:00am to 5:00pm or Friday 9:00am to 4:30pm, or email info@htp.ac.ukPersonal Details and InformationPlease provide us with your personal detailsApplicant Forename(s)(Required) First Middle Applicant Surname(Required) Last HiddenLearner IDApplicant Email(Required) Date of Birth(Required) DD slash MM slash YYYY AgePersonal Phone Number(Required)National Insurance Number This should be in the following format: 2 Letters, 6 Numbers, 1 Letter e.g. JL764312DHiddenNotesApplicant Address(Required) Street Address including house number and / or name Address Line 2 Town/City County Postcode Next of Kin / Emergency Contact Details Next of Kin / Emergency Contact First Name Next of Kin / Emergency Contact Last Name Next of Kin / Emergency Contact Phone NumberNext of Kin / Emergency Contact Email Address EligibilityFor eligibility and funding justification, we need ask about your residency status. We also need to ask you about any offences not spentAre you a British citizen, or a citizen of a country within the European Economic Area (EEA)?(Required)Please SelectYesNoHave you been a permanent resident living within the UK or a country within the EEA for the past 3 years?(Required)Please SelectYesNoWhich country did you live in?(Required) Do you have the right to work in England?(Required)Please SelectYesNoDo you have any offences unspent under the Rehabilitation Act 1974?(Required)Please SelectYesNoIf "yes", please provide the details here Prior Learning / QualificationsHighest English Qualification(Required)Please SelectEnglish for speakers of other languages (ESOL) Entry Level 1English for speakers of other languages (ESOL) Entry Level 2English for speakers of other languages (ESOL) Entry Level 3English for speakers of other languages (ESOL) Level 1English for speakers of other languages (ESOL) Level 2English for speakers of other languages (ESOL) Level 3Functional Skills Entry Level 1Functional Skills Entry Level 2Functional Skills Entry Level 3Functional Skills Level 1Functional Skills Level 2Functional Skills Level 3GCSE Grades D-G or 3/2/1GCSE Grades A*-C or 9-4AS LevelA LevelOther Qualification (outside of UK)No Formal QualificationDate DD slash MM slash YYYY Highest Maths Qualification(Required)Please SelectFunctional Skills Entry Level 1Functional Skills Entry Level 2Functional Skills Entry Level 3Functional Skills Level 1Functional Skills Level 2Functional Skills Level 3GCSE Grades D-G or 3/2/1GCSE Grades A*-C or 9-4AS LevelA LevelOther Qualification (outside of UK)No Formal QualificationDate DD slash MM slash YYYY Could you provide your certificates upon request?(Required)Please SelectYesNoDo you hold any professional qualifications or degrees?(Required)Please SelectYesNoIf "yes", what is/are the qualification(s)/degree(s)?(Required) Have you ever been enrolled on an Apprenticeship?(Required)Please SelectYesNoIf yes, please provide details(Required) What year did you leave education? What is the name of your last School? What is the name of your last college? Education and Employment StatusWe need to confirm your employment and education history to help identify the most appropriate programme of learningAre you employed?(Required) Yes No Are you currently in Full Time Education?(Required) Yes No Which benefits do you recieve?Please SelectI receive Job Seekers Allowance (JSA)I receive Universal CreditI receive Employment and Support AllowanceI receive other state benefitsI receive no benefitsWhich of the following applies to you?Please SelectNo household member is in employment & the household includes one or more dependent childrenNo household member is in employment & the household does not include any dependent childrenLearner lives in a single adult household with dependent childrenI confirm that I wish to withhold this informationNone of the above statements applyIf you are unemployed, how long have you been unemployed?Please SelectLess than 6 months6-11 months12-23 months24-35 months36 months or moreOther Relevant DetailsAre you, or have you been in care? Yes No Do you have an Education Health Care Plan (EHCP)? Yes No Do you have your own transport or are you able to travel for an interview/work trial/job?(Required) I have my own transport I am able to travel I currently have no transport Programme and Sector of InterestSo that we can help you further, please tell us the programme and sector of interestWhich type of courses are you interested in?(Required)ApprenticeshipFull Time Study ProgrammePre-ApprenticeshipSupported InternshipCommercialNot Sure / Do Not KnowWhich sector are you interested in?(Required)Business AdministrationHealth and Social CareProfessional CookeryNail TechnologyMarketingChildcare and EducationManagementHospitality and TourismNot Sure / Do Not KnowSport and FitnessCustomer ServiceHuman ResourcesTeaching, Learning and AssessmentHorse Care and RidingHealthcareUpload CV Drop files here or Select files Accepted file types: pdf, doc, docx, Max. file size: 256 MB. Please upload a copy of your up-to-date CV A full version of our data privacy notice is available by clicking here, or we can email this to you directly upon request. For us to be able to meet our statutory responsibilities to provide you with education and training we need to collect data about you, your previous qualifications and your employment status. We are required to pass on most of the data we collect to the Education and Skills Funding Agency (ESFA) whose privacy notice is detailed below. How the ESFA will use your personal information This privacy notice is issued by the Education and Skills Funding Agency (ESFA), on behalf of the Secretary of State for the Department of Education (DfE). It is to inform learners how their personal information will be used by the DfE, the ESFA (an executive agency of the DfE) and any successor bodies to these organisations. For the purposes of the relevant data protection legislation, the DfE is the data controller for personal data processed by the ESFA. 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 follows data protection legislation. The English European Social Fund (ESF) Managing Authority (or agents acting on its behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training.I agree to be contacted About course or learning opportunities For surveys and research Select AllI wish to be contacted via the following methods By post By telephone By email Select AllPrivacy Notice Confirmation(Required) I confirm that I have been made aware and read the Privacy Notice links above in relation to my Personal Learning Record (PLR)Personal Information Consent(Required) I confirm my consent for HTP Apprenticeship College to send and receive my personal information in relation to the programmePLR Agreement(Required) I confirm my agreement to share my PLR information with my training provider and other relevant bodiesDeclaration and SignatureBy signing this application form, I confirm I have read and understand the privacy notice and I confirm the information I have provided in this application is factual, accurate, and correct. I also consent to the following: HTP will collect personal data in order to process your enquiry, application, and enrolment; to support your learning; to provide appropriate pastoral care; to keep you and employers safe, and to meet the statutory duties placed upon us by the Education Skills & Funding Agency and the Department for Education. HTP may share the data you have provided with prospective or current employers and – If you are aged under 18 on the day you sign this form – HTP may discuss your application and share your personal information with your parent(s), carer(s) or previous school or educational establishment. Identification HTP will need to see identification to confirm your personal details. This can be a driving licence, ID Card, National Insurance Card or Bank Card. You will need to bring this to your appointment when we arrange to meet you.Signature(Required)Date(Required) DD slash MM slash YYYY HiddenStatusPendingApprovedHiddenULN HiddenPlanned Start Date DD slash MM slash YYYY HiddenApplication StageNew EnquiryWorking WithConfirmed Start – ApprenticeshipsConfirmed Start – Pre-ApprenticeshipsConfirmed Start – Full TimeDid Not StartAwaiting ConfirmationLearner CreatedNo Longer Working With – Not EligibleNo Longer Working With – Lost ApplicantActual StartHiddenAssigned ToPlease SelectAA Test TutorAli CreaserAmanda HerbertAndrew StewartAshleigh CutressBD ManagerBD RecruitmentBecky DeriBobbi HampshawCharmian MessengerChiedza MuzhonaChloe WalshChloe YatesChristine StringerChristine WyattChyayne ClarkClaire PittawayDaisy FarmerDavid MartinDebbie JolliffeDebbie TaylorDominique ShawElisa PozzoliEllen CroninEmily AshdownFran ClaydenFran TurnerGemma ThompsonHelen FalconbridgeHelen FarleyHelen StevensJacob TomsJames Pinfield-WellsJane RobertsJayne MerrittJessica WrightJon-Paul CharloKirsty HippoliteLiam PaulLin SimmondsLisa PilbeamLisa SwordLisa YoungLizzie GiakoumelouLouise KingLucy HaywardMandy AinsworthMarie SmithMark RobertsMelanie RobinsonMichelle LouwMichelle RobinsonMichelle ThomasMoi GilroyNeil BarnesNicki NevilleNikki CruttendenOwen MorganPeter JohnsonRachael PotterRebecca ChambersRia LockwoodRichard CarnallRyan PhillipsSadie SpiersSallyanne FarleySamantha MoodySarah SellickSascha NichollsSimon AttrillSimon TrotterSteve BishopStuart DownesTess TutorTim CoatesTim CorbettTracy JohnsonVyvyan Mars HollingsworthHiddenAssignee Email HiddenStart Credit NamePlease SelectPeter JohnsonBD RecruitmentBD ManagerNicki NevilleAli CreaserAndrew StewartAshleigh CutressBecky DeriBobbi HampshawCharmian MessengerChiedza MuzhonaChloe YatesChristine StringerChristine WyattDavid MartinDebbie JolliffeDominique ShawElisa PozzoliEllen CroninEmily AshdownFran ClaydenFran TurnerGemma ThompsonHelen FalconbridgeHelen FarleyHelen StevensJacob TomsJessica WrightJon-Paul CharloLiam PaulLin SimmondsLisa PilbeamLisa YoungLizzie GiakoumelouMandy AinsworthMark RobertsMelanie RobinsonMichelle RobinsonMichelle ThomasMoi GilroyNeil BarnesNikki CruttendenRachael PotterRichard CarnallSadie SpiersSallyanne FarleySarah SellickSimon AttrillTim CoatesTim CorbettTracy JohnsonMichelle LouwLucy HaywardVyvyan Mars HollingsworthLouise KingLisa SwordClaire PittawayJayne MerrittAmanda HerbertRyan PhillipsRebecca ChambersKirsty HippoliteMarie SmithDaisy FarmerChloe WalshRia LockwoodAA Test TutorTess TutorSimon TrotterSamantha MoodyJames Pinfield-WellsChyayne ClarkStuart DownesSascha NichollsSteve BishopOwen MorganDebbie TaylorJane RobertsHiddenTutor Name HiddenCompany/Placement HiddenEHEPlease SelectEHEHiddenSENPlease SelectSENHiddenMain TAGPlease SelectAPPS IOWAPPS MLD16-18 IOW16-18 MLDPre-App IOWPre-App MLDCOMM IOWCOMM MLDAPPS IOW ProgressionAPPS MLD Progression16-18 IOW Progression16-18 MLD ProgressionPre-App IOW ProgressionPre-App MLD Progression
