Application Form

I am applying for:
 Study Programme Apprenticeship Not sure

Section 1 - Contact Details

Name:*

Date of birth:*

Address:*

Mobile number:*

Landline number:

Email:*

National Insurance Number:

Section 2 - Education

Last School / College attended:

Attended from:

Attended to:

Education (Subject / Level (GCSC, NVQ etc.) / Result achieved ):

Section 3 - Equal Opportunities

This section is to help us monitor how well our equal opportunities policy is working:

Are you:
 Female Male Transgender Prefer not to say

Have you been resident in the UK for 3 years?:
 Yes No

Please select the following which apply:
 Asian or Asian British – Bangladeshi Asian or Asian British – Indian Asian or Asian British – Pakistani Asian or Asian British – Other Black or Black British – African Black or Black British – Caribbean Black or Black British – Other Mixed – White and Asian Mixed – White and Black African Mixed – White and Black Caribbean Mixed – any other mixed background Chinese White – British White – Irish White – any other background Any other ethnic group Prefer not to say

In order for us to identify any support you may require, please tick those that apply:
 I have a specific learning difficulty, eg. Dyslexia, dyscalculia I have a statement of special educational needs I have a support need with which Fit Training can help I have a medical condition, eg. Asthma, Hayfever etc I have another disability (please say below)

If you have selected any of the above, how would you wish to let us know what support you are likely to need? – please tick:
 By talking confidentially to a member of staff By email (info@fittraining.co.uk) Through someone else such as an advocate, parent or carer

Section 4 - Additional Information

Please explain why you are interested in starting a career in the fitness industry:

Please give details of your hobbies, leisure activities and interests:

When would you be available to start?:

Please describe any individual learning needs and/or any other requirements you may have that would be relevant to the course:

Please give details of any medical condition, e.g. cardio-respiratory, joint or muscular problems, or recent injury may have, which could prohibit you from taking part in activities associated with the course:

How did you heard about us?
 Google Another search engine Facebook Twitter Youtube Instagram Friend referral Open day Other (please say below)