Employer Partnership Opportunities Enrolment Form
Where did you hear about the programme?
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NEWSPAPER ADVERT
Waltham Forest Council Newsletter
RECOMMENDATION
JOB CENTRE
WEBSITE
Waltham Forest Council Website
REFERRED BY ORGANISATION/INDIVIDUAL
OTHER (please specify)
Other website
Project Zero
Facebook
Instagram
LinkedIn
Snapchat
YouTube
WhatsApp
Referring Organisation/Individual
Title
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Mr
Miss
Ms
Mrs
Other
Forename
Surname
Mobile Phone No.
Email Address
WF Resident
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Yes
No
Address
Postcode
Date of Birth
Gender
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Male
Female
Ethnicity
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Asian/Asian British - Bangladeshi
Asian/Asian British – Indian
Asian/Asian British – Pakistani
Asian/Asian British - Chinese
Asian/Asian British - Other (please specify below)
Black/Black British - African
Black/Black British - Caribbean
Black/Black British - Other (please specify below)
Mixed/Mixed British - White and Asian
Mixed/Mixed British - White and Black African
Mixed/Mixed British - White and Black Caribbean
Mixed/Mixed British - Other (please specify below)
White British - English/Welsh/Scottish/Northern Irish
White Irish
White Gypsy or Irish Traveller
White Other (please specify below)
Other Ethnic Group (please specify below)
Job Goal
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Office Job
Marketing & Media
ICT
Retail & Customer Service
Construction/Manual Work
Finance and Accounting
Education
Health & Social Care
Hospitality/Catering Jobs
Transport/Logistics
Security
Cleaning & Facilities Management
Warehouse
Other
Do you have a valid CSCS Card
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Yes
No
Other Construction Tickets
Do you have a valid SIA License
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Yes
No
Full Time
Part Time
Both
Weekends
Evenings
Are you currently studying
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Yes
No
Part Time
Evenings
Weekends
Employed?
No
Yes
If unemployed, please state how long:
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0-6 months
6 - 12 months
12-24 months
2-3 years
3 years or more
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