STEGTA - Salford and Trafford Engineering Group Training Association Ltd, Apprenticeships & Training
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Apprenticeships
Engineering
Plumbing
Gas Engineer
Air Conditioning
Heating and Ventilation
Application Form
 
 
 
 

Dock Office
Trafford Road
Salford Quays
MANCHESTER
M50 3XB
Tel: 0161 877 4078
Fax: 0161 877 4602
Email: admin@stegta.org
 
 
PERSONAL DETAILS
Name:
Address:
Postcode:
Home Telephone Number:
Mobile Telephone Number:
Email Address:
Date of Birth:     Please press DP to display Calendar
Age:
NI Number:
EDUCATION AND TRAINING
Last School/College
Qualifications achieved at School and/or/College or your predicted grades
Subjects Taken   GCSE/GNVQ   Grades   Year
     
     
     
     
     
     
     
     
     
     
     
     

Have you had any absences from School/College other than for Holiday or Illness?

 Yes  No
Other Qualifications (Include details of any National Vocational Qualifications, Key Skills, or other certificates you have achieved)
Qualification Name   Year   Grade
   
   
   
WORK EXPERIENCE
List details of any work experience i.e. Saturday Job etc…
Company Name   From   To
   
   
   
   
What skills have you developed and what have you learned from the work you have carried out?
What has encouraged you to apply for an apprenticeship?
What do you enjoy doing in your spare time?
Do you hold a current Driving Licence? Yes No
I confirm that all of the information I have provided is, to the best of my knowledge, accurate.  On successful placement into employment I agree to undertake a course of training leading to a qualification as outlined in my Individual Learning Plan.
Please tick as confirmation.
YOUR HEALTH

This information is required to ensure that your Training Provider is fully aware of any health issues which require special care during your training.
Do you have a long-term health problem or disability that may affect the kind of work you do? Yes No
If YES please provide further information:

Do you have and/or are you taking medication for any of the following? If you tick any of the boxes, please give more details in the space provided
Difficulty with mobility or standing Difficulty with eyesight (not just the need for glasses)
Difficulty with hearing Difficulty with speech
Breathing difficulties (incl. Asthma) Epilepsy
Dyslexia Diabetes
Concentration or memory problems Skin problems (for example eczema)
Allergic reaction(s) Other
If other, please give details

If you have a disability and require any special access requirements when attending an interview at STEGTA, please specify below how we can assist.

EQUAL OPPORTUNITIES

STEGTA is committed to a policy of Equality of Opportunity for all applicants regardless or their gender, race, colour, ethnic or national origin, disability or marital status.  To help us assess the effectiveness of our Equal Opportunities Policy, please tick the appropriate group:
Sex: I am   Female   Male  
Asian or Asian British – Bangladeshi Black or Black British – Any other Black Background
Asian and Asian British – Indian Sri Lankan
Asian or Asian British – Pakistani Other non-White
Black or Black British – African White – British
Black or Black British - Caribbean Prefer Not to Say
Other
Additional Information
PREFERENCES

Please select which type of Apprenticeship/Qualification you are interested in completing from the list below.

Production Engineer Refrigeration/Air Conditioning
Maintenance Engineer Welding and Fabrication
Mechanical Production Engineer Heating and Ventilation
CAD (Computer Aided Design) Plumbing
Construction Engineer Gas
AREAS OF WORK

Areas you are willing to travel to – please indicate

Salford Worsley Tameside
Trafford Park Swinton Bolton
Stretford Altrincham Bury
Old Trafford Sale Wigan
Eccles Warrington    
Others (please separate with a comma (,)
REFERRALS Please Indicate with a tick (√)
Where did you hear about STEGTA?
Connexions Friend/Recommendation
School/College Internet
Other
We would welcome your comments on our website and any suggestions you may have to improve it.
 
   
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