Apex Skills Training
Application Form
Personal Details
Address Details
Contact Details
Residency Details
Equal Opportunities
Education/Training
Employment Details
Unemployment Details
Household Situation
Religious Identity
Ethnic Group
Select Course & Confirm
Personal Details
*Title
Mr
Mrs
Miss
Ms
Other
*Sex
Male
Female
*Surname/Family Name
*Forenames
Previous Surname
*Date Of Birth
NI Number
*Mobile No
*Email
Address Details
Address Lookup
*Address Line 1
Address Line 2
Address Line 3
*City
County
*Postcode
*Length Of Time At Address
0 year
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
1 month
2 months
3 months
4 months
5 months
6 months
7 months
8 months
9 months
10 months
11 months
Contact Details
Tel No. inc area code
*Mobile No
*Email
Emergency Contact
*Name of Contact
*Relation to Student
*Mobile No
Email
Residency Details
Have you had permanent lawful residency in the UK/European Economic Area for the whole of the past 3 years
Are you a UK or EEA National?
*Nationality (as on passport)
Select a nationality
British
Afghan
Albanian
of Antartica
Algerian
American Samoan
Andorran
Angolan
of Antigua and Barbuda
Azerbaijani
Argentinian
Australian
Austrian
Bahamian
Bahraini
Bangladeshi
Armenian
Barbadian
Belgian
Bermudian
Bhutanese
Bolivian
of Bosnia and Herzegovina
Botswanan
of Bouvet island
Brazilian
Belizean
Changosian
Solomon Islander
British Virgin Islander;
Bruneian
Bulgarian
Burmese
Burundian
Belarusian
Cambodian
Cameroonian
Canadian
Cape Verdean
Caymanian
Central African
Sri Lankan
Chadian
Chilean
Chinese
Taiwanese
Christmas Islander
Cocos Islander
Colombian
Comorian
Mahorais
Congolese
Congolese
Cook Islander
Costa Rican
Croatian
Cuban
Cypriot
Czech
Beninese
Danish
Dominican
Dominican
Ecuadorian
Salvadoran
Equatorial Guinean
Ethiopian
Eritrean
Estonian
Faeroese
Falkland Islander
of South Georgia and the South Sandwich Islands
Fijian
Finnish
Åland Islander
French
Guianese
Polynesian
of French Southern and Antarctic Lands
Djiboutian
Gabonese
Georgian
Gambian
Palestinian
German
Ghanaian
Gibraltarian
Kiribatian
Greek
Greenlander
Grenadian
Guadeloupean
Guamanian
Guatemalan
Guinean
Guyanese
Haitian
of Territory of Heard Island and McDonald Islands
of the Holy See/of the Vatican
Honduran
Hong Kong Chinese
Hungarian
Icelander
Indian
Indonesian
Iranian
Iraqi
Irish
Israeli
Italian
Ivorian
Jamaican
Japanese
Kazakh
Jordanian
Kenyan
North Korean
South Korean
Kuwaiti
Kyrgyz
Lao
Lebanese
Basotho
Latvian
Liberian
Libyan
Liechtensteiner
Lithuanian
Luxembourger
Macanese
Malagasy
Malawian
Malaysian
Maldivian
Malian
Maltese
Martinican
Mauritanian
Mauritian
Mexican
Monegasque
Mongolian
Moldovan
Montenegrin
Montserratian
Moroccan
Mozambican
Omani
Namibian
Nauruan
Nepalese
Dutch
Curaçaoan
Aruban
Sint Maartener
of Bonaire, Sint Eustatius and Saba
New Caledonian
Vanuatuan
New Zealander
Nicaraguan
Nigerien
Nigerian
Niuean
Norfolk Islander
Norwegian
Northern Mariana Islander
of United States Minor Outlying Islands
Micronesian
Marshallese
Palauan
Pakistani
Panamanian
Papua New Guinean
Paraguayan
Peruvian
Filipino
Pitcairner
Polish
Portuguese
Guinea-Bissau national
East Timorese
Puerto Rican
Qatari
Reunionese
Romanian
Russian
Rwandan; Rwandese
of Saint Barthélemy
Saint Helenian
Kittsian; Nevisian
Anguillan
Saint Lucian
of Saint Martin
St-Pierrais; Miquelonnais
Vincentian
San Marinese
São Toméan
Saudi Arabian
Senegalese
Serb
Seychellois
Sierra Leonean
Singaporean
Slovak
Vietnamese
Slovene
Somali
South African
Zimbabwean
Spaniard
South Sudanese
Sudanese
Sahrawi
Surinamese
of Svalbard
Swazi
Swedish
Swiss
Syrian
Tajik
Thai
Togolese
Tokelauan
Tongan
Trinidadian; Tobagonian
Emirian
Tunisian
Turk
Turkmen
Turks and Caicos Islander
Tuvaluan
Ugandan
Ukrainian
of the former Yugoslav Republic of Macedonia
Egyptian
of Guernsey
of Jersey
Manxman; Manxwoman
Tanzanian
American
US Virgin Islander
Burkinabe
Uruguayan
Uzbek
Venezuelan
Wallisian; Futunan; Wallis and Futuna Islander
Samoan
Yemenite
Zambian
Equal Opportunities Information
Do you consider yourself to have a learning difficulty and/or disability and/or health problem
If yes please select whatever is appropriate to you
Visual Impairment
Hearing Impairment
Disability Affecting Mobility
Profound Complex Disabilities
Social and Emotional Difficulties
Mental Health Difficulty
Moderate Learning Difficulty
Severe Learning Difficulty
Dyslexia
Dyscalculia
Autism Spectrum Disorder
Asperger's Syndrome
Temporary Disability
Speech, Language & Communication needs
Other Physical Disability
Other Specific Learning Difficulty (eg. Dyspraxia)
Other Medical Condition (eg. epilepsy, asthma, diabetes)
Other Learning Difficulty
Other Disability
Do you need extra support whilst you are at College because of your learning difficulty or disability?
Will you need any special arrangements for your exams at the college?
Education or Training Before Starting This Course
Are you still attending school or another college/6th form/training provider
I am aged 16-19 and not in education, employment or training
I was in full-time education or training
I have GCSE Maths A*-C (9-4)
Enter highest GCSE Maths grade
I have GCSE English A*-C (9-4)
Enter highest GCSE English grade
Employment Status Before Starting This Course
Employed less than 16 hours per week
Employed between 16-19 hours per week
Employed for 16 hours or more per week
Length of Employment
Employed for up to 3 months
Employed between 4-6 months
Employed between 7-12 months
Employed for more than 12 months
Unemployment Status Before Starting This Course
Not in paid employment and looking for work
Not in paid employment and not looking and/or not available to start work
Length of Unemployment
Less than 6 months
6-11 months
12-23 months
24-35 Months
Over 36 Months
Household Situation
No household member is in employment and the household includes one or more dependant children
No household member is in employment and the household does not include any dependant children
Learner lives in a single adult household with dependant children
Prefer not to say
Not applicable
Religious Identity
Christian
Jewish
Buddhist
Muslim
Hindu
Sikh
No religion
Prefer not to say
Other, please state
Ethnic Identity
British
Irish
Gypsy or Irish Gypsy or Irish
White & Black Carrribbean
White & Black African
White & Asian
Indian
Pakistani
Bangladeshi
Chines
African
Caribbean
Arab
Any Other white
Any other mixed/multiple background
Any other Asian background
Any other Black/African/Carribean background
Any other ethnic group background
Select Course and Confirm
*Branch
Manor Park Branch
*Course
Functional Skills - Entry 1
Functional Skills - Entry 2
Functional Skills - Entry 3
Functional Skills - Level 1
Functional Skills - Level 2
Terms & Conditions
blah blah
I Confirm all the information provided above is correct and I agree with terms and conditions