Registration Form – Open Access Apprenticeship

Step 1 of 10 – Personal details

Title

Name

First

Last

Gender

Male
Female

Date of birth

National Insurance Number

Address Line 1

Address Line 2

County

Post Code

Email Address

Home Telephone Number

Daytime Telephone Number

Mobile Number

Ethnicity

Step 2 of 10 – Programme Details

Qualification

ILM L3 Team Leader/Supervisor Apprenticeship
ILM Level 5 Leaders and Managers Apprenticeship

Preferred start date and delivery of programme

Step 3 of 10 – Residency Criteria

I am normally and lawfully a resident in the UK and Islands (this is, including the Channel Islands and the Isle of Man), or any EU Country and have been for the last 3 years. This does not include persons with time-limited leave to remain where this does not extend to the planned end date of the proposed learning aim of study; OR

Yes
No

I have not been resident in the UK but I fulfil the residency criteria and have provided the required evidence to confirm my status, please detail below.

Yes
No

Step 4 of 10 – Employment Details

Name of Employer

Address line 1

Address line 2

County

Postcode

Brief description of duties:

Step 5 of 10 – Education Details

Qualifications obtained from Schools, Colleges and Universities. Please list highest qualification first:

College or University

Qualifications

English Language GCSE Grade or Equivalent

Please state what grade you received for English Language at GCSE or Equivalent

Maths GCSE Grade or Equivalent

Please state what grade you received for Maths at GCSE or Equivalent

Step 6 of 10 – Personal Statement

Abilities, skills, knowledge and experience. Please use this section to explain in detail how you meet the requirements of the position – personal strengths/weaknesses/experiences. If you are or have been involved in voluntary/unpaid activities, please also include this information in no less than 250 words.

Step 7 of 10 – Rehabilitation of Offenders Act (1974)

Do you have any convictions that are unspent under the rehabilitation of offenders act 1974?

Yes
No

Step 8 of 10 – Disability Discrimination Act 1995

This Act protects people with disabilities from unlawful discrimination. We actively encourage applications from people with disabilities. The Disability Discrimination Act defines a disabled person as someone who has a physical or mental impairment which has a substantial and adverse long term effect on his or her ability to carry out normal day to day activities.

Do you have a disability which is relevant to your application?

Yes
No

We will try to provide access, equipment or other practical support to ensure that people with disabilities can compete on equal terms with non-disabled people.

Do we need to make any specific arrangements in order for you to attend the workshop sessions?

Yes
No

Step 9 of 10 – Payment

Does your employer pay into the Apprenticeship Levy

Yes
No

Step 10 of 10 – Terms and Conditions

Terms and conditions
Programmes are mounted on the basis of minimum viable attendees. A deposit must be paid to secure your place. This is non-refundable should you fail to start or complete the programme. If Cherith Simmons Learning and Development does not attain the minimum number of viable attendees your deposit and course fees will be eligible for a transfer to an alternative Cherith Simmons Learning and Development programme, product or service (including completing the programme by Distance Learning). A FULL refund is given if no suitable alternative is available within six months of the original start date. Terms are full payment of course fees and accreditation fees before the commencement of the course less the deposit already paid. If course fees are not paid in full Cherith Simmons Learning and Development reserve the right to block access to FlexiLearner or to not mark your work until the position has been rectified. No accreditation will be granted for any portion of the programme completed without payment. If you cannot attend a workshop/webinar alternatives may be available. Alternative attendance will be arranged and agreed with you. If you do not attend the alternative and do not give 48 hours’ notice there is a £35.00 administration fee. Should you not complete the programme to your original schedule you may need to join a new group and will be liable to pay a £100.00 administration fee. Under the Consumer Contracts Regulations you are entitled to a full refund within the 14 day cooling off period. After the 14 day cooling off period our Refund Policy applies. Refund policy Course fees are not refundable if participants do not complete the qualification or drop down to a lesser qualification. Under exceptional circumstances Cherith Simmons Learning and Development may allow a student to freeze studies or to transfer the remaining value of studies to another programme or Cherith Simmons Learning and Development product. The value of remaining studies will be calculated by Cherith Simmons Learning and Development and advised to the student. Where an employer “the client” has paid for the course once we have calculated the value of remaining studies Cherith Simmons Learning and Development may allow “the client” to transfer studies to another person. Participant’s accreditation registration may lapse and different assessments may be needed. Partial completion of the programme may qualify for accreditation for a lesser qualification but will require payment of additional certification fees. Please contact us for details.

Data Protection
Cherith Simmons Learning & Development will use the information you provide in this form to process your application to join the training programme and in dealing with you during the duration of the course. The data will not be shared with any third party for marketing purposes without firstly obtaining your consent. You have the right to request personal information that is stored about yourself. Your personal details will be kept until the requirement for Cherith Simmons L&D to maintain your records for accreditation purposes has lapsed. Please find our full data protection policy on our website or request from our offices.

Apprentice signature

I declare that i have read and understood the terms and conditions

+ 007 548 58 5400

1240 Park Avenue

7:30 AM - 7:30 PM