Learners Application form

NB. All fields marked with an * are required.
Personal Details
Title:*
Last Name:*
First Names:*
Home Address:*
Postcode:*
Telephone (Landline):  
Telephone (Mobile):  
Email:*
National Insurance Number:*
Date of birth (DD/MM/YYYY):* / /

A person needs to be between the age of 16 and 24 years to access funding for the apprenticeship. People over the age of 25 are eligible to apply for training programmes, but may need to fund the cost of the training themselves.

Gender: Male Female
Name of School or College you attended:*
Which Connexions office are you registered with:
Date of you leaving school:
Are you a Graduate:* Yes No
Have you completed a Criminal Records Bureau Declaration:* Yes No
Do you have a disability or health problem which affects your Ability to carry out normal day to day activities?:* Yes No
Do you suffer from any recurring health problem ie asthma, Hayfever etc.:* Yes No
School and College Achievements Gained / Expected
Achievements Gained:
( Please state Subject, Exam Results or Credits Gained and relevant dates )
Achievements Expected:
( Please state Subject, Exam Results or Credits Expected and relevant dates )
STL delivers Apprenticeships and Advanced Apprenticeships. Please tick which course you require.
 
Level 2 Level 3
Business Administration
Customer Service
Hairdressing
Health and Social Care
Hospitality
Retail
Tell us why you want to train in this occupation:*
Achievements and Experiences
Please list details of any work experience, part time work (Saturday Jobs), evening work etc.:  
Please give details of any past/present jobs or training programmes (including company name and job title or training provider and training programme, together with relevant dates):  
Hobbies/Interests and
Other leisure activities:*
STL positively welcomes applicants from all sections of the community, irrespective of an individual's gender, ethnic origin, colour or ability. Please select one of the following:
My ethnic background is:
Bangladeshi:  
Indian:  
Pakistani:  
Any other Asian Background:  
African:  
Caribbean:  
Any other black background:  
Chinese:  
White & Asian:  
White & Black African:  
White & Black Caribbean:  
Any other mixed background:  
White British:  
White-Irish:  
Any other White background:  
Any other:  
Not Known/Not provided:  
Declaration - By sending this application, I declare that the information I have given is, to the best of my knowledge, true and correct. I understand that giving false information will disqualify my application. I understand that to be accepted on the course, I will require to be checked by the criminal Records Bureau and the outcome of this will determine Acceptance / non Acceptance on to the course.

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