City Gateway Training Application Form

First Name*

Surname Name*

E-mail*

Date of Birth*

MonthDayYear

Gender*

Telephone*

Address Line 1*

Address Line 2

Address Line 3

Postcode*

Highest Qualification Gained*

Do you have Maths GCSE (A*-C)

YesNo

Do you have English GCSE (A*-C)

YesNo

How did you hear about City Gateway?*

If Other, please specify*

Please specify further

Employment Status*

Do you receive JSA?

YesNo

Please indicate your 1st preference of training, traineeship or apprenticeship*

Please indicate your 2nd preference of training, traineeship or apprenticeship

Please indicate your 3rd preference of training, traineeship or apprenticeship

Please briefly outline any work experience, if any, you have already had, how long it was and what type of work.

City Gateway aim to welcome all applicants onto our programmes where possible, however we would like to be able to share your details with other 3rd party training providers if we are unable to offer you a place.

Please tick if you DO NOT want your details to be shared with other 3rd party providers