PICSWeb : Applicant Sign Up : AEB Expression of Interest - Short Form

AEB Expression of Interest - Short Form - Community Shops (BD)

Title

First Names *

Surname *

Date of Birth *

Sex *

Telephone

Mobile

Email *

Address *

Address 2

Postcode *

Ethnicity *

NI Number

Learning Record Services Check

LRS Privacy Notice

In order to be eligible we will need to check your LRS record. Please select your choice from below *

Compliance Check

Have you been a resident of the UK/EU for the past 3 years ? *

Yes
No

Nationality *

Nationality List

Countries in the EU and EEA

If No - please add date you entered the UK

Course Preferred

Preferred Course *

Other

JCP Locations

JCP Location *

Other

Community Shop Locations

Community Shop *

Other Location

Employment Status *

Length of Employment

Length of Unemployment

Benefit Status Indicator

Employment Intensity Indicator

Open Day

Is there progression ?

Do you consider yourself to have any of the following choices? *

Please make you choice from the list, select multiple answers if needed. *

Please indicate your Primary choice if you have selected one or more from the list. The one that you feel would have the biggest impact on completing any course you attended. *