Apprenticeship application form

Information given in this form will be treated as confidential and will be used for the sole purpose of considering your suitability for this programme. It will not be shared with any third party. Please note that our decision on whether to consider your application will be based, in part, on the information you supply in this form. Please ensure you complete it fully. Submitting this application form does not commit you to attending any training programme. Any offer of a training place will be made to you in writing requiring your acceptance before the training can commence. You must enter information in all the boxes marked with * and enter the security code before submitting the form. If you experience any difficulties in using this booking form please telephone 024 7671 9720 during normal office hours

Personal details
Title: *		Date of Birth: *
First name: *		Email address: *
Surname: *		Confirm email: *
Address: *		Telephone no:

		Nationality: *
Town / City:*
Post Code: *

Dates gained	Existing qualifications or certifications held











Have you been a UK resident for the last 3 years? *		Yes No
Are you currently unemployed? *		Yes No
Please give details of any physical or health conditions you believe should be taken into account.
Are you available to do 6 months full-time training? *		Yes No
From what date are you available to begin your training?
Have you ever been convicted of a criminal offence? * If yes please give details and date committed (Declaration subject to Rehabilitation of Offenders Act)		Yes No
Where did you hear about our training programme?

Tell us about yourself and why you want to train for a career in IT *

Entries marked * are required to be completed
Declaration I confirm that the information I have given in this form is accurate to the best of my knowledge. I agree to it being stored and used by JBC Computer Training Ltd in connection with its training programmes. I understand that this information forms the basis of any offer of training made by JBC Computer Training Ltd and that such offers may be revised or withdrawn if the information later changes or proves to be incorrect. Tick here to confirm you have read, understood and agree to the terms and conditions of applying for an Apprenticeship training place with JBC.
		I confirm *

Please enter the security code shown above:

Personal details

Dates gained

Existing qualifications or certifications held

Tell us about yourself and why you want to train for a career in IT *

Declaration