Application Questionnaire

Learner Forename(s)

First Middle

Learner Surname

Last

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Learner ID

Learner Email

Alternative Email

Job Title

Date of Birth(Required)

Age

Personal Phone Number(Required)

Learner Address(Required)

Street Address Address Line 2 Town/City County Postcode

Are you a British citizen, or a citizen of a country within the European Economic Area (EEA)?(Required)

Have you been a permanent resident living within the UK or a country within the EEA for the past 3 years?(Required)

Which country did you live in?(Required)

Do you have the right to work in England?(Required)

Why you would like to be considered?(Required)

Why you consider yourself to be suitable for this opportunity?(Required)

How will gaining the qualification will be useful to you and to Serco?(Required)

Why is this right for the applicant and your team at this time and what benefits will it bring?(Required)

Manager provision of developmental opportunities(Required)

OTJ Applicant accommodation(Required)

OTJ Manager accommodation(Required)

Prior Learning/Qualifications

Highest English Qualification(Required)

Date

Highest Maths Qualification(Required)

Date

Could you provide your certificates upon request?(Required)

Do you hold any professional qualifications or degrees?(Required)

If "yes", what is/are the qualification(s)/degree(s)?(Required)

Have you ever been enrolled on an Apprenticeship?(Required)

If yes, please provide details(Required)

Which courses are you interested in?(Required)

Are you employed?(Required)

Yes

Are you currently in Full Time Education?

Yes

Which benefits do you recieve?

Which of the following applies to you?

How long have you been unemployed?

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Do you have your own transport or are you able to travel for an interview/work trial/job?

I have my own transport

I am able to travel

I currently have no transport

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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

I wish to be contacted via the following methods

By post

By telephone

By email

Signature

Date(Required)

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Status

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ULN

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Start Type

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Apprenticeship Start Date

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Actual Weekly Hours

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SAP Number

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Business Unit

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Operating Unit

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Serco Contract Name

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Site Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code

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Manager Name

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Manager Email

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Manager Job Title

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Manager Phone Number

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Minimum OTJ Hours

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Date Start Reported

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Date Full Completion Reported

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Date Suspension Reported

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Date Early Exit Reported

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Intended Date to Return from Suspension

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Disengaged BIL

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Withdrawal Reason

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BIL Reason

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Narrative for Early Exit / Suspension