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Application Form - Employed Applicant

Personal Details

Complete each section in FULL, ACCURATELY and CLEARLY.

If you have any queries concerning your application, we will be pleased to help. Please contact a member of the Marketing Team on 01706 631 417 or email marketing@rochdaletraining.co.uk.

Title

First names *

Surname *

House Number and Street Name *

Address 2

Town *

County *

Postcode *

Date of Birth *

Mobile

Other Telephone Number

Email *

Gender *

NI Number

Ethnicity *

Learning Needs, Health Problems and Disabilities

Do you consider yourself to have a learning difficulty, disability or health problem? *

Please select your main learning difficulty or disability *

Please select any other learning difficulty, disability or health problem *

Education and Qualifications

Provide name of School/College *

Details of qualifications achieved *

Other Training / Experience *

Career History

What is your career history to date? *

Employer Details

Employment Status

Name of Current Employer *

Managers Name *

Managers Phone Number *

Managers Email Address

Length of Employment

Course Preference

Which Course are you applying for? *

Please describe why you wish to undertake an Apprenticeship/Course Programme *

Why do you feel an Apprenticeship/Course best suits your Training Needs? *

Contact Methods

What is your preferred contact method?

What other method could we use to contact you?

Confidentiality Statement

We are committed to protecting confidentiality of both our employees and customers (i.e. learners and employers).

Certain information relating to employees and customers must be collated in order to provide the necessary information and/or services to them. No person employed by Rochdale Training will give out information directly linked to an individual, such as address or telephone number, without their express permission.

Full details available upon request.

Personal Data Consent

I consent to my data enclosed within this application form to be shared with appropriate third parties *

Thank you for completing this application form, please click submit below.

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