Application Form V9

Kaplan Apprenticeship
Application Form

We recommend that you complete this form with your employer.

This is to ensure that you can provide the correct details relating to your contract of employment, business addresses, and your line manager's details.

If you are unsure of any of the information required on this form, please ask your employer for support.

What you’ll need to get started

There is no way to save this form before submitting.

Identification - An image of one of the following; UK/Irish passport, UK/Irish driving licence, or EEA biometric residence card (BRC)
Your National Insurance number
If applicable, Visa or evidence of EU settlement status
Details of your prior learning and qualifications
If applicable, your Contract of Employment

Personal Details

You will need your National Insurance (NI) Number for this section.

All details will be used for your apprenticeship records and for your qualification.
Please ensure you enter your name as you would want it to appear on your certification and as it appears on your identification.

First name(s) *

Preferred First Name *

Surname *

Please state your assigned Gender
Should you wish to, you can provide your preferred gender identity and pronouns further down the form.

Assigned Gender *

What is your preferred Gender?

Please select which pronouns you go by

Date of birth *

National Insurance number *

Home Address first line *

Home Town/City *

Home Postcode *

How many years have you lived at the above address? *

If less than 3 years, please confirm all the previous addresses to cover the last 3 years

Contact Number *

Please use your work email as your main contact email. If you don't have a work email yet, please use your personal email instead.

Please note that this email address will be used to set up your learning and Eportfolio accounts, and should not be a generic or shared mailbox for data protection purposes.

Contact Email Address *

Personal Email Address *

Please provide the details of an adult as an emergency contact/trusted person. Kaplan may use these details in the case of an emergency or for significant welfare concerns.

Emergency contact/trusted person Name *

Emergency contact/trusted person Relationship *

Emergency contact/trusted person Phone *

Emergency contact/trusted person Email *

Employment Details

You will need to complete this section with your line manager to ensure the information provided is accurate.

Employer

Amwins Global Risks Group Limited
Unit C
The Brewery Quarter
High Street
Cheltenham
GL50 3FF

The above address should be the office that you work from or report in to (if you primarily work from home). Please check with your line manager if you are unsure. Please note - the address must fall within English borders.

I confirm that my employer and branch address are accurate as per the details above *

If you have worked a previous role with this employer please enter the earliest date you obtained a contract of employment

Start Date with your Employer *

Start Date in the role relevant to the Apprenticeship you're applying for *

Will you spend at least 50% of your working hours in England over the duration of the apprenticeship? *

If you answered 'No' to the previous question, please upload your contract of employment in the 'Drop files here or click to browse' section further down the form. This will serve as evidence that you have a working pattern which confirms eligibility for the apprenticeship programme.

Please confirm the length of time you've been employed at this company *

Part-time apprenticeships can be agreed by your employer, at a minimum of 16 hours per week.

You can't work more than 48 hours a week on average - normally averaged over 17 weeks. This law is sometimes called the 'working time directive' or 'working time regulations.' You can choose to work more by opting out of the 48-hour week. If you're under 18, you can't work more than 8 hours a day or 40 hours a week.

Please provide the number of hours per week stated on your contract of employment (eg 37.5) *

Do you work Term Time hours only? *

What is your job title as stated on your contract of employment? *

Describe the main duties of your role, in 100 characters or more. We suggest 3-5 bullet points. *

Does your contract of employment include any of the following. Please select all that apply *

Flexible working hours
Evenings
Weekends
Bank Holidays
None of the above

What is your place of work? *

If you answered YES to evening and/or weekend work please upload your Contract of Employment. Please note, this is a requirement to allow you to enrol on evening and/or weekend courses as part of the Apprenticeship

Drop files here or click to browse.

Your Line Manager

Your Line Manager will play an important role in your Apprenticeship. They will be required to participate in your Apprenticeship ePortfolio; specifically by reviewing progress, supporting you to meet your minimum planned off the job requirements and signing off Reviews and Individual Learning Plans

Contact at Employer First Names *

Contact at Employer Surname *

Contact at Employer Email *

When providing a contact number below, please do not include country codes (eg. +44) or spaces, and use only numerical digits. UK phone numbers are ordinarily 11 digits long and start with a zero "0".

Contact at Employer contact number *

Equality, Diversity and Inclusion (EDI)

Understanding the diversity of our learners is key to ensuring that we can operate inclusively and provide everyone with the opportunity to succeed and reach their goals.

In order to do this effectively, we’d like you to help us by providing some information in this next section.

For more information on EDI please see Kaplan's EDI page

Do you consider yourself to have a learning difficulty, disability, medical need or health problem? *

If you said yes above, which of the following would you consider yourself to have? Select all that apply, or select "None" if not applicable. *

Of the above, what is your primary concern? Please select "None" if not applicable. *

If you said yes to having a learning difficulty, disability, medical need or health problem, do you require any additional support? *

To give you the required level of support during your course, please provide sufficient details of extra support or specific requirements you may need

Have you ever been granted or do you currently require special examination accommodations, such as additional time, rest breaks, or other adjustments?

Select “I do not wish for this to be shared with my Employer” if you do not wish for this information to be shared with your Employer

Your Talent Coach, tutors and Kaplan’s Inclusion Team will be informed of any disclosed difficulties to help ensure any necessary adjustments or additional support are provided.
If you do not want to share this information at this stage, please select the ‘Prefer not to say’ option. A member of Kaplan's Inclusion team will contact you to offer a confidential call to discuss your needs further.

A care leaver is anyone who is between 16 and 24 years old who has spent time living in the care system, away from their family. This could be with a foster family, in a children's home or supported housing service, or under another arrangement as agreed by their social worker.

If you are a care leaver, you may be entitled to additional funding and support. Your Kaplan's Talent Coach will discuss this further with you at your first review. You can find more information about the additional support available at the link below.

Care Leaver Information

Are you a care leaver? *

An education, health and care ( EHC ) plan is for children and young people aged up to 25 who need more support than is available through special educational needs support.

More information about education and health care plans.

Do you have an Education, Health and Care Plan? *

If yes, please provide further details

Please confirm your ethnicity *

During your time at school, were you eligible for free school meals?

When you were 14 years old, which of the following occupations best describes that of your primary caregiver or guardian?

Which type of school did you attend for the most time between the ages of 11 and 16?

Eligibility

Following Brexit, new eligibility rules were introduced as a result of the EU Settlement Scheme offered to EU, non-EU and Swiss citizens living in the UK to protect their residence in the UK. We are required to check the status and validity of prospective apprentices that have settled or pre-settled status granted to them. This will be verified during the application review stage.

More information about EU settlement can be found on gov.uk.

How long have you been currently living in the UK or EEA? *

Please confirm your Nationality status *

Please choose one of the following VISA types if Non EEA Citizen. If you selected EEA / UK Citizen / Irish National above, please choose N/A *

If applicable, please confirm your Visa expiry date

Please choose your EU Settlement Scheme status if EEA Citizen. If you selected Non EEA / UK Citizen / Irish National above, please choose N/A *

Type of ID *

Please upload (in JPEG or PNG format) a photo of your ID or supporting evidence *

Drop files here or click to browse.

Chosen Qualification

Please provide the details of the apprenticeship qualification you would like to study with Kaplan. If you are unsure of any details, please confirm with your line manager before submitting this application.

View Kaplan's qualifications

Which Apprenticeship are you applying for? *

Please Note
Due to current circumstances, course start dates will be dependent on exam availability. Please see Kaplan's Timetables & Availability

Preferred first date in learning *

How would you like to study? *

Chosen Kaplan study and/or exam centre *

Preferred first module of your apprenticeship *

Current & Prior Learning

Please list any prior learning relevant to your chosen qualification.

Prior learning explained

Are you currently studying any other form of education that is being funded by someone other than yourself, such as your employer or the government? *

If Yes, please provide further details

Have you previously been on, with Kaplan or otherwise, the Apprenticeship that you're currently applying for?' *

Have you ever studied for a qualification with Kaplan that is not part of an apprenticeship? *

Do you have 5 or more graded A*-C / 4-9 GCSEs? *

Do you have 5 or more graded D-G / 1-3 GCSEs? *

Grade you achieved in your English GCSE (or equivalent) *

Grade you achieved in your Maths GCSE (or equivalent) *

Please list all additional qualifications, by level, that you have studied below. This includes your GCSE's (or equivalent). It's important that you provide as much information as possible to help determine your individual learning plan.

If you do not have qualifications at these levels please state N/A. If you have multiple within each level please add on separate rows.

Level 2 (eg, GCSE's or equivalent, NVQ or Intermediate Apprenticeship) *

Level 3 (eg, A or AS Levels, NVQ or Advanced Apprenticeship) *

Level 4 (eg, HNC Certificate of Higher Education) *

Level 5 (eg, HND Foundation Degree) *

Level 6 (eg, Bachelor’s Degree, Graduate Certificate or Diploma) *

Level 7 (eg, Doctorate, Master’s Degree, Postgrad Certificate or Diploma) *

Apprentice Privacy Notice

This privacy notice is issued on behalf of the Secretary of State for the Department of Education (DfE) to inform learners about the Individualised Learner Record (ILR) and how their personal information is used in the ILR. Your personal information is used by the DfE to exercise our functions under article 6(1)(e) of the UK GDPR and to meet our statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009. Our lawful basis for using your special category personal data is covered under Substantial Public Interest based in law (Article 9(2)(g)) of UK GDPR legislation. This processing is under Section 54 of the Further and Higher Education Act (1992).

The ILR collects data about learners and learning undertaken. Publicly funded colleges, training organisations, local authorities, and employers (FE providers) must collect and return the data each year under the terms of a funding agreement, contract or grant agreement. It helps ensure that public money is being spent in line with government targets. It is also used for education, training, employment, and well-being purposes, including research.

We retain your ILR learner data for 20 years for operational purposes (e.g. to fund your learning and to publish official statistics). Your personal data is then retained in our research databases until you are aged 80 years so that it can be used for long-term research purposes. For more information about the ILR and the data collected, please see the ILR specification at https://www.gov.uk/government/collections/individualised-learner-record-ilr

ILR data is shared with third parties where it complies with DfE data sharing procedures and where the law allows it. The DfE and the English European Social Fund (ESF) Managing Authority (or agents acting on their behalf) may contact learners to carry out research and evaluation to inform the effectiveness of training.

For more information about how your personal data is used and your individual rights, please see the DfE Personal Information Charter ( https://www.gov.uk/government/organisations/department-for-education/about/personal-information-charter ) and the DfE Privacy Notice ( https://www.gov.uk/government/publications/privacy-notice-for-key-stage-5-and-adult-education )

If you would like to get in touch with us or request a copy of the personal information DfE holds about you, you can contact the DfE in the following ways:

Using our online contact form https://form.education.gov.uk/service/Contact_the_Department_for_Education

By telephoning the DfE Helpline on 0370 000 2288

Or in writing to: Data Protection Officer, Department for Education (B2.28), 7 & 8 Wellington Place, Wellington Street, Leeds, LS1 4AW

If you are unhappy with how we have used your personal data, you can complain to the Information Commissioner’s Office (ICO) at:Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF. You can also call their helpline on 0303 123 1113 or visit https://www.ico.org.uk

Where sharing is not part of our statutory duties, you can give your consent to be contacted by other third parties about:

Select all relevant options

Courses or Learning Opportunities
Surveys and Research

By the following contact methods:

Please tick relevant boxes to give your consent

Post
Telephone
Email

I can be contacted on the following by Kaplan about other relevant courses, news and offers / opportunities which they think I might find useful

Preferred contact method

Learner Record Service

The information you supply is used by the Learning Records Service (LRS). The LRS issues Unique Learner Numbers (ULN) and creates Personal Learning records across England, Wales and Northern Ireland, and is operated by the Education and Skills Funding Agency, an executive agency of the Department for Education (DfE). For more information about how your information is processed, and to access your Personal Learning Record, please refer to: https://www.gov.uk/government/publications/lrs-privacy-notices

Apprentice Statement

I have been made aware that I am on a programme funded by the Department for Education.
I am aware of the Department for Education's complaints procedure: http://www.gov.uk/complainfurthereducationapprenticeship
My place of work (the office I spend the majority of my working time in) is based in England.
The information provided in this form will be used to help determine the most suitable programme for my Apprenticeship and this recommendation may be shared with my employer.
I have a contract of employment.

I confirm that I have declared all relevant prior learning *

I comply with the declarations contained in this Application Form and the apprentice statement, and confirm that the information provided is accurate *

I confirm that I have provided accurate identification as part of this application *

I consent to Kaplan using the emergency contact/trusted person information in the event of an emergency or significant welfare concerns *

Kaplan processes and retains data in accordance with the current General Data Protection Regulations. Kaplan Financial is committed to maintaining the privacy and security of your personal data. For further information regarding our compliance with GDPR regulations, please see: http://www.kaplan.co.uk/about/privacy-cookie-policy

Kaplan may need to ask the professional body which sets exams for your apprenticeship to share your apprenticeship assessment results data with Kaplan. By signing this agreement, you consent to the professional body sharing your assessment results data with Kaplan for the duration of your apprenticeship.

Please note that failure to complete any element of Kaplan’s enrolment process, including but not limited to; the Apprenticeship Agreement, Commitment Statement and Initial Activity on MyKaplan may result in your Apprenticeship being cancelled.

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Application Form V9

Kaplan Apprenticeship Application Form

We recommend that you complete this form with your employer.

What you’ll need to get started

Personal Details

Employment Details

Drop files here or click to browse.

Your Line Manager

Equality, Diversity and Inclusion (EDI)

If you are a care leaver, you may be entitled to additional funding and support. Your Kaplan's Talent Coach will discuss this further with you at your first review. You can find more information about the additional support available at the link below.

Eligibility

Drop files here or click to browse.

Chosen Qualification

Current & Prior Learning

Apprentice Privacy Notice

If you would like to get in touch with us or request a copy of the personal information DfE holds about you, you can contact the DfE in the following ways:

Using our online contact form https://form.education.gov.uk/service/Contact_the_Department_for_Education

By telephoning the DfE Helpline on 0370 000 2288

Or in writing to: Data Protection Officer, Department for Education (B2.28), 7 & 8 Wellington Place, Wellington Street, Leeds, LS1 4AW

If you are unhappy with how we have used your personal data, you can complain to the Information Commissioner’s Office (ICO) at:Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF. You can also call their helpline on 0303 123 1113 or visit https://www.ico.org.uk

Kaplan Apprenticeship
Application Form