Myerscough College Application Form for Traineeships and NEET Courses

Instructions on how to complete the form

We estimate that it will take around 15 minutes to complete this form.

Some fields are mandatory and you will not be able to submit the form without completing them. If you try to submit the form without completing mandatory fields, the required information will be displayed in red. 

Once you have signed the form you will then need to scroll back down to the bottom of the form to submit it.

If you have successfully submitted the form, then you will see an on-screen message informing you of the next steps

Learner Details
Please note: If you will be aged 25 or over at the start of this course, you will not be eligible to take part. For more information about alternative courses that may be available to you, please contact our course enquiries team
Legal forename(s) in full
Legal Surname
Date of birth (you can type your DOB into the field by using / as a separator
National Insurance Number (if known)
Home Address
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

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.

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?

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.
Do you have leave to remain in the UK?
Have you lived/worked in the UK and Islands or EU/EEA for a minimum of 3 years?
Do you feel that you need further training before you start work or an apprenticeship?
Will you be aged between 15-24 at the start of the course?
Will you be either unemployed at the start of the course or employed and earning less than £338 a month (sole adult) or £541 a month (joint benefit claim)?
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 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 resident in the Isle of Man or the Channel Islands?
Do you have a qualification at level 4 of higher? (Level 4 is above A Level Grade)

Unemployed Information
How long have you been unemployed

If you are claiming a state benefit please list the name of the benefit(s) here.
Current Qualifications
Do you have any of the following Employability Qualifications (tick all that apply)

If you have an employability qualification, what is your highest level?
Do you have any of the following English qualifications?

GCSE English Grade (if applicable)
Do you have any of the following Maths qualifications?

GCSE Maths Grade (if applicable)
If you have study outside of English, please list any equivalent qualifications to Maths and English here
You can attach any of the qualifications mentioned above if you have them
Work Placement Details
Traineeship applicants are expected to make every effort to secure a work placement before the start of the course. If you have managed to secure a placement, please input the details below:
Name of work placement organisation
Name of your contact at the organisation
Organisation telephone number
Organisation contact email
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 potential work placement organisation?
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 potential work placement organisation?
 In this section, you can upload any relevant documents that you may have in relation to your support need or disability.
Learning Support Evidence - Statement, EHCP, GP Letters etc
Care Leavers
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 work placement about this (if required)
Have you ever received a Care Leavers Bursary (sum of money) whilst you have been studying?
If you are a Care Leaver - Please state the name of the local authority you were supported by along with your Care Leaver Worker and/or Social Worker name and contact details

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.

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 potential 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 Myerscough College will attempt to access your information to support your application unless you opt out by following the instructions on the Government Website. 

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

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 possible employers. 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, please tick the box if you are happy for the information to be shared.
Printed Name Signature Date Options
*MANDATORY* Please ensure that you check the form before signing. This acts as confirmation that all details given are correct. You can sign using your finger (for touch screen devices) or a mouse (if using a desktop computer). Obtain Signature