Apprenticeship Application Form-Torkington Engineers Ltd

* Indicates required field

Personal Details

Title:

First Name: *

Surname: *

Address Line 1: *

Address Line 2:

Town or City: *

Post Code: *

Home Telephone: *

Mobile:

Email:

Date of Birth: *

Gender: M F *

National Insurance No:

Marital Status: *

Number of Children:

Nationality:

Health

Please give details of any health/disability concern(s) *

Do you consider yourself to be physically and mentally capable of performing all activities required of a modern apprenticeship training program? Y N *

How many sickness absence days have you had from school or college in the last 12 months? *

General Information

Do you have a criminal record? Y N *

Have you ever received an ASBO, Anti-social Behaviour Order? Y N *

If yes to either of the above two questions, please explain the nature and date of offence and the sentence received:

Do you have a full and current driving license? Y N *

If yes, specify type (i.e. motor car / motor cycle):

Have you any driving endorsements? Y N *

If yes, give details of offence and number of points received:

Will you use your own motor vehicle to travel to and from work? Y N *

If no, how do you intend to travel to and from work and college?

Will you work overtime? Y N *

Will you work shifts or other flexible working arrangements if required? Y N *

Do you currently have any form of secondary employment or public service commitments (e.g. bar or restaurant work etc.)? Y N *

If yes, please give details:

How did you hear about this vacancy? *

Have you previously made any application for apprenticeship with Torkingtons? Y N *

If yes, please give details:

Education *

Name and address of schools attended since age 11	From mm/yy	To mm/yy

Examinations *

(for each subject give predicted or actual grade)

Examination (e.g. GCSE, A Level)	Subject	Predicted Grade	Actual Grade

Employment or Work Experience History

Employer Name and Address	Position	Duties	From mm/yy	To mm/yy

Please explain why you interested in a career in engineering and the modern apprenticeship training program: *

Please detail the qualities you feel you possess that make you an ideal candidate for a modern apprenticeship: *

Hobbies and Interests:

Please provide any additional information which may assist your application (e.g. school or college design or engineering projects, participation in Duke of Edinburgh Awards Scheme, member of clubs or bodies, awards or trophies you have won, voluntary or part-time work...):

Declaration

I declare that the information I have given is correct to the best of my knowledge and belief. I understand that any false declaration, misleading statement or significant omission will disqualify my application or render me liable to dismissal. * I agree to the above declaration

Tel: 0161 872 8931

Torkington Engineers Limited

Application for Modern Apprenticeship Form