the apprenticeship application form

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Chartered Manager Degree Apprenticeship Application
This application forms an important part of our selection process and enables the company to make a judgement
about your suitability for the Apprentice Scheme.
Please type on this document and make sure that you complete all sections fully and honestly.
Position: Chartered Manager Degree Apprentice
PERSONAL DETAILS
Full Name:
DOB:
Title: Miss / Mr / Mrs / Ms Other________
Previous name(s):
Home telephone number:
Alternative contact number:
Mobile telephone number:
Do you need a work permit to work in
the UK?
(Please delete accordingly)
Yes
No
Email Address:
Nationality:
Place of birth:
Are you currently unemployed, self-employed or in full time education?
VACANCY QUESTIONS
Would you be prepared to work towards additional qualifications whilst working in this role?
YES/NO
We are looking for at least 4 years’ commitment. Can you commit to this?
YES/NO
Do you have a minimum of 5 GCSEs at Grade C or above or equivalent including Maths and English?
YES/NO
Are you fluent in English?
YES/NO
Do you have a degree, HND, HNC or equivalent qualification?
YES/NO
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EDUCATION, TRAINING, AND PROFFESSIONAL QUALIFICATIONS
Please arrange in order of your most recent qualification first.
Please state if the grade has been ACHIEVED or PREDICTED.
School, College,
University etc.
Dates attended
Qualification type
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Subject
Grade
Achieved
OR
Predicted
PREVIOUS EMPLOYMENT
PLEASE GIVE DETAILS OF ALL PREVIOUS EMPLOYMENT, INCLUDING VOCATIONAL WORK OR INDUSTRIAL
PLACEMENTS WHERE APPLICABLE:
Name and address
of employer
Job title
Dates
(from-to)
Referee (name and
number if possible)
WHAT SKILLS AND EXPERIENCE CAN YOU BRING TO THIS ROLE? (Maximum 250 words)
3
Reasons for leaving
PLEASE GIVE AN EXAMPLE OF WHEN YOU HAVE WORKED IN A TEAM AND THE ROLE THAT YOU PLAYED IN THE
TEAM (Maximum 250 words)
BREIFLY OUTLINE WHY YOU ARE INTERESTED IN THIS APPRENTICESHIP (Maximum 250 words)
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EQUAL OPPORTUNITIES & DIVERSITY IN EMPLOYMENT
Stateside Foods Ltd. is committed to an Equal Opportunities & Diversity Policy and will assess applicant’s suitability for a
position fairly without regard to gender, disability, marital status, race, colour, nationality ethnic or national origins or any other
criteria not related to work performance. Please fill in this form as fully as possible to enable us to monitor the implementation
of our Equal Opportunities & Diversity Policy.
Forename:____________________________________
Surname:__________________________________________
Position applied for:____________________________________________________________________________________
Please tick the relevant box.
I would describe my cultural and ethnic origin as:
Oriental / South East Asian
Black African
Black Caribbean
Asian
White UK / Irish / European
Black UK
Other (please specify) _________
Marital Status:
Single
Married
Male
Female
Other
Gender:
Equality Act 2010
Do you have any special requirements in relation to any possible future interview with the company?
Do you have any special requirements in relation to the position you are applying for?
If relevant, what is your Disability Registration Number? ______________________________________________________
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OTHER DETAILS
For Health and Safety purposes please state if you are over 18
Do you have a current driving licence?
Do you have your own transport?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
If no, what form of transport do you rely upon?
Do you have any motoring convictions?
If yes, please give details:
Have you previously worked for Stateside Foods Ltd. before?
If yes, please give details
Do you have any criminal convictions (excluding those defined
as “spent” under the rehabilitation of Offenders Act 1974)?
If so, please give details
Where did you hear about Stateside Foods?
REFEREES
Please note that if your application is successful, we will require a minimum of two work / personal / academic references.
Please supply names and contact details of your referees below.
Name
Name
Address
Address
Contact Telephone number
Contact Telephone number
Relationship
Relationship
DECLARATION
I confirm that the details given on this application are correct to the best of my knowledge and belief. I understand that if I am
employed by Stateside Foods Ltd, and it is subsequently discovered that I have made false statements or omissions on this
application form, it will be considered cause for dismissal. I am aware that if my application is successful, my employment
offer will be subject to the receipt of satisfactory references.
Signature ____________________________________________________
Date
_______/________/________
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Thank you for your application to Stateside Foods Ltd. Should we wish to take your application further we
will contact you in due course.
We regret that due to the large volume of application forms received each day we are not always able to
respond to unsuccessful applicants.
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