Personal Details

First Name^*:

Surname^*:

Date of birth^*:

Contact number^*:

Postcode^*:

Email address^*:

Identification

Please tick which forms of identification you currently hold. Providing the relevant information will help Intertrain process your application, failure to do so could lead to your application being declined.^*

In date UK passport

ID card or other form of National ID

Out of date passport

Birth Certificate

Full UK driving licence

UK residency card

Provisional driving licence

Proof of National Insurance

Citizens card

Letter dated in last three months with name and address

Travel

How will you travel to our training center?^*

Drive

Public transport

Walk

Car share

Other

If other, please state below:

Current Status

Please tick which is relevant to your current circumstances?

Employment status^*:

If you are unemployed, please choose one of the below options that are relevant to you:

Are your annual earnings below £18,500.25 a year?^*

Any other benefits? Please state below:

Residency Status

Are you a UK National and been living in the UK|EEA for the previous 3 years? If no, please state when you arrived in the UK/EU^*:

Qualifications

Please state all qualifications you have achieved including English and maths results.^*

Qualification:

Grade (Actual or expected):

Level (eg. GCSE, A Level):

+ Add New Qualification

Do you hold any construction qualification?

Qualification:

Grade (Actual or expected):

Level (eg. GCSE, A Level):

+ Add New Qualification

Apprenticeships

Please list any Apprenticeships that you have achieved. (Ignore if not applicable to you)

Do you have any apprenticeship qualifications?^*

Apprenticeship:
Please state apprenticeship title

Grade:
Actual or expected

Skills gained:
Please state any skills you have gained

+ Add New Apprenticeship

Employment History

Please state any previous employment history and the skills you have gained.

Name of Employer:
Please state the employer name

Duties:
Please state the duties that you undertook

Skills gained:
Please state any skills you have gained

+ Add New Employment

Holidays & Notice Period

Please complete the table below with any holidays or unavailable dates. If you were given a start date, please state your notice period.

If Employed, please state your notice period:

Holidays From:	Holidays To:

+ Add New Row

Rail Qualifications & Competencies

Have you ever worked in the rail sector? If so please list all qualifications and competencies that you have gained.

Do you have any rail qualifications/competencies?^*

Qualification:

Competencies:

+ Add New Qualification

Sentinel number (If applicable):

Have you ever held a CSCS card?^*

Network Rail - Drugs & Alcohol

Intertrain need to make you aware that you will sit a Network Rail Drugs and Alcohol test. Please be aware if you fail a Network Rail Drugs and Alcohol test this will lead to an instant 5 year ban on sentinel preventing you working on the railway. (Please be honest with your answers below)

Would you pass a Network Rail Drugs test?^*

Would you pass a Network Rail Alcohol test?^*

Health and Support Needs

Intertrain UK Ltd aims to provide the appropriate resources, facilities and services to the learners to support their chosen programme of study. This information will help us to provide the support you require.

Do you have a disability/learning difficulty, mental or physical health issue?^*

If Yes, please list below any medical conditions, learning needs and support needs that you will need to support you for successful completion of your chosen programme of study.

Are you in Receipt of an EHCP?^*

If Yes, explain more.

Disclosure of Criminal Convictions

Please provide as much information as you can regarding the below. Failure to declare convictions/prosecutions may lead to your removal from the training course/apprenticeship. You may also receive a phone call from our safeguarding officer to discuss conviction more in-depth as we may need to highlight this to our training centre and partners.

Do you have any convictions that are not yet spent under the Rehabilitation of Offenders Act 1974?^*

If Yes, explain more.

Do you have any convictions, cautions, reprimands or final warnings which are spent but not protected as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013)? (For courses that involve working with children or vulnerable adults).^*

If Yes, explain more.

Do you have any pending prosecutions?^*

If Yes, explain more.

Are you currently having to report to a probation officer?^*

Please provide the probation officer’s name, contact number, and email address.

PPE (Personnel Protective Equipment)

Please give sizes in UK measurements
Example Trousers size 36 waist, Top size Medium. Shoes size 8

Please can you provide your Top size?^*

Please can you provide your Trouser Size in inches?^*

Please provide your Shoe size.^*

Where Did You Learn About Us?

How did you hear about us?^*

Internet

JCP

Indeed

Friend

Intertrain web page

Partner

.Gov web page

Other

If other, please state below:

Declaration

This declaration confirms that:

You understand the entry requirements of the chosen programme and the need for an initial assessment. Where initial assessment or other results indicate that you are not suited to your course of choice, Intertrain UK Ltd reserves the right to transfer you to an alternative course or to ask you to leave Intertrain UK Ltd if no suitable alternatives exist or can be agreed.
You have completed this form correctly and accurately. Please note that false statements may result in your removal from the chosen programme.
You understand that failure to disclose an unspent conviction(s) may result in the withdrawal of the place at Intertrain UK Ltd.
You agree for your data to be shared where appropriate with the Education and Skills Funding Agency (ESFA) and the Learning Records Service (LRS).
Your information will be shared in accordance with Intertrain UK Ltd’s Data Protection Policy (GDPR).

I give consent for my image to be used on social media Facebook, Instagram etc.

Railway Training Courses - PTS Training Railway Training Courses - PTS Training

Vocational Programme Application Pack

Personal Details

Identification

Travel

Current Status

Residency Status

Qualifications

Apprenticeships

Employment History

Holidays & Notice Period

Rail Qualifications & Competencies

Network Rail - Drugs & Alcohol

Health and Support Needs

Disclosure of Criminal Convictions

PPE (Personnel Protective Equipment)

Where Did You Learn About Us?

Declaration