Lemon

Personal details

Firstname
Surname
D.O.B
NI Number
Address Line 1
Area
City
County
Postcode
Claiming Benefits
Date moved into address

Profile

Profile Image
Nationality
Ethnicity
Mobile
Home Tele
Email: email
Have you lived in the UK for the last 3 years?
If under 19 years of age, have you or your parents been resident in the UK/EEA/EU for the past 3 years?

Spent Convictions need not to be disclosed. Failure to disclose unspent convictions or a criminal record could result in expulsion. If you would like advice on unspent convictions please contact (NACRO 02078406464) Please provide details below. Alternatively, a written statement can be enclosed with your application form sealed envelope marked ‘Private and Confidential’- for the Centre Manager.

Criminal Record

Do you have a criminal record (including cautions) or a court case pending?

If Yes Please give details

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Education and Training

Education Notes

Education: Dates of Course Subject Grade School or College

Employment

Employment Details

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Personal Statement – Please detail why you are interested in working in this sector and completing a professional qualification. (For apprenticeship applicants: please detail why you feel an apprenticeship would benefit you)

Personal Statement

Statement

Hobbies and Interests

Hobbies and Interests

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Do you have any additional needs that may affect your learning and do you need any support with the following

Health

Disability
if Yes, please give details
Learning Difficulty
if Yes, please give details

Emergency Contact Details

Emergency Contact Name
Relation to you
Contact Email: email
Contact Mobile

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Please give at least one person we can contact for a reference (e.g. School/college tutor, employer)

Reference 1

Name
Job Title
Address
Phone

Reference 2

Name
Job Title
Address
Phone

Submit My Application

I understand that any false information or omissions may disqualify my application and I confirm that I am at least 16 years of age and legally entitled to leave school. I agree that my personal data may be passed to a third party in connection with my studies or future employment.

Where did you Hear about us?: Please tell us Where you heard about us
I agree