alliance

Enrolment Form

  1. First Name(s)...
    Please type your first name.
  2. Middle Name(s)...
  3. Surname
    Please type your Surname.
  4. Date of Birth
    Please tell us your date of birth.
  5. Ethnicity
    Please let us know your ethnicity.
  6. Gender
    Please let us know your gender.
  7. National Insurance Number
  8. Address Line 1
    Please give us the first line of your address.
  9. Address Line 2
  10. Town
    Please give us the name of your town.
  11. County
    Please select a county.
  12. Postcode
    Please give us your postcode.
  13. Telephone
  14. Mobile
  15. E-mail Address
    Please type a valid email address.
  16. Do you have any disabilities, learning difficulties, and/or health problems?





















    Please tick at least one box.
  17. Tick if you do not want to be contacted:
  18. Invalid Input
  19. What is your highest achieved qualification?
    Please see here for levels of various qualifications
  20. Please enter a qualification.
  21. When did your employment begin?
    This is your first day of working for the company. If you have a contract of employment, this will be the start date as stated on it.
  22. Please tell us the date of your employment.
  23. What was your employment status before starting the apprenticeship?
    If you were told your job would be an apprentice position before starting, you must either select 'Not in paid employment, looking for work...' and provide the appropriate 'Length of unemployment' below, or 'Not in paid employment, not looking…'.
  24. Please tell us your employment status.
  25. How many hours do you work?
    How many hours a week do you work?
  26. How long have you been with the company?
    Please tell us how long you have been with the company.
  27. Length of unemployment
    How long have you been unemployed?
  28. Were you in receipt of:
    Invalid Input
  29. Were you in education before starting work?
    Invalid Input
  30. What is your current status?

  31. How many hours do you work?
    Please tell us how many hours you currently work a week.
  32. Are you in receipt of:
    Invalid Input
  33. What is your household situation?
    Note: "Dependent children" refers to children of 0-17, and adults of 18-24 who are in full-time education or otherwise unable to provide for themselves (i.e. cannot work for whatever reason).

  34. Invalid Input
  35. Invalid Input
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