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What is your Date of Birth (DOB) *

Which age bracket do you fall under? *19-2324+

Are you a resident of England? *YesNo

Can you confirm that you reside within London *YesNo

Are you Eligible to work in the UK? *YesNo

What is your current employment status? *EmployedSelf-EmployedUnemployed - Not receiving BenefitsUnemployed - Receiving one of the following benefits: 1.) JSA (Job Seekers Allowance) 2.) ESA (Employment and Support Allowance) 3.) UC (Universal Credit)

If you have selected that you are unemployed and receiving one of the following benefits, JSA (Job Seekers Allowance) , ESA (Employment and Support Allowance) or UC (Universal Credit) will you be able to provide evidence of this? (you will have to provide evidence within the application form)YesNo

If you have selected your employment status as Employed, please specify the name of the company you work for?

What is the highest level of qualification you have achieved? *

Do you hold GCSE English and Maths at grade 4 (C) or above? *YesNo

Are you currently studying anywhere at the moment? (Please specify) *Not StudyingStudying in SchoolStudying in CollegeStudying in University

Which AEB funded Course are you interested in pursuing? *L2 Certificate in the Principles of Cyber SecurityL2 Certificate in Digital Promotion for BusinessL2 Certificate in Understanding CodingL3 Certificate in Coding PracticesL3 Certificate in IT User SkillsL2 Preparing to Work in Adult Social CareL2 Certificate in Understanding the Safe Handling of MedicationL2 Certificate in Awareness of Mental Health ProblemsL2 Certificate in the Principles of Dementia CareL2 Award in Awareness of End of Life CareL3 Diploma in Adult CareL3 Certificate in the Principles of End of Life CareL3 Certificate in Understanding AutismL3 Certificate in Understanding Mental HealthL3 Certificate in the Princip[les of Dementia CareESOL Skills For Life (Entry 1 - Level 2)Essential Digital Skills (Entry 3 - Level 1)Functional Skills English and Maths (Entry 1 - Level 2)

What is the most convenient time for us to contact you? *

What is your preferred method for us to contact you? *Phone CallEmailText Messaging

How did you hear about this opportunity? *Social MediaFriend ReferralReceived an EmailReceived a Call Google SearchMy Employer told meJob Centre Plus

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For full details of the type of information we hold and your rights to withdraw your consent and access the information we hold etc. please see the L&F GDPR Privacy Notice and Policy on the L&F Training website which you can find here: https://www.landftraining.co.uk/policies-and-procedures

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