SIA Course - Registration
Do you live in London Borough of Waltham Forest?
Please select...
Yes
No
You must be a resident of Waltham Forest to enrol in the course
x
Are you able to commit to full 7 days of SIA training in June or July 2022?
Please select...
Yes
No
Can you provide a checkable history going back 5 years
Please select...
Yes
No
Unsure
You must provide reference details of previous employment, education or if you were in receipts of benefits
Can you provide right to work documents & ID
Please select...
Yes
No
Must provide photo ID & proof of right to work documents
Do you have any criminal convictions?
Please select...
No
Yes
Please state yes if your conviction has been spent,
x
National Insurance Number
Please ensure that this is entered in the format LL NN NN NN L where L denotes a capital letter and N denotes a number.
x
Title
Please select...
Mr
Miss
Ms
Mrs
Other
Forename
Surname
Email Address
Mobile Phone No.
Address
Postcode
Please check characters and/or spacing.
x
Date of Birth
Please ensure that this is entered in the format DD/MM/YYYY
x
Ethnicity
Please select...
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)
Gender
Please select...
Male
Female
Available for employment
Full Time
Part Time
Both
Are you currently employed?
Please select...
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
If claiming benefits, please state type:
Please select...
None - No Benefits
CB - Child Benefits
CTS - Child Tax Support
DLA - Disability Living Allowance
ESA – Employment Support Allowance
HB - Housing Benefit
IS- Income Support
JSA – Job Seeker’s Allowance
PIP - Personal Independence Payment
UC – Universal Credit
WTC - Working Tax Credits
How long have you been on this benefit?
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Under 6 months
6 to 12 months
Over 12 months
Health conditions or disabilities?
Please select...
No
Yes
If yes, please provide details
Do you fall under any of these categories
Please select...
Alcohol Misuser
Drug Misuser
Ex-offender
Debt Problem
Homeless or Temporary Accomodation
Care Responsibilities
Asylum Seeker/Refugee
Care Leaver
Lone Parent
Physical and learning disabilities
Mental health needs
Where did you hear about the programme?
Please select...
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
Opps Caseload
Please select...
Live
Candidates Current Status - Please choose Action Planning if candidate is not in employment or education
Scheme
Please select...
SIA Course
Caseload Monitoring
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Pending Enrolment
Contact Information