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.

Do you live in the UK?

Yes, in Greater LondonYes, outside LondonNo

Are you eligible to work in the UK?

YesNo

What is your current education stage?

Do you/did you attend a fee-paying secondary school or sixth form?

YesNo

Did you achieve a grade 5 or higher in your Maths, English Language AND English Literature GCSE?

YesNo

Were you ever eligible for free school meals during secondary school?

YesNo

Did your parents go to university in the UK?

YesNo

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).

First name

Mobile

Last name

Date of birth

Email (personal email, not your school/college/uni email address)

Which gender do you most identify with?

Which ethnicity do you most identify with?

Other Ethnicity

Do you have a disability or medical condition that we would need to be aware of?

Your home postcode

Which borough do you live in?

Where do you/did you study A levels (or equivalent)? (If your school is not on the list please use the next box to enter the name of your school)

Enter your school here if it is not on the list

What university do you study at?

What grades did you achieve in the following GCSE subjects?

Maths

English Language

English Literature

What subjects are you studying? (Separate courses with a comma, eg. maths, English, history)

What degree subject are you studying?

What is your apprenticeship job title?

What is the name of your apprenticeship course?

Your plans

What are your future plans?

Which of these are you looking for in the next 12 months?

Other (please specify)

In no more than 250 words tell us why you are interested in a career in the financial sector (Banking, Corporate Law, Insurance, Accounting and Technology)

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.

I consent for my data to be used for this purpose