Apprenticeship Programmes Candidate Application Form Question Title * 1. Title/Pronouns Question Title * 2. Name Question Title * 3. Work email Question Title * 4. Mobile phone number Question Title * 5. Practice/PCN name Question Title * 6. Who is your employer organisation, if different from your practice/PCN? Question Title * 7. Borough (if in London, state NA if outside) Question Title * 8. Date of birth Date Date Question Title * 9. Job title Question Title * 10. Which apprenticeship are you interested in? GP Practice Business Administration GP Practice Operations Manager Community Health and Wellbeing Worker Question Title * 11. What are your contracted hours per week in your current role? Question Title * 12. Are you a UK or EU passport holder? Yes No Question Title * 13. If no, do you have the Right to Work and Right to Remain in the UK? Yes No Question Title * 14. How long have you been a resident in the UK? Question Title * 15. What is the address of your primary place of work? Question Title * 16. Are you on a fixed-term contract? Yes No Question Title * 17. If yes, when does the contract come to an end? Date Date Question Title * 18. Work Experience: Please provide details of your current role and any other positions you feel are relevant. Question Title * 19. Job Description: Please attach your current job description. (Request from your manager if you do not have a copy.) PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Job Description: Please attach your current job description. (Request from your manager if you do not have a copy.) Question Title * 20. Qualifications: Please provide educational background, listing the most recent first. Question Title * 21. Do you have additional learning needs? Yes No Question Title * 22. If yes, please briefly describe your additional learning needs. Question Title * 23. Supporting Statement: Please explain why you are interested in this apprenticeship and how it aligns with your career goals. (approximately 300 words) Question Title * 24. Please confirm that you have discussed your application with your line manager and your employer, and they support your application. Yes No Question Title * 25. Your line manager Title/Pronoun Name Work email Phone number Question Title * 26. Human Resources contact Name Work email Phone number Question Title * 27. DeclarationPlease tick the box to confirm that you commit to dedicating 6-8 hours per week with your manager's approval and that the information provided is accurate and complete. I can commit a minimum average of 6-8 of my normal working hours per week to learning and have my manager's approval for this. I confirm that the information provided in this application is true and accurate to the best of my knowledge. Done