Myerscough Apprenticeship Registration
Important - Before you start you must have:

Secured employment (or have an agreed start date) in an area of work related to your chosen subject
The qualifications needed to meet the entry criteria of your chosen course*

Your Employer Details (including the contact details of your Line Manager)

Your National Insurance Number (we cannot process your application without it)


*The entry criteria is displayed on the relevant course factsheet on our website. There is also a brief explanation in the qualification section below. Exceptional consideration will be given to applicants who may not currently meet the entry criteria but have an Education, Health and Care Plan. 

If you do not have any of the above information 

Please contact the College Course Enquires Team via email: enquiries@myerscough.ac.uk or telephone: 01995 642331. The Team will happily provide information about alternative courses or the options that may be available to you. If you need help or support in finding a job, make sure you have read our Apprenticeships Guide.


Your journey to becoming a Myerscough Apprentice starts here!

We estimate that it will take around 15-20 minutes to complete this form. Some fields are mandatory and you will not be able to submit the form without completing them. If you have successfully submitted the form, then you will see an on screen message informing you of the next steps. 

This is a document of registration so please ensure that you use Capital Letters where appropriate and ensure the information is accurate. 
The document itself will become a legal declaration of your personal details and eligibility details. It will also be used to generate the additional documentation that your employer will be required to sign. 

Accessibility
The College also offers a telephone completion service but this can take up to half an hour. You can contact us to book a telephone appointment on 01995 642255 and ask for Apprenticeship Admissions or email wbapplications@myerscough.ac.uk. If you wish to complete a form over the telephone, you must be prepared to answer questions in relation to your qualifications, disability, support needs, criminal convictions and protected characteristics.  Please ensure you have all of the information stated below available on the day of the appointment. 

Learner Details
Surname
Forename(s) in full
Title
Date of birth (you can type your DOB into the field by using / as a separator
National Insurance No.
Nationality
Home Address
Postcode
Email Address
Tel No (inc area code)
Mobile Tel No
Preferred method of contact
Parent/Guardian Email
Emergency Contact - Please include the name, contact details and relationship of the person
Title of the Apprenticeship you are applying for
What level of course are you applying for (leave blank if you are not sure)

Protected Characteristics and Additional Personal Data

It is against the law to discriminate against anyone because of their protected characteristics. As an education provider, we are required to report directly to the Government, the information provided related to these characteristics by our applicants and learners. This reporting is anonymous and the information provided in this section will be treated confidentially. You can find out more by visiting the .gov website.

Sex
Is your gender identity different to the sex you were assumed to be at birth?
What is your sexual orientation?

Are you married or in a civil partnership?
What is your religion or belief?



Are you a registered carer or do you have caring responsibilities? If yes tick all that apply

Are you an Armed Forces Veteran?

Eligibility
Full criteria in relation to eligibility can be found in the Government Agency Funding Rules. If you answer No to any of the following questions, then you may not be eligible for funding.
Are you an EU/EEA citizen (including UK)?
Have you lived/worked in the EU/EEA (including the UK) for a minimum of 3 years?
Will you be spending a minimum of 50% of your working hours in England?
If you answer Yes to any of the following questions, then you may not be eligible for funding.
Will you be registered with another training provider/college on a funded training programme (including another apprenticeship) at the start of your course?
Are you subject to employment or learning restrictions and/or to a time limit on you stay in the UK?
Are you in custody as a prisoner or on remand?
Are you/will you be a volunteer or self-employed in the intended place of work?
Are you resident in the Isle of Man or the Channel Islands?
Employer Information - for the place of work where you will be undertaking your Apprenticeship
PLEASE NOTE:  To start an Apprenticeship, you must be in full-time employment in a related industry. If you are unemployed, please contact the Recruitment and Admissions Team for information on alternative courses. Enquiries helpline - 01995 642331 or email enquiries@myerscough.ac.uk  
Employer/Business Name
Employer Address
Postcode
Employer Tel No
Line Manager's Name
Line Manager's Job Title
Line Manager's Tel No
Line Manager Email Address or Business Email
Start Date of Contract of Employment (or agreed start date if you have not yet started). You can select or type a date. You can select from the date picker or use the keyboard to select a date.
Job Role/Title (if already employed)
Is your employment permanent?
If your employment is not permanent, what is the end date of your contract?
Number of hours worked per week (should be a minimum of 30 but under exceptional circumstances you may be able to undertake an apprenticeship but the programme will be longer)
How many employees does the organisation have?
Qualifications/Courses
Do you have/hold a qualification in the same or similar subject area as the course you are applying for, at the same level or above?

If you have answered yes to the above question, please specify the qualification achieved including subject area and the level of the course.
Level 2 or Intermediate Apprenticeships Academic Entry Criteria

You must have a minimum of 4 GCSEs at grade D/3 including Maths and English.

or 
A Vocational qualification Level 1, plus GCSE grade D/3 in both Maths and English.

NB: English & Maths Functional Skills Level 1 will be accepted as an alternative to GCSEs.

Do you meet the Entry Criteria for the Level 2 or Intermediate Apprenticeship?

Level 3 or Advanced Apprenticeships Academic Entry Criteria

You must have a minimum of 4 GCSEs at grade C/4 or above including Maths and English.
or

A vocational qualification Level 2, plus GCSEs grade C/4 or above in both Maths and English. & Must have a supervisory role within own organisation (or given the opportunity to)

NB: English & maths Functional Skills Level 2 will be accepted as an alternative to GCSEs. 

Veterinary Nursing and Farriery Courses require 5 GCSEs at C/4 or above to include English, Maths and Science.


Do you meet the entry criteria for the Level 3 or Advanced Apprenticeship?



 Attach your qualifications

If you would like to attach your qualifications to this form, you can do so here. Please attach copies or clear photos of all examination certificates relevant to the entry criteria of your chosen course (GCSEs etc). Ensure the photo or copy contains all of the information on the certificate.
Attach
Personal Learning Record

What is a personal learning record?

Your PLR is your permanent, authoritative online record of your qualifications and achievements. The PLR records general and vocational qualifications such as but not limited to QCF, A levels, GCSEs, BTEC, Diplomas and Functional Skills. The PLR means you should no longer have to show copies of different certificates to learning providers and employers. You can provide this information as a report generated from your PLR. Read the privacy notices and what it means to you, so you understand how your data will be used. For full details about the Personal Learning Record, including the Privacy Notices, please see https://www.gov.uk/guidance/how-to-access-your-personal-learning-record. Myerscough College will attempt to access your information to support your application unless you opt out by following the instructions on the Government Website. 

Learning Difficulties, Disabilities and Health Care Plans
This information will be treated in confidence and will not be prejudicial to your application
Section 1 - All applicants are required to answer the questions in this section
Have you received additional support whilst studying at a previous school or college?
If you have answered Yes to the above question and have left school in the last 4 years, please name the school/college
Do you have a learning difficulty or disability?

If you have answered yes to the above question, please indicate the learning difficulty and/or health problem.




Please state which of the above difficulties or disabilities is the most significant and will impact on your education.
Are you registered disabled?

Do you have an Education, Health and Care Plan for a learning or disability need?
If you have answered yes to the above question, do you give the College permission to inform your employer?
Section 2 - These questions only need to be completed if you have answered YES to any of the questions in Section 1
Do you have a SEN (Statement of Educational Needs) Action Plan?
Do you have an Educational Psychologist's Report?
If you have answered Yes to the above question, please provide more information
Do you have a Medical Report/Letter?
Do you have any other official statement of need?
If you have answered yes to any of the questions in sections 1 and 2, do you give the College permission to inform your employer?
 In this section, you can upload any relevant documents that you may have in relation to your support need or disability.

Alternatively you can email any paperwork to ilapprenticeships@myerscough.ac.uk or post copies to: Inclusive Learning for Apprenticeships, Myerscough College, Bilsborrow, Preston, PR3 0RY. If you are not sure of what paperwork to send, we will contact you directly once you have submitted your application. 
Learning Support Evidence - Statement, EHCP, GP Letters etc
Care Leavers - For applicants who are under the age of 25
Are you in care or a recent care leaver? (The definition of this is included below)
If you have answered yes, do you give the college permission to inform your employer about this?

In care/ Care leaver definition is a young person who is: 16 or 17 and who has been looked after by the local authority/Health and Social Care Trust for at least a period of 13 weeks since the age of 14, and who is still looked after, 16 or 17 who has left care after their 16th birthday and before leaving care was an eligible child or aged between 18 and 21 (up to their 25th birthday if they are in education or training) who, before turning 18, was either an eligible or a relevant child, or both.

If you are a care leaver, you may be eligible for a care leaver bursary payment, please contact workbasedlearning@myerscough.ac.uk for more information.

Household Situation Data
Please tick which of the following statements apply (one or more may apply):
Ethnicity
Ethnicity




Disclosure of Criminal Convictions and Equal Opportunities
Having a criminal record may not necessarily be a barrier to studying with us. If you tick YES, we may approach you for further information. Any additional information that you provide in relation to a conviction will be dealt with confidentially. The College will use the information to assess any safeguarding concerns and other potential risks to both you, the College Staff and students. Do you have any unspent criminal convictions?
Data Protection, GDPR and Consent
In the interest of supplying the necessary support to all students, the information you have provided within this form may be viewed by and/or shared with other relevant members of staff within the College, examining bodies, professional bodies and third-party operators such as City and Guilds, GTC, Royal College of Veterinary Surgeons, Worshipful Company of Farriers etc. If you wish to view our data protection policies before proceeding, then please do so via our website or contact the College directly. In accordance with the Data Protection Act 1998 and the GDPR Act 2018, please tick the box if you are happy for the information to be shared.
Employer and Course Information

This section is for office use only, please continue to the sign and submit section below.

Employees
Is the Employer a Levy Payer?
Exact Title of the Confirmed Apprenticeship
Initials of Employer Services Team Member
 
 
Signatures
Printed Name Signature Date Options
Please ensure that you check and submit the form after signing. You can sign using your finger (for touch screen devices) or a mouse (if using a desktop computer). Obtain Signature