168 Training - 19 Years + Registration Please enable JavaScript in your browser to complete this form.123456789101112Candidate DetailsTitle *MrMrsMissMsDrRevHonMxFirst Name *Middle NameSurname *How would you like to be addressed? *-select-He / HimShe / HerThey / ThemDate of Birth *Age *Sex *-select-MaleFemaleDo you identify as LGBTQ+ *-select-YesNoNational Insurance Number *Ethnic Origin *-select-ArabBangladeshiBlack AfricanBlack CaribbeanBlack OtherBlack ScottishChineseGypsy or Irish TravellerIndianNot KnownOther AsianOther MixedPakistaniPrefer not to sayWhite BritishWhite IrishWhite OtherWhite ScottishWhite and AfricanWhite and AsianWhite and CaribbeanOtherFaith *-select-OtherChristianityJudaismIslamHinduismBuddhismSikhismNonePrefer not to sayAddress *Second LineCity *County *Postcode *Email *EmailConfirm EmailTelephone NumberMobile Number *Next of Kin Name *Next of Kin relationship *Kin Contact Number *Household Situation *No household member is in employment and the household includes one or more dependent childrenNo household member is in employment and the household does not include any dependent childrenLearner lives in a single adult household with dependent childrenLearner has withheld this informationNone of HHS1, HHS2 or HHS3 appliesNot applicableNextSave and Resume LaterEmployment InformationPlease note: The programme is for people that are unemployed or working less than 16 hours.Employment Status *Please SelectI am EmployedI am UnemployedAre you Self-Employed? *Please SelectYesNoHow long have you been unemployed? *Are you in receipt of the following benefits? *Please SelectJob Seekers AllowanceEmployment Support AllowanceUniversal CreditNoOtherIf Other, Please advise *Is your take-home pay as recorded on your Universal Credit Statement is less than £345 a month? *Please SelectYesNoIf you are not in receipt of any of the mentioned benefits above, then do you receive another state benefit/s and your take-home pay is less than £345 a month? *Please adviseYesNoEmployment Status (Further Details) *Please SelectIn paid employmentNot In paid employment and looking for workNot In paid employment and NOT looking for workNot known or not providedEmployment Weekly Hours (EII) *Please SelectLearner is employed for 0 to 10 hours per weekLearner is employed for 11 to 20 hours per weekLearner is employed for 21 to 30 hours per weekLearner is employed for 31+ hours per weekNot ApplicableEmployment Length (LOE) *Please SelectLearner has been employed for up to 3 MonthsLearner has been employed for 4 to 6 MonthsLearner has been employed for 7 to 12 MonthsLearner has been employed for more than 12 monthsNot ApplicableDo you earn less than £17,374.50 *Please SelectYesNoPlease upload evidence of your pay * Click or drag a file to this area to upload. You can take a picture and attach Wage Slip, P60, anything that evidences your pay.Managers Name *Managers Email *Employment Start Date *DateTimePosition in Organisation *Please indicate your work pattern *Please SelectMonday to FridayWeekdays including WeekendTotal Hours Worked per week *Please detail shift patterns/rota followedPreviousNextSave and Resume LaterMarketing PreferencesILR Restricted Uses (RUI) *4. No Contact5. No Contact 6. Allow contact about courses or learning opportunities7. Allow contact for surveys and researchILR Restricted Use (RUI) No SurveysPlease SelectDo not contact about surveysContact me about surveysILR Restricted Use (RUI) Allow SurveysPlease SelectAllow contact about surveysDon't contact me about surveysILR Prefered Methods of Contact (PMC) *P: Not by PostT: Not by TelephoneE: Not by Email4: Allow Post5: Allow Telephone6: Allow EmailPreviousNextSave and Resume LaterLearning SupportDo you consider yourself to have any of the following? *Please SelectNone (00)Vision impairment (04)Hearing Impairment (05)Disability affecting mobility (06)Profound complex disabilities (07)Social and emotional difficulties (08)Mental Health Difficulty (09)Severe Learning Difficulty (11)Dyslexia (12)Autism Spectrum Disorder (14)Asperger's Syndrome (15)Temporary disability after illness or accident (16)Speech, Language and Communication Needs (17)Other Physical Disability (93)Other specific learning difficulty (e.g. Dyspraxia) (94)Other medical condition (for example epilepsy, asthma, diabetes) (95)Other learning difficulty (97)Prefer not to say (98)Not providedDo you have additional learning needs? *Please SelectYesNoif "YES" please detail below *What is your first language? *What is your nationality? *PreviousNextSave and Resume LaterQualification DetailsProgramme Details *I agree that I will complete the full programme...Our programmes are designed to give you the best possible opportunity in gaining employment or getting closer to the labour market. We have carefully thought about our delivery and chosen to include the following in our delivery package. - Customer Service - Personal Social Development - Work Skills These are Mandatory Qualifications in the package and will be delivered prior to registering you on your chosen pathway below. Please also note, If you provide evidence that you have completed one or more of the qualifications then we will not deliver these again to you.Your Pathway *Childcare Pathway + FREE DBSSIA Door Supervision + LicenseSIA CCTV Operations + LicenseSIA License ONLYSIA Top Up ProgrammePlease Note: Your advisor will guide you through your choice and funding. Sometimes we will have to change programmes to ensure we can put you on a suitable programme that you will get funded for.PreviousNextSave and Resume LaterAspirationsWe want to know what your goals for the short and long term future are. This will help us to support you better in your journey.Short Term Goals *Be on time for lessonsAttend at least 1 live session of learningCome to lessons fully equipped and ready to learnLearn a new skill Medium Term Goals *Improve my communication skillsIncrease my confidence in interview skillsLearn how to effectively search for employmentSearch and apply for at least one job a week Long Term Goals *Complete all courses and qualifications set by Skills PadBecome employedResearch into how to open your own businessProgress into a Higher Level learning PreviousNextSave and Resume LaterPrior Attainment (Previous Education)Give details of the most recent School, College, University, or Training Provider you have attended including date attended.Have you completed any prior Education in the UK? *Please SelectYesNoPrevious Education Provider Name *Please give the name of the most recent school, college, university, or training provider you have attended.What was the Start Date *What was the End Date *What was your highest prior attainment? *Please SelectNot RequiredEntry LevelOther Sub Level 1Level 1Full Level 2Full Level 3Level 4Level 5Level 6Level 7 and AboveOtherNot KnownNoneName of Previous Qualification 1Qualification 1 - Level AchievedPlease SelectNot RequiredEntry LevelOther Sub Level 1Level 1Full Level 2Full Level 3Level 4Level 5Level 6Level 7 and AboveOtherNot KnownNoneQualification 1 - Achievement DateUpload Prior Evidence of Qualification 1 Click or drag a file to this area to upload. Name of Previous Qualification 2Qualification 2 - Level AchievedPlease SelectNot RequiredEntry LevelOther Sub Level 1Level 1Full Level 2Full Level 3Level 4Level 5Level 6Level 7 and AboveOtherNot KnownNoneQualification 2 - Achievement DateUpload Prior Evidence of Qualification 2 Click or drag a file to this area to upload. Name of Previous Qualification 3Qualification 3 - Level AchievedPlease SelectNot RequiredEntry LevelOther Sub Level 1Level 1Full Level 2Full Level 3Level 4Level 5Level 6Level 7 and AboveOtherNot KnownNoneQualification 3 - Achievement Date Upload Prior Evidence of Qualification 3 Click or drag a file to this area to upload. Name of Previous Qualification 4Qualification 4 - Level AchievedPlease SelectNot RequiredEntry LevelOther Sub Level 1Level 1Full Level 2Full Level 3Level 4Level 5Level 6Level 7 and AboveOtherNot KnownNoneQualification 4 - Achievement DateDateTimeUpload Prior Evidence of Qualification 4 Click or drag a file to this area to upload. Name of Previous Qualification 5Qualification 5 - Level AchievedPlease SelectNot RequiredEntry LevelOther Sub Level 1Level 1Full Level 2Full Level 3Level 4Level 5Level 6Level 7 and AboveOtherNot KnownNoneQualification 5 - Achievement DateUpload Prior Evidence of Qualification 5 Click or drag a file to this area to upload. PreviousNextSave and Resume LaterEligibility For FundingI am usually and lawfully a resident in the UK and Islands (Including the Channel Islands and the Isle of Man), or any EU Country. *Please StateYesNoCountry of Permanent Residence *Where have you lived for the last three years?Evidence to confirm residency *Please StatePassportResidency Card or DocumentBirth CertificateIdentification CardsPhoto Cards (i.e. Driving License)Reference Number of the Evidence *Please upload a picture of your evidence * Click or drag a file to this area to upload. I have not been a resident in the UK but i fulfill the residency criteria and have provided the required evidence to confirm my status. *Please StateYesNoIf "NO", Please give the date you entered UK. *Please give details of your circumstances below so that we can find out if we can offer you a place on this programme.Pre-Course QuestionsHave you completed any similar training? *Please StateYesNoPlease provide the name of the provider *Date you stated the course *Course Title: *Are you currently enrolled on any other courses with any other provider? *Please StateYesNoPlease provide the name of the provider *Date you started the course *Course Title: *Are you currently undertaking a degree level qualification: *Please StateYesNoName of the provider *Date you stated the course *Course Title: *Do you have any prior skills, knowledge and behaviours in the subject area (Hobbies or Volunteering) *Please selectYesNoPlease provide details *PreviousNextSave and Resume LaterLearner CommitmentPlease read and confirm the Learner Commitment Statement *I agree...LEARNER COMMITMENT YOU AGREE TO: Make a positive commitment and contribution to your own learning and development. Undertake all training as agreed in your Individual Learning Plan. Attend all assessments and training sessions as agreed, on time and notify absences in good time. (There is a clear link between attendance and success. We may contact you if you are absent to see if we can help you overcome any barriers to learning you are experiencing). Be punctual and inform your Tutor if there is any reason why you are unable to attend at the agreed times. Inform your Tutor promptly of any issues or concerns that may affect your learning or completion of your qualification, in order that we can provide any necessary help and support. Commit to the learning activities required in your qualification including any additional self-study and research (to take place during working hours) Contribute to and take an active role in your progress reviews. Provide a range of evidence requested, completing course work and exams required on time and meet agreed targets for achievement. Observe the health and safety requirements of the programme and your responsibilities under the Health and Safety at Work Act 1974. Adhere to your employer on Health and Safety regulations and only use equipment that you have received adequate training on safe use, and always use the equipment in a safe manner, adopting safe practices. Treat staff, fellow learners and others with courtesy and respect. Not to behave in a way which is likely to cause offence, discriminate against or cause harm to others, or bring the provider into disrepute. Respect the beliefs, values and cultures of others. Provide your Tutor with any medical information that they may need to know about you. Provide information to assist with eligibility checks Report any accidents in the classroom or at work to your Tutor immediately. Bring all necessary learning and resource materials with you to each meeting/training session. Contribute to learner feedback and consultation to help us improve our services including any issues including learning support/health issues that may affect the plan of training. Abide by and accept my responsibilities with regards to all requests and recommendations made in respect of Safeguarding. Inform Skills Pad Training Ltd of any queries or complaints regarding the qualification < including quality please follow the below process. To work for the Employer to the best of his or her ability and in accordance with the Employer’s policies and procedures (work-based qualifications) To be aware of and comply with Skills Pad Trainings policies and procedures, all policies are located on your e portfolio One File account and will require you to sign to confirm that these have been read and understood including; Code of Conduct Health and Safety Equality and Diversity Fundamental British Values Harassment and Bullying Safeguarding and Prevent Complaints Procedure To observe the Employer’s terms and conditions of employment. (work-based qualifications) In both working and learning to be diligent and punctual and to attend courses, keep order to achieve their learning agreement objectives and keep the employer informed of progress toward those objectives. (work-based qualifications) At all times to behave in a safe and responsible manner, following instructions, ensuring your safety and that of those you work with, in accordance with the requirements of Health and Safety legislation. To communicate any concerns to the Employer and/or Provider. (work-based qualifications) To comply with Skills Pad Training’s policies in relation to their statutory duties in relation to Safeguarding, Prevent and Equality and Diversity. PreviousNextSave and Resume LaterFunctional Skills Initial AssessmentIf you have not completed the Functional Skills, then please skip this step. Please Note: The Functional Skills Assessment will be required and someone will support you to access this.If you have not completed the Functional Skills, then please skip this step. Please Note: The Functional Skills Assessment will be required and someone will support you to access this.Literacy Score RequiredPlease SelectEntry Level 2Entry Level 3Level 1Level 2Working AtPlease SelectEntry Level 1Entry Level 2Entry Level 3Level 1Level 2Working TowardsPlease SelectEntry Level 1Entry Level 2Entry Level 3Level 1Level 2Literacy Initial Assessment Upload Click or drag a file to this area to upload. Numeracy Score RequiredPlease selectEntry Level 2Entry Level 3Level 1Level 2Working AtPlease SelectEntry Level 1Entry Level 2Entry Level 3Level 1Level 2Working TowardsPlease SelectEntry Level 1Entry Level 2Entry Level 3Level 1Level 2Numeracy Initial Assessment Upload Click or drag a file to this area to upload. PreviousNextSave and Resume LaterSkills, Knowledge and BehavioursPlease answer the following with a grading of 1 to 5! (5 is the highest grading)Communication Levels *Please Select12345Ability to Listen *Please Select12345Compassion & Empathy *Please Select12345Care for Others *Please Select12345Organised *Please Select12345Reliable *Please Select12345Sharing Skills with Others *Please Select12345Professionalism *Please Select12345Maintaining Confidentiality *Please Select12345Calm under Pressure *Please Select12345Using Initiative *Please Select12345Please give an example of when you used your own initiative. *Resilient *Please Select12345Responsible *Please Select12345Kind and Understanding *Please Select12345Patience *Please Select12345Multitasking *Please Select12345Determined *Please Select12345Self-motivation *Please Select12345Written Communication *Please Select12345Following Instruction & Procedure *Please Select12345Self Development *Please Select12345Dealing with Conflict *Please Select12345Working as part of a Team *Please Select12345Give an example of when you have worked as a team *PreviousNextSave and Resume LaterReferralsDid someone refer you? *YesNoWhether it was a friend, an organisation or a collegue, please do let us know.Please enter the name of the person or company that referred you. *You could earn £50 for every person you refer when they complete our programme. If you know anyone who is eligible and would like to refer them, then please feel free to get in touch with us to find out how you can start earning with Skills Pad.PreviousSubmitSave and Resume Later Your form entry has been saved and a unique link has been created which you can access to resume this form. Enter your email address to receive the link via email. Alternately, you can copy and save the link below. Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted. Copy Link Email * Send Link