Please let us know why you are interested in doing the above apprenticeship:

Where did you hear about us?

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

Do you have a Record of Achievement or progress file?

Please give details of any other courses, NVQs qualifications or units you have undertaken, including work experience, courses at college or apprenticeships (either completed or not)

Please give details of employment you have had in the past or currently hold, including both full and part time work:

If applicable, will you continue your employment if you commence an apprenticeship?

Do you require any specific arrangements with regards to your religious beliefs?

Please give details of any convictions except those 'spent' under the Rehabilitation of Offenders Act 1974:

Please give details of any additional support or aids you may require with regards to any disability or health problems. This will enable us to make adjustments to ensure you can take part in your chosen apprenticeship. If you need assistance in completing this application form please contact us so we can make arrangements.

Please give details of any diseases, disorders, allergies and muscular or skeletal injuries that you have now or have had in the past:

Please provide details of medication, drugs or treatment you are currently receiving:

Please give details of absences from work, school and college in the last 12 months and the reason for your absences:

I confirm that the information I have provided is complete and correct, I understand that any untrue or misleading information may result in the termination of my apprenticeship with Durham Business Club.

I agree Durham Business Club reserves the right to request me to undergo a medical examination.

When would you like to start your apprenticeship?