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Application for Modern Apprenticeship Form
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Indicates required field
Personal Details
Title:
Mr
Miss
Ms
First Name:
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Surname:
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Address Line 1:
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Address Line 2:
Town or City:
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Post Code:
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Home Telephone:
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Mobile:
Email:
Date of Birth:
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Gender:
M
F
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National Insurance No:
Marital Status:
Single
Married
Separated
Divorced
Widowed
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Number of Children:
Nationality:
Health
Please give details of any health/disability concern(s)
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Do you consider yourself to be physically and mentally capable of performing all activities required of a modern apprenticeship training program?
Y
N
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How many sickness absence days have you had from school or college in the last 12 months?
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General Information
Do you have a criminal record?
Y
N
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Have you ever received an ASBO, Anti-social Behaviour Order?
Y
N
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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
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If yes, specify type (i.e. motor car / motor cycle):
Have you any driving endorsements?
Y
N
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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
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If no, how do you intend to travel to and from work and college?
Will you work overtime?
Y
N
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Will you work shifts or other flexible working arrangements if required?
Y
N
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Do you currently have any form of secondary employment or public service commitments (e.g. bar or restaurant work etc.)?
Y
N
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If yes, please give details:
How did you hear about this vacancy?
-- Please Select --
Search engine / our site
Training provider
School or college
News press advert
Trade press advert
Torkington customer
Torkington supplier
Torkington employee
Other
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Have you previously made any application for apprenticeship with Torkingtons?
Y
N
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If yes, please give details:
Education
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Name and address of schools attended
since age 11
From mm/yy
To mm/yy
Examinations
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(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:
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Please detail the qualities you feel you possess that make you an ideal candidate for a modern apprenticeship:
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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.
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I agree to the above declaration