The information fields in bold and marked with * are required from everyone
However, the additional fields are not compulsory, but as Train 2000 Ltd strives to provide equality of opportunity, it would help us to monitor how well we practice our policies. This information will not be used for any other purpose.
Privacy Policy
Name*
Date of Birth*
Residential Address*
Postcode*
Home Telephone*
Work Telephone
Mobile Number
National Insurance Number
Email Address*
If you are interested in starting your own business please describe briefly your business idea
How did you hear of us? Please choose Job Centre Leaflet Word of Mouth Advert Other
If you selected 'Advert' which paper
If 'Other' please state
Current Employment Status Please choose Unwaged/Voluntary At risk of Redundancy Student Part time-Student Employed Part Time Employed Full Time Unemployed Self Employed
IF YOU ARE EMPLOYED what type of employment are you in Please choose Technical Professional Administration Sales Arts/Crafts Other
IF YOU ARE UNEMPLOYED how long have you been unemployed Please choose 0-6 months 6-12 months 1-2 years 2-3 years Over 3 years
Please select the size of company you work/worked for Please choose Employs Under 250 Employs Over 250
Please tick the appropriate box
NONE
NVQ Level 1 or Equivalent [ Certificate of achievement; GCSE ]
NVQ Level 2 or Equivalent [ 5 or more GCSE grades A - C ]
NVQ Level 3 or Equivalent [ A Level ]
NVQ Level 4 or Equivalent [ Degree, HND]
NVQ Level 5 or Equivalent [ Post graduate level , Masters ]
Other (please state)
Please tick appropriate box
Do you have Childcare responsibilities Please choose Yes No
Are you a Lone Parent Please choose Yes No
If you are a Lone Parent, please select the appropriate options
Under 5 years Please choose Yes No
Over 5 years Please choose Yes No
Do you have Care/Guardian responsibilities Please choose Yes No
Please tick appropriate boxes
Do you consider yourself to be disabled Please choose Yes No
Long Term Condition
Physical Disability
Hearing Impairment
Visually Impaired
Learning Difficulties
Do you have any conditions that would affect your ability to do particular types of work Please choose Yes No
If 'Yes' please state briefly
How do you describe your Cultural Identity Please choose African/British African/Other Asian/British Asian/Other Afro Caribbean British Caribbean Arab Chinese Irish UK Black Non UK Black UK White Non UK White Mixed Race Other
We understand that some information is particularly sensitive and can result in additional prejudice; however we wish to work with all women and need to know if we are doing the right things to reach women who have, or have had, the following experiences. We will treat your information with the highest and respected confidentiality. Thank you
Have you ever experienced stress related illness or similar Please choose Yes No
Have you ever had any criminal convictions Please choose Yes No
If you have any additional needs that we can assist in meeting to enable you to attend one of our programmes, please tick the following box and someone will contact you.
I have additional needs.
If you require childcare/carers funding to help you attend training, please tick the following box and we will send you further information
I require childcare/carers funding
Train 2000 Ltd has an Association of Women. If you would like to be automatically registered as a member, please tick the following box
I have been previously been registered with Train 2000
If you have been previously registered, which year
I declare that the information that I have provided is true, and acknowledge that the Power Programme is part funded by the European Social Fund
I agree I do not agree