LP Training Solutions Apprentice Information

Name*
Forenames Surname
Hidden
Date of Birth*
MM slash DD slash YYYY
Home Address*
Street Address Address Line 2 City County Postcode Country
Email Address*
(If you do not have an email address please type N/A in the text box.)
Home Phone Number*
(If you do not have an home phone / landline number please type N/A in the text box)
Mobile Phone Number*
(If you do not have an mobile phone number please type N/A in the text box.)
National Insurance Number.*
Driving License?*
Car Owner?*
OVERALL SIZES (PPE):*
SHOE SIZE:*
Next of Kin
Please provide the details of who to contact in case of emergency
Next of Kin Name*
Forenames Surname
Relationship to you (the worker)*
Next of Kin Address
Leave blank if same as your home address

Street Address Address Line 2 City County Postcode Country
Next of Kin (Emergency) Phone Number*
Next of Kin Email Address*
(If you do not have an email address please type N/A in the text box.)

Qualification Declaration
What is Your Trade or Skill*
e.g. Fitter, Electrician, Industrial Operative. WARNING - Failure to provide an accurate declaration of qualifications may result in disciplinary action. All candidates must rake original certificates with them to the first day of site induction.
QUALIFICATIONS/CERTIFICATES/SAFETY CARDS DECLARATION*
QUALIFICATIONS/CERTIFICATES/SAFETY CARDS AWARDING BODY ISSUE DATE EXPIRY DATE CAN A COPY BE PROVIDED (YES/NO)

(To add additional qualifications please click the plus button on the right).
Please provide approx. number of years experience for the qualifications listed above.*
QUALIFICATIONS Approximate number of years experience CAN A COPY BE PROVIDED (YES/NO)

(To add additional qualifications please click the plus button on the right)
If you need any additional space to put down your qualifications use the space below.
Please state any NVQs you hold and at what level-
Have you worked on a HS2 site before? If so please state where and what inductions have you attended.

EMPLOYMENT RECORD (MOST RECENT FIRST)*
START DATE END DATE EMPLOYER DETAILS OF WORK UNDERTAKEN AND PROJECTS WORKED ON CONTACT NAME, TEL NO & EMAIL

(To add additional employment records please click the plus button on the right)

Civil and Ground Worker Experience:
Do you have any civils or ground work experience?
- PIPE LAYING AND DRAINAGE
- DEEP DRAINAGE
- KERB LAYNG
- CONCRETE POURING AND PLACING
- CONCRETE FINISHING
If you answered yes to any of the above please elaborate below*
Specific experience NVQ? Please state approximate number of years experience below: Experience & Additional Comments
REFERENCES: - PLEASE PROVIDE THREE WORKING REFERENCES
LP TRAINING SERVICES POLICY STATES THAT ALL EMPLOYEES MUST PROVIDE A MINIMUM OF 3 WORK REFERENCES.
*
Company Name Address Contact and Position EMAIL / TEL NO.
*
Company Name Address Contact and Position EMAIL / TEL NO.
*
Company Name Address Contact and Position EMAIL / TEL NO.

Criminal Convictions Declaration Form
Have you ever been convicted of a criminal offence?*
Do you have a court appearance pending or have you been charged by the Police for a criminal offence?*
If you answered YES to A or B above, please supply the following details
Date Court Details Of Offence Sentence
I CERTIFY THAT:
I have read the Guidance Notes overleaf and have not withheld information that may affect my application for appointment. I understand that false information or omissions may lead to dismissal. The information supplied above may be verified by Logical.

Data Protection Act 1998
I consent to the information which I have provided on this form being used by the Human Resources Managers in the decision making process which may include requesting a criminal records check for certain posts.

If you are appointed to a post, this form is resealed in an envelope and filed in your personal file. If you are unsuccessful, the form will be retained in a sealed envelope, with the papers relating to the vacancy and kept for 6 months before being destroyed.

For more information on the Rehabilitation of Offenders Act 1974 please follow the link.
Date*
MM slash DD slash YYYY
Email
This field is for validation purposes and should be left unchanged.

Next of Kin

QUALIFICATIONS/CERTIFICATES/SAFETY CARDS	AWARDING BODY	ISSUE DATE	EXPIRY DATE	CAN A COPY BE PROVIDED (YES/NO)

QUALIFICATIONS	Approximate number of years experience	CAN A COPY BE PROVIDED (YES/NO)

START DATE	END DATE	EMPLOYER	DETAILS OF WORK UNDERTAKEN AND PROJECTS WORKED ON	CONTACT NAME, TEL NO & EMAIL

Specific experience	NVQ?	Please state approximate number of years experience below:	Experience & Additional Comments

Company Name	Address	Contact and Position	EMAIL / TEL NO.

Company Name	Address	Contact and Position	EMAIL / TEL NO.

Company Name	Address	Contact and Position	EMAIL / TEL NO.

Date	Court	Details Of Offence	Sentence