Your Name (As on Licence)
Your Email:
Phone Number:
Your Address (As on Licence)
Date of Birth:
Ethnicity:
Gender: MaleFemale
NI Number:
Driving Licence Number:
How long have you held your full UK car licence? Years:
What other full categories do you hold on your licence ?
Dates categories achieved:
What Provisional categories do you hold?
Have you completed a medical to gain HGV entitlement? YesNo
Have you taken HGV theory or hazard perception test? If yes details of tests taken and result. YesNo
Do you have any points on your licence or had any bans? If so full details of dates, Codes etc.. YesNo
What is your highest level of education? I.e degree, a level, gcse and what grades achieved
Do you have any learning Difficulties or disabilities. This will not exclude you from the course but help us to make sure you have the correct level of support. If yes full details. YesNo
Are you currently on universal credit?
Have you participated on a Skills bootcamp within the last year? If yes full details and dates. YesNo
Do you have caring responsibilities or children? YesNo
Do you have a right to work in the UK? YesNo
Where did you hear about this skills bootcamp?
Availability to attend training. How much notice do you need in order to get time off for attending training sessions.
Are you employed, self employed or not working at present? EmployedSelf-EmployedNot Working
Current or most recent employment, or details of self employed business
Company Name:
Address:
Position Held?
Dates of Employement?
Reason For Leaving?
Annual Gross Salary?
Previous employment (covering all employment for the last 3 years)
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