This is a test application page to allow staff to test functions of the system. Please do not apply using this page Job Application If you are human, leave this field blank. About you Your Name * First Name Name * Last Name Are you Male or Female Male Female National Insurance Number Your date of birth * Age by next September Age eligbility Have you completed some form of higher education? For example HNC, Foundation Degree or higher Yes No completed higher Our selection process includes a test. Do you have any special requirements for completing a written test? * Yes No Please provide details Do you currently have a care plan at school; what does this include. For example, reading, writing, dyslexia. You will need to provide this form at assessment Address & contact Address * Address Address Address City City County County Postcode Postcode Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Country Previous Address Previous Address Previous Address Previous Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Country Email * Primary Phone * Secondary Phone Emergency contact Name * Contact number * Relationship * Parent Partner OtherOther Ethnic Origin This information is collected by Bristol City Council for monitoring purposes only to ensure that our services are reaching all areas of the Bristol community How would you describe your ethnic origin? White Black/African/Caribbean/Black British Mixed/multiple ethnic groups Asian or Asian British Other Ethnic Groups Black or Black British * Black Caribbean Black African Any other black background White * White British Irish Any other white background Gypsy or Irish Traveller Mixed / Multiple ethnic groups * White & Black Caribbean White & Black African White & Asian Other mixed Asian or Asian British * Indian Pakistani Bangledeshi Chinese Any other Asian background Other Ethnic Groups * Arab Any other Ethnic Background Disabled & learning difficulties The Disability Discrimination Act 1995 defines disability as: A physical or mental impairment which has a substantial or long-term adverse effect on their ability to carry out normal day-to-day activities. I consider myself to have a disability or learning difficulty (inc. Dyslexia) Yes No Please give details I may need help with reading, writing, maths or coursework Yes No Please give details I may have additional support needs Yes No Please give details Education Last School/College attended When did you/will you leave full time education Qualifications Subject Dropdown GCSE A Level Other Dropdown Grade Type Predicted Actual Add Remove Training Have you had any previous training? Yes No Training Provider Start Date End Date Add Remove Work Experience Employer Start Date Date of Leaving Job Title Description of duties Reason for leaving Add Remove Choice of trades and current work Please select one or more of the following trade options Craft trades I am interested in one of: Bricklaying Plastering Carpentry Bench Joinery Painting & Decorating Technical trades I am interested in one of: Electrical installation Plumbing Other trades I am interested in one of: Surveying Have you already found employment? Yes No Please supply details of your prospective employer About you Please tell us about any sort of work experience you have had Have you any other interests (team sports, fishing, drama, dance etc)? Please tell us briefly why you want to do a construction apprenticeship How did you hear about us? Family/Friend Connexions/School Internet search Employer OtherOther The Legal bit Data Protection Act 1998: On Site Bristol will only use the information you provide to progress your application for an apprenticeship. This will include sharing the information with our main training partners. On Site may also share this information with vetted potential employers to assist your job search. Please note Government training subsidy for apprentices aged 19 and over at the time they start their course is significantly lower than for 16 - 18 years. Please consider carefully the options open to you, we can provide advice on this, and make sure any employers you approach are aware of the above. If you have not yet found a suitable employer then it will be necessary for you to do so before commencing the course. On Site Bristol would like to correspond with you via email and SMS text messaging instead of post. By ticking this box you agree that we can send all letters via email. These letters will include your assessment date, interview date and the outcomes of these. The SMS text messaging will be used to remind you of your assessment and interview dates prior to when they approach (usually the day before). If you change your email or mobile number it is important you let us know. On Site Bristol will never share this information with anyone outside of our organisation and will not use it for any other purpose than for you application for an apprenticeship. How We Use Your Personal Information The personal information you provide is passed to the Chief Executive of Skills Funding (“the Agency”) and, when needed, the Department for Education, including the Education Funding Agency to meet legal responsibilities under the Apprenticeships, Skills, Children and Learning Act 2009, and for the Agency’s Learning Records Service (LRS) to create and maintain a unique learner number (ULN) and a Personal Learning Record (PLR). The information you provide may be shared with other organisations for education, training, employment and well-being–related purposes, including for research. Further information about use of and access to your personal data, and details of organisations with whom we regularly share data are available at: https://www.gov.uk/government/publications/sfa-privacy-notice Please confirm: * I have read and accepted the above statements. I understand that I MAY BE CONTACTED IF REQUIRED TO SUPPORT MY LEARNING Please confirm: I am happy to be CONTACTED FOR MARKETING PURPOSES
