YHN Apprenticeship Application Form
Please note that YHN is an arms length management organisation (ALMO) and manages homes
on behalf of Newcastle City Council and Leazes Homes.
YHN has a rolling programme of Apprenticeships to help unemployed customers who are aged 1624 gain paid work-based training for a twelve month that includes accredited qualifications and
work experience.
Due to the funding requirements of this programme all applicants must live in an YHN
managed property.
Please confirm whether you live in a Your Homes Newcastle/ managed property:
Yes
No
Because of funding this programme is specifically aimed and funded for individuals between the
ages of 16-24 years of age. Please confirm that you fall within this age category
Yes
No
Please confirm your date of birth:
Vacancy
Applied for
Closing Date
YHN’s apprenticeship programme is delivered in partnership with Newcastle City Learning and
completed application forms should be returned to them.
Please return this form to the following address:
Dan Gibson
Newcastle City Learning
Westgate Community College
West Road, Newcastle
NE4 9LU
Or email the form directly to Newcastle City Learning’s Employment and Skills Coordinate, Daniel
Gibson at [email protected]
Where tick boxes appear please tick all those that apply
Personal Details
1. Title
Mr
Mrs
Miss
Ms
Please state
Other
First
Name(s)
Surname
2. Address
3. Landline number
Mobile number
National Insurance number
Postcode
Please note that checks will be made against our database to ensure that all applicants addresses are YHN
managed properties
4. E-mail address
5. Please state driving licenses held (include any points on your license and the reasons for them)
6. Criminal Convictions
A criminal record, or pending conviction, will not mean that you won’t be considered for a
post, but the nature of the offence will be looked at when deciding on your suitability for the
role.
Have you ever been convicted of a criminal offence, (other than a
spent conviction under the terms of the Rehabilitation of Offenders Act
Yes
No
1974)?
Do you have any potential pending criminal convictions?
Yes
No
If yes, please give details:
7. Where did you find out about this vacancy?
8. Relationship to YHN
Do you have a relationship with or are you related to any current YHN employee/Board
member/Newcastle City Council employee?
Yes
No
If yes, please provide their name and how you know them
9. Education and training (starting with the most recent first)
School/College/University/Training provider
attended
Couse studied, qualifications gained and
dates
10. Work history (starting with the most recent first and use a separate sheet if necessary)
Employer
Position, duties, dates
Reason for leaving
11. Any other information relevant to your application (this section is your chance to tell us; why
you want the job, how you meet the requirements of the job description, skills you could offer or
hope to develop, reasons for suitability, details of any voluntary work undertaken) Note: this
information will be used to assess your suitability for interview)
(please continue on a separate sheet if necessary)
12. Do you consider yourself disabled under the Equality Act (2010)?
(If you are unsure please speak to a member of our team for information)
Do you require any particular arrangement for the interview?
(Please give details)
Yes
No
Yes
No
13. References (for example this could be your last employer, a teacher, a trainer from a course
you attended, or another professional who know you well)
Name:
Name:
Address:
Address:
Telephone Number:
Telephone Number
In what capacity does this person know
you?
In what capacity does this person know
you?
Declaration
14. I confirm that, to the best of my knowledge, the information given on the form is correct.
Signed
Date
We are happy to offer help and guidance with this application form.
YHN deliver our apprenticeship programme in partnership with Newcastle City Learning and they
manage the recruitment process. If you have any questions that relate to this application form or
the role you are applying for please contact Dan Gibson from Newcastle City Learning on 0191 277
3506 or email [email protected]
If you would prefer to contact YHN directly for advice please feel free to call Greig Crichton who is
based in YHN’s Employability Team on 0191 277 3667 or email [email protected]
Equal Opportunities Monitoring Information
This information is only used to measure the effectiveness of our Equality Policy. The HR Team
removes it when we receive your application and it will not be seen by anyone else involved in the
selection process. Our intention is to select the best candidates for the job regardless of their sex,
race, disability, sexual orientation, religion and belief or age.
Gender: Male
Transgender
Female
Age range: Please tick the box that describes
your age range
16 TO 24
25 TO 44
45 TO 54
55 TO 64
65 TO 74
75+
Ethnic origin
Please tick one of the boxes below by choosing
the category which you think best describes your
ethnic origin. Please note that we are asking
about the broad ethnic group you are in and not
about your nationality, place of birth or
citizenship. UK citizens can belong to any of the
categories shown.
White
Marital status or Civil Partnership
British
Single
Asian or Asian British
Is your gender identity the same as the gender
you were assigned at birth?
Yes
No
Widowed
Married
Civil
Partnership
Separated
Living with partner
Family status
Do you have any caring
responsibilities?
Divorced
Dissolved Civil
Partnership
Yes
Indian
Any other White background
Pakistani
Bangladeshi
Any other Asian background
No
If yes, please provide details
Mixed
White and Black
Caribbean
White and Asian
White and Black African
Any other Mixed background
Black or Black British
Disability
In the Equality Act 2010, a person has a disability if
they have a physical or mental impairment and the
impairment has a substantial and long term
adverse effect on their ability to perform normal
day-to-day activities.
Do you consider yourself
to meet this definition?
Yes
No
Caribbean
African
Any other Black
background
Chinese or other
Chinese
Any other ethnic group
Religion and belief
If yes, please provide details:
How would you best describe your religion and
belief?
Sexual orientation
Buddhist
Christian
Hindu
Sikh
Jewish
Heterosexual
Gay man
Muslim
Gay woman or lesbian
Bisexual
No religion
Prefer not to say
Prefer not to say
Another religion or belief