Apprentice business courses self-declaration form

Learner Information

Learner Name: (Required)

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Learner Address

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Date of Birth:

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Programme:

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Contact Number: (Required)

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Postcode:

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Email Address: (Required)

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Travel arrangements

Do you hold a UK driving licence?

YesNo Invalid Input

Do you have access to your own transport?

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Please Specify:

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Please Specify:

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Please ensure a quote has been generated and agreed by the employer alongside obtaining a PO Number where applicable.

Qualifications

Your Qualifications

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Previous Education

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Which do you find to be most significant?

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What support do you think you will need at S&B Automotive Academy

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Have you ever had any problems with keeping up with attendance or studies? (Required)

YesNo Invalid Input

Are you in care or a care leaver? (Required)

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If Yes, ensure you discuss with the learner the Care Leaver Bursary and obtain evidence and complete required declaration.

Do you have an Educational Health Care Plan? (Required)

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If yes, please make sure EHC Plan is on file and liaise with Learner Welfare. If learner is 19+, please request the EHC declaration is completed with learner.

Next of kin/nominated person contact details (for emergency use only)

Name:

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Contact Number 1:

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Relationship to Learner :

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Email Address:

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The Education and Skills Funding Agency (ESFA) on behalf of the Secretary of State for the Department of Education (DfE) and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact learners to carry out research and evaluation to inform the effectiveness of training. In these cases, it is part of our statutory duties and we do not need your consent.

Where sharing is not part of our statutory duties, you can give your consent to be contacted by other third parties about courses or learning opportunities, or for surveys and research by post, phone and e-mail.

Please read S&B Automotive Academy's Privacy Policy. for full details. In order to submit this form you will need to confirm you have read the Privacy Policy.

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Learner Information

Travel arrangements

Qualifications

Learner/learning support

Next of kin/nominated person contact details (for emergency use only)

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