MTC Apprenticeship Application Form Please complete the below application form, along with a covering letter explaining why you think you are suitable for the MTC Apprenticeship Programme. Both documents should be returned to Matthew.Bastock@the-mtc.org Title (Mr/Mrs/Ms/Miss) Surname First name(s) Date of Birth Permanent address (Please include postcode) PERSONAL DETAILS Term-time address (Please include postcode) Dates living at term-time address Home telephone Mobile telephone E-mail address Do you require a work permit or visa to work in the UK? If yes, please provide details of passport number, type of visa you hold, and its expiry date Do you suffer from any form of colour blindness? (This may affect which departments you may be placed in) If yes, please provide brief details Yes Yes No No
SECONDARY EDUCATION Please list the number of GCSEs or equivalent attained and subject areas, and details of any A-Levels attained. You should list your most recent qualification first. School/College name Dates of study (DD/MM/YY DD/MM/YY) Qualification type Subject and grade FURTHER EDUCATION (IF APPLICABLE) Please list any Further Education qualifications. If you are currently undertaking courses, please provide your predicted grade(s). You should list your most recent qualification first. University name Dates of study (DD/MM/YY DD/MM/YY) Qualification type Subject and grade
EMPLOYMENT / ORK EXPERIENCE Please tell us about any employment or work experience you d had, starting with your most recent first. Employer / Company Dates (DD/MM/YY DD/MM/YY) Position Responsibilities
COMPETENCY QUESTION 1 Describe a project you have worked on. hat steps did you take to ensure that you made an effective contribution to the project? (Minimum 200 words) COMPETENCY QUESTION 2 Explain any aspects of your educational learning which have been of particular interest to you, and/or are particularly relevant to your application, and why. (Minimum 200 words) ABOUT YOU Please tell us about any achievements, interests or hobbies outside of work/study?
REFERENCES Please provide details of at least one academic referee (e.g. lecturer/teacher). The second referee should preferably be from your most recent employer, or work experience placement. Title Full name Job title Company Company Address Referee 1 Postcode: Telephone number Email address Referee 2 Title Full name Job title Company Company Address Telephone number Email address Postcode:
EQUAL OPPORTUNITIES The MTC is committed to promoting equal opportunities. Our aim is to ensure that no applicant is discriminated either directly or indirectly because of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race (including colour, nationality and ethnic or national origins) religion or belief, sex or sexual orientation. All information provided will be treated in confidence and will be used solely by Human Resources for the purpose of providing statistical information for equal opportunities monitoring. here did you hear about our programme? Gender Male Female Prefer not to say Nationality How best describes your ethnic origin? hite British Irish Other Black or black British Caribbean African Other Mixed hite & black Caribbean hite & Asian hite & black African Other Asian or Asian British Indian Bangladeshi Pakistani Other Other ethnic groups Chinese Other Please specify: Prefer not to say Do you consider yourself to have a disability, as defined in the Disability Discrimination Act 1995? Disability is defined as Physical or mental impairment which has a substantial and long term effect on a person s ability to carry out normal day to day activities.
DECLARATION I declare that the information provided in this form and the covering letter is to the best of my knowledge, true and complete. I understand that by providing any false or misleading information on this form and/or in the covering letter may result in my application being disqualified; where I have already commenced employment, I may be dismissed. I understand that I may be required to provide original certificates to support my application. I agree to the MTC processing my personal information, contained within this form and covering letter, in accordance with the Data Protection Act 1998. Signature: Date: