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Extenuating circumstances application form

Please complete the form below. All fields need to be filled in to receive our opportunities.

Please note our online services are available for eligible students across the UK, but our face to face events and paid job opportunities are mostly located in London.

Eligibility

The Brokerage is a charity. That means we are not able to work with every young person.

You should complete this form if you do not meet our eligibility criteria but believe there are extenuating circumstances which mean you should still be considered for our programmes.

Please answer these questions to help us work out if you are eligible for our programmes. 







Personal details


Please note: The first and last names you give must be the same as the names on your passport (if you have one).














What grades did you achieve in the following GCSE subjects?







Your plans














Permissions


Your details, including email address and telephone number, will be used to keep you informed about future opportunities including insight days, careers education and skills development programmes, work experience, internships and job opportunities. 

Please tick the box below to confirm you consent to The Brokerage sending you this information.