AI Automation Apprenticeship Application Form

Employment Details

Information regarding your current employment status and employer

What is your current employment status? *

Please select your current employment status.

Please state the name of the company you are employed by *

Please state the name of the company you are employed by.

Please select the date in which you started with your employer *

Please select the date in which your employment started.

Please state the name of your line manager/employer *

Please state the name of your line manager/employer.

Please enter your line manager/employers contact number *

Please enter the contact number for your line manager/employer.

Please enter your line manager/employers email address *

Please enter the email address for your line manager/email address.

Section 1 - Contact Details

Your personal identification and contact details

Title *

First Name(s) *

Please enter any first and middle names as displayed on your ID.

Last Name *

Please enter your last name as displayed on your ID.

Date of Birth *

Please select your Date of Birth.

National Insurance Number *

Please enter your National Insurance Number.

Contact Telephone Number *

Please enter your contact telephone number.

Email Address *

Please enter your email address.

Address Details

House Number and Street Name *

Please enter your House Number and Street Name.

Address Line 2

Flat number, Suite, Building etc. (Optional)

Town/City *

Please enter your Town/City.

Postcode *

Please enter your Postcode.

Next of Kin / Emergency Contact Details

Emergency Contact Name *

Please enter emergency contact name.

Relationship to you *

Please state relationship to you.

Emergency Contact Telephone Number *

Please enter emergency contact telephone number.

Section 2 - Additional Information

Information required for government funding, support and monitoring

Do you give WTD consent to access your Personal Learning Record (PLR)? *

This will be used to verify your previous qualifications.

Do you reside in a Hostel or B&B accommodation? *

Please state whether you live in a hostel or B&B.

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

Please state whether you consider yourself to have a learning difficulty or disability.

Are you currently or have you ever been in care or under a local authority? *

Please state whether you have been in care.

Do you have an Education Health and Care Plan (EHC)? *

Please state whether you have an EHC Plan.

Are you a young person needing additional support? *

Please state whether you require additional support.

Section 3 - Ethnicity & Domicile

Information required for government monitoring and funding eligibility

Ethnicity *

Please select your ethnic background.

What is your Nationality? *

Please state your nationality as on passport.

What is your Country of Domicile? *

Please state country where you permanently live.

Have you been legally living in the UK/EEA for the last 3 years? *

Please confirm 3-year residency status.

Section 4 - Educational Qualifications

Please provide your highest qualification level and grades

What is your current highest level qualification? *

Please select your highest level qualification achieved.

What grade did you achieve in GCSE Maths? *

Please select your Maths grade.

What grade did you achieve in GCSE English? *

Please select your English grade.

Do you hold any ICT qualifications?

State any IT qualifications held (Optional)

Photo Identification Document Upload

Photo ID Document Type *

Upload Photo ID File *

Please attach clear scanned copy or photo of Passport / Driving License (PDF, PNG, JPG).

Choose File No file chosen

Section 5 - Declaration & Privacy Terms

Please read and agree to the WTD application privacy policy

Workforce Training & Development Privacy Notice:

The information you provide on this application form will be processed by WTD and the Education and Skills Funding Agency (ESFA) to administer your apprenticeship application and training program under UK GDPR regulations.

I confirm that the details provided in this application form are accurate to the best of my knowledge, and I agree to the processing of my personal data. *