Using Excel Spreadsheet Software

Title

Pronouns

First Name (required)

Surname (required)

Address (required)

Postcode (required)

Home Phone Number (required)

Mobile Phone Number (required)

Email Address (required)

Date of Birth (required)

How did you hear about this course?

Current School/College (if applicable)

Current Course (if applicable)

Please include: Subjects, level and predicted or achieved grades

Do you have any unspent convictions? (required)

Step Into Learning is committed to protecting our learners and staff. To achieve this we need to know about you and any criminal convictions you have.

You must declare a conviction unless it is a motoring offence for which you received a fine or three or fewer penalty points OR a spent sentence (as defined by the Rehabilitation of Offenders Act 1974).

If you are serving a prison sentence you must tick the ‘Yes’ box. If you are convicted of a criminal offence after you have enrolled you MUST let us know immediately. If you are unsure whether to tell us about a previous conviction you should seek advice from your local Citizens Advice Bureau or speak to our Head of Centre.

Do you consider yourself to have a learning difficulty, disability or health problem? (required)

This may include mental health (such as anxiety) or learning difficulties that we need to be aware of so that we may support you at interview and if you attend college.

Do you require additional support as a result of this? (required)

Have you received reasonable adjustments for exams in the past? For example, extra time or a reader? (required)

We ask this information so we can ensure you receive appropriate support to enable you to achieve your qualification.

Do you have a current Education Health and Care Plan (EHCP) from the Local Authority? (required)

Do you have any medical information you would like to share with us?(required)

Name (required)

Relationship to Applicant (required)

Address (if different to the applicant)

Postcode (if different to the applicant)

Phone Number (required)

Email Address (required)

Are you able to travel independently?

Do you understand you may need to take travel training to support the Supported Internship?

Do you understand what a Supported Internship is?

Are you willing, and able, to commit to the Supported Internship?

What attracted you to the Supported Internship? (required)

Timekeeping

Working with others

Verbal Communication

Working independently

Following instructions

Completing tasks assigned by others

Keyboard and IT skills

Speaking to unknown people (phone/video)

Meeting new people/new environments

Keeping a positive attitude

Receiving feedback

Switching between tasks

Working with others

Solving problems

Having a set routine

Working independently

Meeting new people

Working with numbers

Using a computer

Coding/programming

Helping others

Talking on the phone

Work Experience, Teamwork or Leadership Experience - Include setting, role, responsibilities, and dates (required).

Tell Us About Yourself - (interests, hobbies, strengths, how you spend your time, what matters to you) (required).

What are your future aspirations? - (jobs, industries, subjects, goals, what excites you about the future). (required).

Name (required)

Email Address (required)

Contact Number (required)

Job Title (required)

Relationship to Applicant (required)

Name (required)

Email Address (required)

Contact Number (required)

Job Title (required)

Relationship to Applicant (required)

I completed this application independently (required)

If completed on behalf of the applicant - please give your name, and relationship to the applicant: